PLATTE COMMUNITY MEMORIAL HOSPITAL INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
PLATTE COMMUNITY MEMORIAL HOSPITAL INC (EIN 46-0239781)
Tax period
2024-07-01 to 2025-06-30
Filed
2026-04-17
IRS object ID
202601079349301220
Schema version
2024v5.5
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2026-04-17T14:23:38-05:00ReturnTs
Tax Period End2025-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1EIDE BAILLY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1345 N REID PL STE 400AddressLine1Txt
CitySIOUX FALLSCityNm
State AbbreviationSDStateAbbreviationCd
ZIP571037034ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN460239781EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PLATTE COMMUNITY MEMORIAL HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPLATBusinessNameControlTxt
Phone6053373364PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1601 E 7TH STREETAddressLine1Txt
CityPLATTECityNm
State AbbreviationSDStateAbbreviationCd
ZIP57369ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARK BURKETPersonNm
Person TitleCEOPersonTitleTxt
Phone6053373364PhoneNum
Signature2026-04-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLAURIE HANSON CPAPreparerPersonNm
PTINP00851848PTIN
Phone6053391999PhoneNum
Preparation2026-04-09PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1PLATTE HEALTH CENTER-AVERABusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerMARK BURKETPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1601 E 7TH STREETAddressLine1Txt
CityPLATTECityNm
State AbbreviationSDStateAbbreviationCd
ZIP57369ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$22,678,204GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PHCAVERA.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1947FormationYr
Legal Domicile StateSDLegalDomicileStateCd
Activity Or MissionPROVIDE INPATIENT AND OUTPATIENT HEALTHCARE SERVICES.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee193TotalEmployeeCnt
Total Volunteers30TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$268,134PYContributionsGrantsAmt
CY Contributions Grants$73,214CYContributionsGrantsAmt
PY Program Service Revenue$19,390,028PYProgramServiceRevenueAmt
CY Program Service Revenue$21,587,146CYProgramServiceRevenueAmt
PY Investment Income$1,493,020PYInvestmentIncomeAmt
CY Investment Income$951,670CYInvestmentIncomeAmt
PY Other Revenue$69,837PYOtherRevenueAmt
CY Other Revenue$66,174CYOtherRevenueAmt
PY Total Revenue$21,221,019PYTotalRevenueAmt
CY Total Revenue$22,678,204CYTotalRevenueAmt
PY Grants And Similar Paid$23,883PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$9,865CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$11,352,803PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$11,398,103CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,893,043PYOtherExpensesAmt
CY Other Expenses$6,615,524CYOtherExpensesAmt
PY Total Expenses$17,269,729PYTotalExpensesAmt
CY Total Expenses$18,023,492CYTotalExpensesAmt
PY Revenues Less Expenses$3,951,290PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,654,712CYRevenuesLessExpensesAmt
Total Assets BOY$35,260,796TotalAssetsBOYAmt
Total Assets EOY$40,036,195TotalAssetsEOYAmt
Total Liabilities BOY$7,211,910TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,648,868TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$28,048,886NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$33,387,327NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionPLATTE COMMUNITY MEMORIAL HOSPITAL, INC. IS A HEALTH MINISTRY ROOTED IN THE GOSPEL. OUR MISSION IS TO MAKE A POSITIVE IMPACT IN THE LIVES AND HEALTH OF PERSONS AND COMMUNITIES BY PROVIDING QUALITY SERVICES GUIDED BY CHRISTIAN VALUES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$15,444,426ExpenseAmt
Grant$9,865GrantAmt
Revenue$21,587,146RevenueAmt
DescTHE PURPOSE OF THE PLATTE COMMUNITY MEMORIAL HOSPITAL, INC. IS TO PROVIDE HEALTHCARE SERVICES TO THE COMMUNITY OF PLATTE AND THE SURROUNDING AREAS. THE FACILITY CONSISTS OF A 17-BED CRITICAL ACCESS HOSPITAL, A 39-BED LONG-TERM CARE FACILITY, AND THREE RURAL HEALTH CLINICS IN PLATTE, GEDDES, AND WHITE LAKE, SOUTH DAKOTA. SERVICES OFFERED INCLUDE PRIMARY CARE, EMERGENCY, SAME-DAY SURGERY, CARDIAC REHAB, PHARMACY, LABORATORY, IMAGING, PHYSICAL THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY, TELEMEDICINE, SLEEP LAB, PSYCHIATRY, AND NUMEROUS SPECIALTIES VIA OUTREACH PROVIDERS. INPATIENT AND OUTPATIENT STATISTICAL DATA FOR THE YEAR WERE AS FOLLOWS: 485 INPATIENT DAYS; 312 SWING BED DAYS; 12,540 LONG-TERM CARE DAYS; 7,557 OUTPATIENT VISITS; AND 10,498 CLINIC VISITS.TO FULFILL ITS MISSION OF COMMUNITY SERVICE, THE PLATTE HEALTH CENTER AVERA PROVIDES CHARITY CARE TO PERSONS WHO HAVE HEALTHCARE NEEDS AND ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR A GOVERNMENT PROGRAM, OR OTHERWISE UNABLE TO PAY FOR MEDICALLY NECESSARY CARE. CONSISTENT WITH ITS MISSION TO MAKE A POSITIVE IMPACT IN THE LIVES AND HEALTH OF PERSONS AND COMMUNITIES BY PROVIDING QUALITY SERVICES GUIDED BY CHRISTIAN VALUES, PHCA STRIVES TO ENSURE THAT THE FINANCIAL CAPACITY OF PEOPLE WHO NEED HEALTH SERVICES DOES NOT PREVENT THEM FROM SEEKING OR RECEIVING CARE.PHCA ATTESTED TO THE PROGRAM YEAR 2024 OF MEANINGFUL USE. THIS ATTESTATION TO CMS STATES PHCA HAS MET AND WILL COMPLY WITH THE REQUIREMENTS FOR MEANINGFUL USE. WITH THIS, PHCA HAS ENHANCED PATIENT CARE BY IMPLEMENTING AN ELECTRONIC HEALTH RECORD SYSTEM AS WELL AS THE MANY PATIENT SAFETY MEASURES THAT COMES WITH IT.Desc
Total Program Service Expenses$15,444,426TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document30IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee193EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1VICKI JENSENBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6053373364PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1601 E 7TH STREETAddressLine1Txt
CityPLATTECityNm
State AbbreviationSDStateAbbreviationCd
ZIP57369ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
HAU TRAN
PHYSICIAN40.00Yes (X)$373,200$0$60,705
DR NELSON BATOON
PHYSICIAN40.00Yes (X)$370,495$0$60,705
MARK BURKET
CEO40.00$247,204$0$81,038Yes (X)
JEFFREY KONSTANZ
PHYSICIAN ASSISTANT40.00Yes (X)$217,629$0$65,562
APRIL VEURINK
CNP40.00Yes (X)$181,880$0$9,472
DR JEROME BENTZ
PHYSICIAN25.00Yes (X)$165,560$0$9,114
VICKI JENSEN
CFO40.00$109,047$0$50,506Yes (X)
DENNIS VANDERWERFF
PRESIDENT UNTIL 11/20244.00$0$0$0Yes (X)Yes (X)
KAREN TURNIS
DIRECTOR/PRESIDENT FROM 11/20244.00$0$0$0Yes (X)Yes (X)
JESSE BLOCK
VICE PRESIDENT1.00$0$0$0Yes (X)Yes (X)
JILL GUSTAD
SECRETARY1.00$0$0$0Yes (X)Yes (X)
BRANDI DELANGE
TREASURER1.00$0$0$0Yes (X)Yes (X)
JORDEN GILLEN
DIRECTOR FROM 11/20241.00$0$0$0Yes (X)
ROBERT GRAVES
DIRECTOR1.00$0$0$0Yes (X)
ANN JOHNSON
DIRECTOR1.00$0$0$0Yes (X)
DENNIS SEVERSON
DIRECTOR1.00$0$0$0Yes (X)
TRAVIS TEGETHOFF
DIRECTOR FROM 11/20241.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,665,015TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$337,102TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K15IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SF CONSTRUCTIONJOURNEY
PO BOX 2728SIOUX FALLSSD571012728CONSTRUCTION$1,796,124
PRIME TIME HEALTHCARE LLC
PO BOX 3544OMAHANE681033544TEMP/CONTRACT CNAS AND RNS$563,244
AVERA QUEEN OF PEACE
525 N FOSTERMITCHELLSD57301MGMT AGREEMENT/SERVICES$480,782
AVERA HEALTH
3900 W AVERA DRIVESIOUX FALLSSD57104PURCHASED SERVICES$456,327
AVERA MCKENNAN HOSPITAL
1325 S CLIFF AVESIOUX FALLSSD571175045PURCHASED SERVICES$280,811
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt
Government Grants$56,214GovernmentGrantsAmt
All Other Contributions$17,000AllOtherContributionsAmt
Total Contributions$73,214TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621110$19,943,938$19,943,938
PHARMACY REVENUE623990$1,272,274$1,272,274

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$370,934TotalRevenueColumnAmt
Related Or Exempt Func Income$370,934RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$21,587,146TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$354,970TotalRevenueColumnAmt
Exclusion$354,970ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$66,174RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$66,174RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$66,174TotalRevenueColumnAmt
Exclusion$66,174ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$596,700SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$596,700SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$596,700TotalRevenueColumnAmt
Exclusion$596,700ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$22,678,204TotalRevenueColumnAmt
Related Or Exempt Func Income$21,587,146RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,017,844ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$5,710TotalAmt
Program Services$5,710ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$4,155TotalAmt
Program Services$4,155ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$474,273TotalAmt
Management And General$474,273ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$57,965TotalAmt
Program Services$57,965ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,384,079TotalAmt
Program Services$7,829,769ProgramServicesAmt
Management And General$554,310ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$256,273TotalAmt
Program Services$187,669ProgramServicesAmt
Management And General$68,604ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,635,299TotalAmt
Program Services$1,571,962ProgramServicesAmt
Management And General$63,337ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$590,214TotalAmt
Program Services$547,939ProgramServicesAmt
Management And General$42,275ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$506TotalAmt
Program Services$134ProgramServicesAmt
Management And General$372ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$110,010TotalAmt
Program Services$11,629ProgramServicesAmt
Management And General$98,381ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$451TotalAmt
Management And General$451ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$71,206TotalAmt
Management And General$71,206ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,583,616TotalAmt
Program Services$1,281,601ProgramServicesAmt
Management And General$302,015ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$28,565TotalAmt
Program Services$6,643ProgramServicesAmt
Management And General$21,922ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$210,360TotalAmt
Program Services$146,462ProgramServicesAmt
Management And General$63,898ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$487,284TotalAmt
Program Services$53,104ProgramServicesAmt
Management And General$434,180ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$437,778TotalAmt
Program Services$413,349ProgramServicesAmt
Management And General$24,429ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$40,559TotalAmt
Program Services$34,390ProgramServicesAmt
Management And General$6,169ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$54,798TotalAmt
Program Services$42,082ProgramServicesAmt
Management And General$12,716ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$142,223TotalAmt
Program Services$109,230ProgramServicesAmt
Management And General$32,993ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,178,074TotalAmt
Program Services$1,079,950ProgramServicesAmt
Management And General$98,124ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$131,205TotalAmt
Program Services$24,370ProgramServicesAmt
Management And General$106,835ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$1,621,375$1,610,514$10,861
REPAIRS AND MAINTENANCE$392,855$390,593$2,262
EQUIPMENT LEASE/RENTAL$26,740$23,009$3,731

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$97,919TotalAmt
Program Services$12,197ProgramServicesAmt
Management And General$85,722ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$18,023,492TotalAmt
Program Services$15,444,426ProgramServicesAmt
Management And General$2,579,066ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,720,413BOYAmt
EOY$2,263,453EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,908,145BOYAmt
EOY$5,445,505EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$200,302BOYAmt
EOY$334,231EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$133,306BOYAmt
EOY$169,874EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$28,651,338LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$15,302,277LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$12,136,211BOYAmt
EOY$13,349,061EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$3,340,558BOYAmt
EOY$9,686,477EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$10,736,981BOYAmt
EOY$7,379,431EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$271,262BOYAmt
EOY$196,294EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,813,618BOYAmt
EOY$1,211,869EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$35,260,796BOYAmt
EOY$40,036,195EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,928,458BOYAmt
EOY$1,697,409EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$425BOYAmt
EOY$465EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$4,772,891BOYAmt
EOY$4,339,267EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$510,136BOYAmt
EOY$611,727EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,211,910BOYAmt
EOY$6,648,868EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$24,712,605BOYAmt
EOY$29,786,697EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,336,281BOYAmt
EOY$3,600,630EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$28,048,886BOYAmt
EOY$33,387,327EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$35,260,796BOYAmt
EOY$40,036,195EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$4,654,712ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$346,639NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$337,090OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$451GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$451TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1FFormAndLineReferenceDesc
ExplanationTHE AMOUNT FOR GRANTS PAID TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES REPRESENTS THE PORTION OF DUES PAID TO SOUTH DAKOTA ASSOCIATION OF HEALTHCARE ORGANIZATION (SDAHO) THAT ARE ATTRIBUTABLE TO LOBBYING.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,071,801BeginningYearBalanceAmt
Contributions$115ContributionsAmt
Investment Earnings Or Losses$236,251InvestmentEarningsOrLossesAmt
End Year Balance$3,308,167EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,786,086BeginningYearBalanceAmt
Contributions$1,473ContributionsAmt
Investment Earnings Or Losses$284,242InvestmentEarningsOrLossesAmt
End Year Balance$3,071,801EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,611,416BeginningYearBalanceAmt
Contributions$1,390ContributionsAmt
Investment Earnings Or Losses$173,280InvestmentEarningsOrLossesAmt
End Year Balance$2,786,086EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,936,661BeginningYearBalanceAmt
Contributions$962ContributionsAmt
Investment Earnings Or Losses-$326,207InvestmentEarningsOrLossesAmt
End Year Balance$2,611,416EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,502,516BeginningYearBalanceAmt
Contributions$1,168ContributionsAmt
Investment Earnings Or Losses$432,977InvestmentEarningsOrLossesAmt
End Year Balance$2,936,661EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.56490PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.43510TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$242,952OtherCostOrOtherBasisAmt
Book Value$242,952BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$21,990,684OtherCostOrOtherBasisAmt
Depreciation$10,685,224DepreciationAmt
Book Value$11,305,460BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,987,295OtherCostOrOtherBasisAmt
Depreciation$4,238,504DepreciationAmt
Book Value$1,748,791BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$430,407OtherCostOrOtherBasisAmt
Depreciation$378,549DepreciationAmt
Book Value$51,858BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$13,349,061TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INTEREST IN AVERA HEALTH FOUNDATION$884,183F
UNDER LOAN AGREEMENT$255,940F
ASSETS LIMITED AS TO USE - FUNDED DEPRECIATION$6,239,308F
FieldValueIRS element (for citing)
Total Book Value Securities$7,379,431TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDEFERRED COMPENSATION PAYABLEDesc
Amt$611,727Amt
FieldValueIRS element (for citing)
Total Liability$611,727TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$23,290,727TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$346,639NetUnrealizedGainsInvstAmt
Other Revenue$265,884OtherRevenueAmt
Revenue Not Reported$612,523RevenueNotReportedAmt
Revenue Subtotal$22,678,204RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$22,678,204TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$17,952,286TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$17,952,286ExpensesSubtotalAmt
Investment Expenses Not Incld2$71,206InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$71,206ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$18,023,492TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:THE NURSING HOME RESIDENTS ARE ALLOWED TO HAVE FUNDS IN THE RESIDENT TRUST ACCOUNT. THE MONEY CAN BE USED FOR ANY PERSONAL ITEMS THEY DESIRE: SNACKS, LUNCH, HAIRCUTS, ETC. THE RESIDENTS ARE NOT CHARGED ANY FEES FOR UTILIZING THE ACCOUNT. THE ACCOUNT IS RECONCILED MONTHLY BY THE BUSINESS OFFICE STAFF. INTEREST IS PAID TO ANY INDIVIDUAL RESIDENT WHO HAS OVER $50 IN THEIR ACCOUNT.
PART V, LINE 4:THE INCOME WILL BE USED TOWARD EXPENDITURES FOR HEALTHCARE SERVICES.
PART X, LINE 2:THE HEALTH CENTER BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE HEALTH CENTER WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED.
PART XI, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 337,090. INVESTMENT EXPENSES -71,206.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served22PersonsServedCnt
Total Community Benefit Expns$76,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$76,000NetCommunityBenefitExpnsAmt
Total Expense0.00420TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served22PersonsServedCnt
Total Community Benefit Expns$76,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$76,000NetCommunityBenefitExpnsAmt
Total Expense0.00420TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served187PersonsServedCnt
Total Community Benefit Expns$23,551TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,860DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,691NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,212,397TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,944,244DirectOffsettingRevenueAmt
Net Community Benefit Expns$268,153NetCommunityBenefitExpnsAmt
Total Expense0.01490TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Total Community Benefit Expns$10,710TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$10,710NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs8ActivitiesOrProgramsCnt
Persons Served187PersonsServedCnt
Total Community Benefit Expns$2,246,658TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,961,104DirectOffsettingRevenueAmt
Net Community Benefit Expns$285,554NetCommunityBenefitExpnsAmt
Total Expense0.01590TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs9ActivitiesOrProgramsCnt
Persons Served209PersonsServedCnt
Total Community Benefit Expns$2,322,658TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,961,104DirectOffsettingRevenueAmt
Net Community Benefit Expns$361,554NetCommunityBenefitExpnsAmt
Total Expense0.02010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$208,697BadDebtExpenseAmt
Bad Debt Expense Attributable$47,583BadDebtExpenseAttributableAmt
Reimbursed By Medicare$5,980,973ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$6,029,353CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$48,380MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PLATTE HEALTH CENTER-AVERABusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1601 E 7TH STREETAddressLine1Txt
CityPLATTECityNm
State AbbreviationSDStateAbbreviationCd
ZIP57369ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.PHCAVERA.ORGWebsiteAddressTxt
State License10557StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Other3 PROVIDER-BASED CLINICSOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1PLATTE HEALTH CENTER-AVERABusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted24CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt24ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V SECTION CStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PLATTE HEALTH CENTER-AVERAPART V, SECTION B, LINE 5: THE CHNA COORDINATOR COLLECTED QUALITATIVE OR PRIMARY REVIEW DATA THROUGH THE USE OF A COMMUNITY-WIDE SURVEY, FOCUS GROUPS, KEY INFORMANT INTERVIEWS. DATA WAS ALSO COLLECTED FROM THE U.S. DEPARTMENT OF EDUCATION, CENTERS FOR DISEASE CONTROL AND PREVENTION, BUREAU OF LABOR STATISTICS, U.S. CENSUS BUREAU, COUNTY HEALTH RANKINGS, SOUTH DAKOTA DEPARTMENT OF HEALTH, ROBERT WOOD JOHNSON FOUNDATION, HEALTHCARE CONNECTION, AND THE SOUTH DAKOTA DEPARTMENT OF LABOR.THE GREATEST PORTION OF THE ORGANIZATION'S PATIENTS AND CUSTOMERS RESIDE IN THE COUNTY OF CHARLES MIX AND THE TOWNS OR PLATTE, GEDDES, AND WHITE LAKE. THE PUBLIC WAS SURVEYED THROUGH SOCIAL MEDIA, USING THE FACILITY'S FACEBOOK PAGE, AVERA'S WEBPAGE, A POSTER WITH A QR CODE, A LINK SENT TO AREA SCHOOLS AND CHAMBERS OF COMMERCE AND VIA EMAIL TO ALL EMPLOYEES. PAPER COPIES OF THE SURVEY WERE AVAILABLE UPON REQUEST FREE OF CHARGE. THE SURVEY WAS OPENED ON NOVEMBER 14, 2024, AND CLOSED ON JANUARY 13, 2025. A TOTAL OF 197 SURVEYS WERE COLLECTED WITH 147 SURVEYS FULLY COMPLETED.FOCUS GROUPS CONSISTED OF DEPARTMENT DIRECTORS WITHIN THE HOSPITAL AND BOARD MEMBERS FROM WITHIN THE COMMUNITY. INTERVIEWS WERE CONDUCTED WITH THE FOLLOWING KEY COMMUNITY MEMBERS: CHARLES MIX COUNTY COMMUNITY HEALTH NURSE, THE PLATTE-GEDDES SCHOOL COUNSELOR, THE OLDER ADULT RESOURCE NETWORK CONSULTANT FOR LUTHERAN SOCIAL SERVICES, AND THE MINISTERIAL ASSOCIATION.
PLATTE HEALTH CENTER-AVERAPART V, SECTION B, LINE 11: IN ITS FY25 CHNA, THE PLATTE HEALTH CENTER IDENTIFIED THE TOP THREE COMMUNITY HEALTH NEEDS AS FOLLOWS:1. MENTAL HEALTH SERVICES: ENHANCE ACCESS TO CURRENT SERVICES; RESEARCH DEVELOPMENT OF A COMMUNITY MENTAL HEALTH COALITION AND UTILIZE MARKETING STRATEGIES TO INCREASE AWARENESS OF SERVICES AND THE STIGMA ASSOCIATED WITH MENTAL HEALTH. 2. AGING ISSUES/ELDER CARE SERVICES/NETWORKS: ENHANCE SERVICES TO KEEP PEOPLE IN THEIR OWN HOME LONGER. 3. PROMOTE HEALTH MANAGEMENT STRATEGIES: MANAGEMENT OF CHRONIC HEALTH CONDITIONS (CHF, COPD, HTN, CANCERS, OBESITY): CONTINUED ACCESS TO PREVENTION/SCREENING PROGRAMS, CHRONIC DISEASE MANAGEMENT PROGRAMS AND ACCESS TO PROPER DIET (FRESH FRUITS/VEGETABLES) AND NUTRITION. OTHER HEALTH NEEDS WERE IDENTIFIED DURING THE CHNA PROCESS. HOWEVER, DUE TO LIMITED FINANCIAL RESOURCES, THE PLATTE HEALTH CENTER CANNOT ADDRESS ALL THE IDENTIFIED NEEDS. MEDICAL SERVICES FOR OBSTETRICS, PEDIATRICS ORTHODONTIA: THESE SERVICES ARE OUTSIDE THE FACILITY'S SCOPE TO ADDRESS. PATIENTS HAVE ESTABLISHED SELF-REFERRALS TO THESE SERVICES OUTSIDE OF THE COMMUNITY. PLATTE HEALTH CENTER IS COMMITTED TO ONGOING STAFF TRAINING AND SUPPORT TO ENHANCE EMERGENCY ROOM PREPAREDNESS. ADDICTION AND SUBSTANCE ABUSE: THE PROGRAMS ARE OUTSIDE OF THE FACILITY'S SCOPE OF PRACTICE TO ADDRESS. INFORMATION GATHERED THROUGH THE CHNA WILL BE SHARED WITH THE LOCAL MENTAL HEALTH SERVICES AND COUNSELORS. CHILDCARE/AFTER SCHOOL PROGRAMS: THIS NEED WAS BEING ADDRESSED THROUGH THE PLATTE DEVELOPMENT CORPORATION WITH GRANT DOLLARS OBTAINED AFTER CONDUCTING/PROVIDING THE GREATER PLATTE COMMUNITY CHILD CARE LANDSCAPE STUDY. AFFORDABLE HOUSING: THIS WAS ALSO A PRIORITY ON THE FACILITY'S 2022 CHNA. SINCE THAT TIME, THE FACILITY HAS PROVIDED TWO GOVERNOR HOMES IN PLATTE. ONE OF THE HOMES HAS BEEN SOLD, AND THE OTHER IS AVAILABLE FOR SALE. THE FACILITY BELIEVES THE IMMEDIATE NEED FOR HOUSING HAS MUCH IMPROVED OVER THE PAST THREE YEARS. HEALTHY FAMILY/RECREATIONAL/FITNESS ACTIVITIES: THIS NEED IS OUTSIDE OF THE FACILITY'S SCOPE OF SERVICES TO ADDRESS. THE FACILITY IS AN ADVOCATE FOR THE PROPOSED WALKING TRAIL AND HAS PLEDGED $25,000 IN FINANCIAL SUPPORT TO ITS DEVELOPMENT. THE CITY AND PRIVATE SECTOR ARE PROVIDING OPTIONS FOR EXERCISE/WELLNESS PROGRAMS.PLATTE HEALTH CENTER COMPLETED A NEW CHNA IN 2025 BUT FOCUSED ON NEEDS FROM THE PRIOR CHNA DUE TO TIMING.THE FOLLOWING ACTIONS WERE TAKEN DURING THE YEAR TO ACHIEVE THE GOALS OF THE 2021 CHNA: HEALTH SCREENINGS/PREVENTION: PLATTE HEALTH CENTER CONTINUED TO PROMOTE AND MARKET THE PLANET HEART SCREENINGS, IN COLLABORATION WITH THE AVERA HEART HOSPITAL. THIS CARDIOVASCULAR AND VASCULAR SCREENING IS MADE AVAILABLE TO PATIENTS FOR A LOW COST OF $125. THE FACILITY CONTINUES TO PROMOTE AND MARKET ANNUAL MAMMOGRAMS. PATIENT DATA IS MONITORED AND WOMEN WHO ARE OVERDUE FOR THEM MAMMO SCREENING ARE CONTACTED VIA LETTER AND PHONE/TEXT NOTIFICATIONS. CHRONIC CARE MANAGEMENT SERVICES WERE OFFERED TO MEDICARE PATIENTS WITH TWO OR MORE CHRONIC CONDITIONS. SOCIAL MEDIA CAMPAIGNS ARE ONGOING TO BRING AWARENESS TO LOCAL AVAILABILITY. SOME OF THOSE INCLUDE DIABETES, FALL RISK PREVENTION, BREAST CANCER AWARENESS, HEART HEALTH, IMMUNIZATION SAFETY, CERVICAL CANCER AWARENESS, BENEFITS OF PHYSICAL ACTIVITY, SLEEP HEALTH, ALCOHOL AWARENESS, SUMMER SAFETY, TEEN DRIVING, FIREWORKS SAFETY, AND STROKE SIGNS AND SYMPTOMS. MENTAL HEALTH SERVICES: A CURRENT YEAR EVALUATION OF THE PSYCHIATRY SPECIALTY REVEALED A VERY SUCCESSFUL SERVICE LINE. THE PROVIDER GIVES PATIENTS ACROSS A LARGE EXTENDED DEMOGRAPHIC ACCESS TO A MUCH-NEEDED RESOURCE. HOUSING/DAYCARE: TO ADDRESS AFFORDABLE HOUSING IN THE COMMUNITY, THE FACILITY PURCHASED TWO GOVERNOR HOMES. UPON DELIVERY OF THE HOMES, GARAGES AND BASEMENTS WERE COMPLETED IN MARCH 2025. THESE AFFORDABLE HOMES WERE MADE AVAILABLE FOR SALE TO THE PUBLIC. A PURCHASE AGREEMENT WAS IN PLACE FOR ONE OF THE HOMES AS OF JUNE 30, 2025.
PLATTE HEALTH CENTER-AVERAPART V, SECTION B, LINE 13H: PRESUMPTIVE CHARITY CARE IS A TOOL OF LAST RESORT AND APPLIES ONLY AFTER ALL OTHER AVENUES HAVE BEEN EXHAUSTED. THERE ARE OCCASIONS WHEN A PATIENT MAY APPEAR ELIGIBLE FOR A CHARITY CARE DISCOUNT, BUT THERE IS NO FINANCIAL ASSISTANCE FORM ON FILE BECAUSE DOCUMENTATION WAS LACKING THAT WOULD SUPPORT THE PROVISION OF FINANCIAL AID. SUCH INSTANCES HAVE RESULTED IN A PATIENT'S BILL BEING ASSIGNED TO A COLLECTION AGENCY AND ULTIMATELY RECOGNIZED IN THE ACCOUNTING RECORDS AS A BAD DEBT EXPENSE, DUE TO A LACK OF PAYMENT. THIS APPROACH, HOWEVER, RESULTS NEITHER IN A FAIR SOLUTION FOR THE PATIENT NOR IN AN APPROPRIATE ACCOUNTING OF THE TRANSACTION. OFTEN THERE IS ADEQUATE INFORMATION PROVIDED BY THE PATIENT OR THROUGH OTHER SOURCES, WHICH COULD PROVIDE PHC WITH SUFFICIENT EVIDENCE TO PROVIDE THE PATIENT WITH A CHARITY CARE DISCOUNT, WITHOUT NEEDING TO DETERMINE ELIGIBILITY FOR MEDICAL INDIGENCE. THIS PRESUMPTIVE ELIGIBILITY, WHEN PROPERLY DOCUMENTED INTERNALLY BY PHC STAFF, IS SUFFICIENT TO PROVIDE A CHARITY CARE DISCOUNT TO PATIENTS WHO QUALIFY. ONCE DETERMINED, DUE TO THE INHERENT NATURE OF THE PRESUMPTIVE CIRCUMSTANCES, THE ONLY DISCOUNT THAT CAN BE GRANTED TO THE PATIENT BY PHC IS A 100% WRITE-OFF OF THE ACCOUNT BALANCE.
PLATTE HEALTH CENTER-AVERAPART V, SECTION B, LINE 24: THE POLICY DOES NOT COVER ELECTIVE PROCEDURES AND THE FACILITY HAS CONFIRMED NO FAP PATIENTS HAD ELECTIVE PROCEDURES.
PART V SECTION B, LINE 10ATHE IMPLEMENTATION STRATEGY IS AVAILABLE UPON REQUEST AND ATHTTPS://WWW.AVERA.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/
PART V SECTION B, LINE 7ATHE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE ATHTTPS://WWW.AVERA.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/
PART V SECTION B, LINE 16A-CTHE FINANCIAL ASSISTANCE POLICY IS AVAILABLE AT:HTTPS://WWW.AVERA.ORG/APP/FILES/PUBLIC/F10AF35D-8C2D-477E-9F1A-31BC7C509C8D/PLATTE-FINANCIAL-ASSISTANCE-BILLING-PRACTICES-2025.PDFTHE PLAIN LANGUAGE SUMMARY IS AVAILABLE AT:HTTPS://WWW.AVERA.ORG/APP/FILES/PUBLIC/0A291553-92BC-48CA-B0C6-BC3C3CA75652/PLATTE-SUMMARY-FINANCIAL-ASSISTANCE-2025.PDFTHE APPLICATION IS AVAILABLE AT:HTTPS://WWW.AVERA.ORG/APP/FILES/PUBLIC/856D3C94-C52B-4E50-BF9B-F3FE6A06C5A1/PLATTE-FINANCIAL-ASSISTANCE-APPLICATION-2025.PDF
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line11 - PLATTE CARE CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1601 E 7TH STREETAddressLine1Txt
CityPLATTECityNm
State AbbreviationSDStateAbbreviationCd
ZIP57369ZIPCd
FieldValueIRS element (for citing)
FacilityNURSING HOMEFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:IN ADDITION TO FPG, PLATTE HEALTH CENTER AVERA (PHC) UTILIZES FACTORS AS MARKED IN PART V, LINE 13: ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, UNDERINSURANCE STATUS, AND PRESUMPTIVE CARE.
PART I, LINE 7:CHARITY CARE EXPENSE WAS CONVERTED TO COST ON LINE 7A BASED ON AN OVERALL COST-TO-CHARGE RATIO ADDRESSING ALL PATIENT SEGMENTS. LINE 7E AND 7I WERE OBTAINED UTILIZING THE ACTUAL GENERAL LEDGER SYSTEM.LINE 7G WAS DETERMINED USING THE MEDICARE COST REPORT.
PART III, LINE 2:THE AMOUNT ON LINE 2 REPRESENTS IMPLICIT PRICE CONCESSIONS. THE HEALTH CENTER DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH THE RESPECTIVE CLASS OF PATIENTS AND RESIDENTS.
PART III, LINE 3:THE ESTIMATED AMOUNT OF THE ORGANIZATION'S IMPLICIT PRICE CONCESSIONS ($47,583) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS CALCULATED BASED ON THE PERCENTAGE OF INDIVIDUALS LIVING BELOW THE POVERTY LEVEL IN CHARLES MIX COUNTY FOR 2023. THEREFORE, 22.8 PERCENT OF IMPLICIT PRICE CONCESSIONS CAN REASONABLY BE CONSIDERED A COMMUNITY BENEFIT AS IT WOULD HAVE BEEN WRITTEN OFF TO CHARITY CARE.
PART III, LINE 4:THE FOOTNOTE THAT DESCRIBES IMPLICIT PRICE CONCESSIONS IS ON PAGES 14-15 OF THE ATTACHED AUDIT REPORT.
PART III, LINE 8:MEDICARE ALLOWABLE COST OF CARE WAS CALCULATED FROM THE MEDICARE COST REPORT FOR FISCAL YEAR ENDING 6/30/25. MEDICAL SERVICES ARE PROVIDED TO PATIENTS WITH MEDICARE COVERAGE REGARDLESS OF WHETHER OR NOT A SURPLUS OR DEFICIT IS REALIZED. PROVIDING MEDICARE SERVICES PROMOTES ACCESS TO HEALTHCARE SERVICES WHICH ARE VITALLY NEEDED BY OUR COMMUNITY. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES.
PART III, LINE 9B:IF A PATIENT QUALIFIES FOR THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY FOR LOW-INCOME, UNINSURED, OR UNDER-INSURED PATIENTS AND IS COOPERATING WITH THE ORGANIZATION WITH REGARD TO EFFORTS TO SETTLE AN OUTSTANDING BILL WITHIN A REASONABLE TIME PERIOD, THE ORGANIZATION OR ITS AGENT SHALL NOT SEND, NOR INTIMATE THAT IT WILL SEND, THE UNPAID BILL TO ANY OUTSIDE COLLECTION AGENCY. WHEN THE ORGANIZATION SENDS THE UNCOLLECTED ACCOUNT TO AN OUTSIDE COLLECTION AGENCY, THE AMOUNT REFERRED TO THE AGENCY SHALL REFLECT THE REDUCED-PAYMENT LEVEL FOR WHICH THE PATIENT WAS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY FOR LOW-INCOME UNINSURED PATIENTS. IF AN UNCOLLECTED ACCOUNT IS IN COLLECTION AND IT'S DETERMINED THE ACCOUNT IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THEN ALL COLLECTION ACTIVITY IS STOPPED. PHC DOES NOT REPORT ANY DATA TO ANY OF THE CREDIT AGENCIES, HOWEVER, THE COLLECTION AGENCIES PHC UTILIZES MAY REPORT TO THE CREDIT AGENCIES.
PART VI, LINE 2:THE PLATTE HEALTH CENTER IS CONSTANTLY EVALUATING THE NEEDS OF OUR PATIENTS AND THE COMMUNITIES WE SERVE. PATIENT SURVEYS ARE INSTRUMENTAL IN BOTH SHORT AND LONG-TERM STRATEGIC PLANNING. THE PLATTE, GEDDES, AND WHITE LAKE MEDICAL CLINICS PERFORM AN ANNUAL PATIENT SATISFACTION SURVEY. THE NURSING HOME ALSO PERFORMS ANNUAL SURVEYS. THE HOSPITAL SURVEYS ARE ONGOING. EMERGENCY AND INPATIENT SURVEYS ARE PERFORMED BY AN INDEPENDENT THIRD PARTY UPON DISCHARGE, WITH QUARTERLY SCORES BEING PROVIDED TO ADMINISTRATION. ALL OF THE SURVEY RESULTS ARE REVIEWED BY ADMINISTRATION AND THEN DISCUSSED AT THE BOARD LEVEL. THE BOARD AGENDA HAS A STANDING STRATEGIC PLANNING ITEM THAT DISCUSSES FACILITY GOALS AND COMMUNITY NEEDS; AND HOW EACH CAN BE ACHIEVED. MONTHLY PROVIDER MEETINGS ARE ALSO INSTRUMENTAL TO MEETING THE NEEDS OF OUR PATIENTS. ADMINISTRATION, PHYSICIANS, AND ADVANCED PRACTICE PROVIDERS MEET REGULARLY TO DISCUSS THE NEED FOR NEW SERVICES, EVALUATING CURRENT SERVICES, AND ESTABLISHING BEST PRACTICES TO ENSURE WE OFFER A TOP NOTCH PATIENT EXPERIENCE.
PART VI, LINE 3:THE PATIENT ASSISTANCE POLICY IS POSTED ON OUR FACILITY'S WEBSITE AT WWW.PHCAVERA.ORG. SIGNAGE IS ALSO POSTED THROUGHOUT OUR FACILITY THAT EXPLAINS WHAT PATIENTS SHOULD DO IF THEY HAVE CONCERNS ABOUT PAYING THEIR BILL. DISCHARGE PACKETS INCLUDE THE SUMMARY FOR FINANCIAL ASSISTANCE DOCUMENT.UPON OUTPATIENT SERVICE REGISTRATIONS AND/OR ADMISSION, THE BUSINESS OFFICE STAFF WORKS TO EDUCATE ALL SELF-PAY PATIENTS ON OUR PATIENT ASSISTANCE POLICY. THE SUMMARY OF FINANCIAL ASSISTANCE DOCUMENT AND THE PATIENT ASSISTANCE FORM ARE SENT OUT WITH THE INITIAL SELF-PAY BILL TO ALL SELF-PAY PATIENTS WITHIN 7-10 DAYS OF THE DATE OF SERVICE. SELF-PAY BALANCES THAT GO UNPAID FOR 60 DAYS WILL RECEIVE A SERIES OF TWO LETTERS WITH THEIR MONTHLY STATEMENT. THE LETTERS EXPLAIN THE FACILITY'S COLLECTION PROCESS, AND INCLUDE THE PLAIN LANGUAGE DOCUMENT, THE PATIENT ASSISTANCE FORM, AND POLICY FOR THE GUARANTOR TO COMPLETE. THE FORM IS REQUIRED TO BE COMPLETED AND RETURNED IN A TIMELY MANNER. UPON RECEIPT OF THE PATIENT ASSISTANCE FORM, THE FORM IS REVIEWED TO DETERMINE THE AMOUNT OF DISCOUNT THE PATIENT QUALIFIES FOR UNDER THE POLICY. A FOLLOW-UP LETTER IS MAILED TO THE PATIENT EXPLAINING THE AMOUNT OF DISCOUNT AND PAYMENT PLAN FOR THE REMAINING BALANCE. FAILURE TO RETURN THE COMPLETED PATIENT ASSISTANCE FORM OR CONTACTING THE FACILITY FOR PAYMENT ARRANGEMENTS WILL RESULT IN THE PATIENT ACCOUNT GOING TO THE FACILITY'S COLLECTION AGENCY PROVIDED AT LEAST 120 DAYS HAVE PASSED SINCE THE FIRST POST DISCHARGE BILLING STATEMENT WAS SENT TO THE PATIENT. IF THE PATIENT RETURNS THE COMPLETED ASSISTANCE FORM WITHIN 240 DAYS FROM THE FIRST POST DISCHARGE BILLING STATEMENT, PHC WILL HALT COLLECTION ACTIVITY UNTIL A DETERMINATION OF FINANCIAL ASSISTANCE ELIGIBILITY CAN BE MADE. IF PHC APPROVES THE PATIENT FOR FINANCIAL ASSISTANCE, COLLECTION ACTIONS WILL CEASE.
PART VI, LINE 4:PLATTE HEALTH CENTER AVERA IS A CRITICAL ACCESS HOSPITAL IN PLATTE, SD. PLATTE IS A RURAL COMMUNITY WITH ALMOST 1,400 RESIDENTS LOCATED IN SOUTH CENTRAL SOUTH DAKOTA. THE FACILITY SERVES AN AREA OF ABOUT 5,000 PEOPLE IN CHARLES MIX, DOUGLAS, GREGORY, AURORA, AND BRULE COUNTIES. THE DOMINANT INDUSTRIES INCLUDE SMALL FAMILY BUSINESSES AND FAMILY FARMS. THE AREA IS VERY WELL KNOWN FOR RECREATIONAL HUNTING AND FISHING. WITH MORE THAN 1,950 PERMANENT CAMPSITES IN THE COUNTY, THE POPULATION RAPIDLY INCREASES BETWEEN MAY AND OCTOBER.THE PHCA ALSO PROVIDES CARE FOR THREE DIFFERENT HUTTERITE COLONIES IN ITS GEOGRAPHIC SERVICE AREA: THE PLATTE COLONY, CEDAR GROVE COLONY, AND GRASS RANCH COLONY. THESE COLONIES MAKE UP A LARGE PORTION OF OUR POPULATION AND COMPRISE SOME UNIQUE CULTURAL DIFFERENCES. THE PLATTE HEALTH CENTER AVERA MAKES EXTRA EFFORT TO ENSURE WE ARE MEETING THE HEALTHCARE NEEDS OF THEIR COMMUNITIES. HUTTERITE COLONIES ARE NOT A PART OF THE REFERENCED CENSUS DATA.THE MAJORITY OF PEOPLE SERVED BY PHC ARE LIVING IN NORTHERN CHARLES MIX COUNTY. THE COUNTY IS AN ESTIMATED 1100 SQUARE MILES AND HAS A POPULATION OF 9,343. CONSISTENTLY 80 PERCENT OF PLATTE HEALTH CENTER AVERA'S HOSPITAL DISCHARGES COME FROM CHARLES MIX COUNTY, AND ABOUT 74 PERCENT OF ALL SERVICES. ACCORDING TO THE U.S. CENSUS BUREAU QUICK FACTS DATA, CHARLES MIX COUNTY IS COMPRISED OF ABOUT 64 PERCENT CAUCASIAN PEOPLE, 31 PERCENT NATIVE AMERICAN, AND 5 PERCENT OTHER. PHC PREDOMINANTLY SERVES A CAUCASIAN POPULATION. THE ANNUAL MEDIAN HOUSEHOLD INCOME FOR CHARLES MIX COUNTY IN 2024 IS $64,850; HOWEVER, ALMOST 21.4 PERCENT OF THE POPULATION LIVES BELOW THE POVERTY LEVEL ($31,200/YEAR FOR A FAMILY OF FOUR). THERE ARE AN ESTIMATED 2,459 (OR 26%) PEOPLE ELIGIBLE FOR SOUTH DAKOTA MEDICAID; 1,071 ADULTS AND 1,388 CHILDREN, WHICH IS A STATISTIC THAT CONTINUES TO RISE EVERY YEAR. ABOUT 13.4 PERCENT OF THE COUNTY'S POPULATION REMAINS UNINSURED, WHICH IS ABOUT FIVE PERCENT MORE THAN THE STATE AVERAGE. THE LOCAL PLATTE-GEDDES SCHOOL DISTRICT HAS APPROXIMATELY 12.4% OF THE STUDENTS ON FREE/REDUCED MEAL PLANS.
PART VI, LINE 5:THE PLATTE HEALTH CENTER BOARD OF DIRECTORS CONSISTS OF NINE VOLUNTEER MEMBERS WHO REPRESENT ALL OF OUR SERVICE AREAS, INCLUDING PLATTE, GEDDES, WHITE LAKE, ACADEMY, NEW HOLLAND, AND HARRISON, SD. THE BOARD MEMBERS SHOW A SINCERE INTEREST IN UNDERSTANDING THE OPERATIONS OF THE FACILITY, ITS CONTINUED VIABILITY, AS WELL AS THE NEEDS OF THE COMMUNITY IT SERVES. THE BOARD HAS A STANDING ITEM FOR STRATEGIC PLANNING ON THEIR MONTHLY AGENDA. THIS IS FOR DISCUSSION ON THE NEED FOR NEW OR EXPANDED SERVICES, BUILDING PROJECTS, PROVIDERS, OUTREACH SERVICES, AND OTHER PATIENT RELATED TOPICS. AS A STANDING ITEM, THESE ITEMS BECOME GOALS AND STRATEGY FOR THE FACILITY'S FUTURE. THE BOARD HAS COMMITTED TO CONTRIBUTING FUNDS ANNUALLY TO THE AVERA POOLED INVESTMENTS. THESE FUNDS ARE INTENDED TO SUPPORT EQUIPMENT UPGRADES AND FUTURE BUILDING PROJECTS.MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PROVIDERS IN THE AREA. IN TOTAL WITH AVERA ESERVICES THE FACILITY HAS ABOUT 250 CREDENTIALLED PROVIDERS. THIS NUMBER INCLUDES THE THREE FULL-TIME EMPLOYED FAMILY PRACTICE PHYSICIANS, TWO CERTIFIED NURSE PRACTITIONERS, TWO PHYSICIAN ASSISTANTS, AND A CERTIFIED REGISTERED NURSE ANESTHETIST. PHC HAS NUMEROUS SPECIALTY PHYSICIANS VIA OUTREACH CLINICS AND ESERVICES.PHC IS THE ONLY HOSPITAL IN THE PLATTE COMMUNITY. THE NEXT CLOSEST CRITICAL ACCESS HOSPITAL IS 35 MILES TO THE EAST; AND THE CLOSEST REGIONAL HOSPITAL IS 66 MILES NORTHEAST. PHC WORKS VERY HARD TO PROVIDE QUALITY HEALTHCARE IN A RURAL SETTING. PHC PROVIDES INNOVATIVE TECHNOLOGY APPLICATIONS LEVERAGED BY HIGHLY TRAINED STAFF WITH ECARE SERVICES, WHICH INCLUDE EEMERGENCY, EICU, EPHARMACY, AND ECONSULT. THROUGH A GROWING TELECOMMUNICATIONS NETWORK, WE OFFER VIDEO TELECONFERENCING FOR EDUCATIONAL AND MEDICAL SERVICES. WE EXTEND OUR MISSION IN THE REGION THROUGH MOBILE OUTREACH PROGRAMS AND PROVIDE LOCAL HEALTH CARE SPECIALIST VISITS RIGHT HERE IN PLATTE SAVING OUR PATIENTS TIME AND TRAVEL EXPENSES. THE FACILITY IS CERTIFIED AS A TRAUMA RECEIVING FACILITY WITH FULLY INTEGRATED EEMERGENCY AND ESTROKE SERVICES IN BOTH EMERGENCY ROOM (ER) BAYS. EMERGENCY ROOM SERVICES ARE A SUBSIDIZED SERVICE FOR THE ORGANIZATION. THIS SERVICE IS NOT ONLY PROVIDED TO COMPLY WITH REGULATORY REQUIREMENTS BUT HAS ALSO BEEN IDENTIFIED AS A CRITICAL SERVICE FOR THE COMMUNITY AND ORGANIZATION AS IT ENSURES ACCESS TO EMERGENCY SERVICES FOR OUR CUSTOMERS.PLATTE HEALTH CENTER IS A FARM (FRONTIER AND RURAL MEDICINE) SITE. THE FARM PROGRAM IS THE UNIVERSITY OF SOUTH DAKOTA SANFORD SCHOOL OF MEDICINE'S RURAL TRACK MEDICAL STUDENT PROGRAM. THIS IS A UNIQUE OPPORTUNITY FOR A SELECT GROUP OF MEDICAL STUDENTS TO OBTAIN NINE MONTHS OF THEIR CLINICAL TRAINING IN RURAL COMMUNITIES. THE PROGRAM EDUCATES MEDICAL STUDENTS ON THE NEED FOR PHYSICIANS IN RURAL FAMILY MEDICINE; AND THE FACILITY BUILDS ON RELATIONSHIPS THAT COULD RESULT IN THE RECRUITMENT OF FUTURE PHYSICIANS. THIS IS A COMPETITIVE PROGRAM IN WHICH BOTH THE HOSPITAL AND MEDICAL STUDENT MUST APPLY FOR THROUGH AN APPLICATION PROCESS.PLATTE HEALTH CENTER IS A HEALING MINISTRY FOR THE SICK, THE ELDERLY, AND THE OPPRESSED, AND PROVIDES HEALTHCARE SERVICES TO ALL PERSONS IN NEED, WITHOUT REGARD TO AGE, RACE, SEX, CREED, NATIONAL ORIGIN, OR ABILITY TO PAY.IN CONJUNCTION WITH THE FACILITY'S COMMUNITY HEALTH NEEDS ASSESSMENT, THE FACILITY MAKES OTHER CONTRIBUTIONS TO THE COMMUNITY IT SERVES. THE PLATTE HEALTH CENTER ENCOURAGES VOLUNTEERING AT ALL LEVELS OF THE FACILITY. FACILITY EMPLOYEES ROUTINELY DONATE TIME AND MONEY TO SOME VERY WORTHY CAUSES. THE FACILITY PARTICIPATED IN THE FOLLOWING VOLUNTEER PROJECTS DURING THE YEAR: PLATTE HEALTH CENTER STAFF VOLUNTEERS TO OPERATE THE PUBLIC MOVIE THEATER THE SECOND SATURDAY OF EVERY MONTH. STAFF CONDUCTED A FOOD DRIVE FOR THE HELPING HANDS FOOD PANTRY LOCATED IN PLATTE, SD. THE MEDICAL CLINICS HOSTED A COMMUNITY BAKE SALE. THE PROCEEDS WERE USED TO COVER THE EXPENSE OF MEDICAL LICENSES FOR TWO PHYSICIANS WHO ARE FULFILLING A MEDICAL MISSION IN NORTH AFRICA. OUR RADIOLOGY DEPARTMENT CONDUCTED GO PINK EVENTS IN OCTOBER FOR BREAST CANCER AWARENESS. FUNDS WERE RAISED TO SUPPORT THE LOCAL BREAST CANCER SURVIVOR SUPPORT GROUP; AND TO PROVIDE SCREENING MAMMOGRAMS FOR UNINSURED/UNDERINSURED WOMEN. SURPLUS MEDICAL SUPPLIES ARE SENT TO FOREIGN COUNTRIES IN NEED. BAKE SALES COVER THE COST OF MAILING THESE ITEMS. FACILITY PROVIDES MEDICAL, NURSING, AND OTHER HEALTHCARE PROFESSION STUDENTS THE OPPORTUNITY TO JOB SHADOW AND GAIN HANDS-ON LEARNING AT THE FACILITY. EMPLOYEES PARTICIPATED AND HELPED ORGANIZE NUMEROUS FUND RAISING ACTIVITIES FOR LOCAL RESIDENTS DEALING WITH SERIOUS HEALTH CONDITIONS.
PART VI, LINE 6:THE PLATTE HEALTH CENTER IS AFFILIATED WITH THE AVERA HEALTH SYSTEM AND IS A MANAGED FACILITY OF AVERA QUEEN OF PEACE. AVERA QUEEN OF PEACE AND THE PHC WORK COOPERATIVELY TO ENHANCE HEALTHCARE. THEIR DEDICATED RESOURCES TO ENDEAVORS THAT MAKE A POSITIVE DIFFERENCE IMPROVE THE HEALTH OF THE COMMUNITIES THEY SERVE. THESE ACTIVITIES INCLUDE LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS, ECONOMIC DEVELOPMENT, PHYSICAL IMPROVEMENTS IN THE COMMUNITY, CONTRIBUTIONS TO NONPROFIT COMMUNITY ORGANIZATIONS, NONPROFIT EVENT SPONSORSHIPS, DONATED MEDICAL SUPPLIES, COMMUNITY HEALTH EDUCATION AND SUPPORT GROUPS, HEALTH SCREENINGS, FLU-SHOT CLINICS, AND VARIOUS OTHER ACTIVITIES.THROUGH THIS AFFILIATION, THE PLATTE HEALTH CENTER HAS ACCESS TO "BACK OFFICE" SUPPORT SERVICES, SUCH AS LEGAL CONSULTATION, QUALITY BENCHMARKING, CODING, COMPUTER SERVICES, CONTRACT NEGOTIATIONS, ADMINISTRATIVE CONSULTATION, GROUP PURCHASING, HUMAN RESOURCE ASSISTANCE, PHYSICIAN RECRUITING, AND MANY OTHER SERVICES. AVERA HEALTH CAN PROVIDE THESE SERVICES TO THE HOSPITAL AT A COST BELOW THAT WHICH THE HOSPITAL COULD OTHERWISE ACHIEVE ON ITS OWN. IN TURN, LOCAL CAREGIVERS ARE ABLE TO DEVOTE MORE RESOURCES TO PATIENT AND RESIDENT CARE.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
HAU TRAN
PHYSICIAN$307,474$0$0$0$65,726$0$17,250$0$43,932$0$434,382$0$0$0
DR NELSON BATOON
PHYSICIAN$370,495$0$0$0$0$0$17,250$0$43,932$0$431,677$0$0$0
MARK BURKET
CEO$246,342$0$0$0$862$0$35,833$0$45,556$0$328,593$0$0$0
JEFFREY KONSTANZ
PHYSICIAN ASSISTANT$190,016$0$27,613$0$0$0$22,771$0$43,067$0$283,467$0$0$0
APRIL VEURINK
CNP$165,657$0$7,000$0$9,223$0$9,112$0$510$0$191,502$0$0$0
DR JEROME BENTZ
PHYSICIAN$158,180$0$0$0$7,380$0$8,318$0$796$0$174,674$0$0$0
VICKI JENSEN
CFO$109,047$0$0$0$0$0$6,380$0$44,358$0$159,785$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PART IFormAndLineReferenceDesc
ExplanationPHYSICIANS AND ADVANCED PRACTICE PROVIDERS CAN ACHIEVE INCENTIVE PAY AS OUTLINED IN THEIR RESPECTIVE EMPLOYMENT CONTRACTS. FOR THE YEAR END 06/30/25, THE FACILITY HAD TWO ADVANCED PRACTIVE PROVIDERS ACHIEVE THEIR INCENTIVE GOALS. ONE WAS A PHYSICIAN ASSISTANT WHO EARNED AN INCENTIVE BASED ON PRODUCTIVITY STANDARDS. THE OTHER WAS A CERTIFIED NURSE PRACTITIONER WHO ACHIEVED INCENTIVE BY MEETING THE FOLLOWING CRITERIA: PARTICIPATION/ATTENDANCE AT PROVIDER AND MEDICAL STAFF MEETINGS; ED RESPONSE TIME REQUIREMENTS; STAFF EDUCATION REQUIREMENTS; AND ANNUAL WELLNESS VISITS FOR NURSING HOME RESIDENTS.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
JEANETTE PHEIFER
MOTHER OF BRANDI DELANGE, BOARD MEMBER$15,151PAYROLL/WAGES0
JULIE GUSTAD
MOTHER-IN-LAW OF JILL GUSTAD, BOARD MEMBER$42,814PAYROLL/WAGES0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1ATHE EXECUTIVE COMMITTEE SHALL HAVE THE BOARD PRESIDENT AS ITS CHAIRMAN AND RESPONSIBLE PERSON. THE EXECUTIVE COMMITTEE SHALL HAVE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE FACILITY DURING THE INTERIM BETWEEN THE MEETINGS OF THE BOARD OF DIRECTORS, PROVIDED ANY ACTION TAKEN SHALL NOT CONFLICT WITH THE POLICIES AND EXPRESSED WISHES OF THE BOARD OF DIRECTORS AND THAT IT SHALL REFER ALL MATTERS OF MAJOR IMPORTANCE TO THE BOARD OF DIRECTORS. ALL OTHER COMMITTEES ARE ADVISORY TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 8BIF AND WHEN THE EXECUTIVE COMMITTEE MEETS, IT DOES NOT PREPARE MINUTES FOR THEIR MEETINGS. INSTEAD, IT REPORTS TO THE BOARD AND DISCUSSION OF EXECUTIVE COMMITTEE MEETINGS IS INCLUDED IN THE BOARD MEETING MINUTES.
FORM 990, PART VI, SECTION B, LINE 11BTHE CEO AND CFO REVIEW THE FORM 990. AFTER THEIR REVIEW, A COPY OF THE COMPLETED FORM 990 IS GIVEN TO ALL BOARD MEMBERS FOR THEIR FEEDBACK. THE CFO FILES THE TAX RETURN WITH THE IRS AFTER VERIFYING WITH THE BOARD THAT IT IS OKAY TO PROCEED.
FORM 990, PART VI, SECTION B, LINE 12CTHE BOARD IS REQUIRED ANNUALLY TO SIGN-OFF ON THE CONFLICT OF INTEREST POLICY. PER POLICY, BOARD MEMBERS ARE EXPECTED TO DISCLOSE CONFLICTS AS THEY ARISE. THE FULL BOARD REVIEWS THE POTENTIAL CONFLICTS OF INTEREST AND DETERMINES WHETHER A CONFLICT EXISTS. IF A CONFLICT EXISTS, THE AFFECTED PERSON IS REQUIRED TO ABSTAIN FROM VOTING ON THE ITEM THAT GIVES RISE TO THE CONFLICT. ALL EMPLOYEES ARE REQUIRED TO FOLLOW THE CONFLICT OF INTEREST POLICY. ADMINISTRATION REVIEWS AND RESOLVES ANY CONFLICTS AS THEY ARISE. IN MATTERS OF PATIENT CARE, ADMINISTRATION WOULD CONVENE AN ETHICS COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 15PER THE CEO'S CONTRACT, THE CEO ANNUAL COMPENSATION SHALL BE AGREED UPON AT AN ANNUAL REVIEW OF THE CEO'S COMPENSATION AND PERFORMANCE BY THE BOARD. IF NO OTHER AMOUNT IS SET AT THE ANNUAL REVIEW, THE SALARY SHALL REMAIN THE SAME FOR THE NEXT CALENDAR YEAR, SUBJECT TO ANNUAL INFLATIONARY INCREASE. THIS ANNUAL REVIEW SHALL OCCUR THREE MONTHS PRIOR TO THE END OF EACH YEAR OF THE CONTRACT. THE COMPENSATION PACKAGE FOR THE CFO IS BASED ON A REVIEW OF THE SDAHO ANNUAL COMPENSATION SURVEY AND APPROVED BY THE CEO. THE ANNUAL SDAHO SURVEY IS BASED ON MARKET BY FACILITY SIZE AND LOCATION. ANY MARKET INCREASES ARE AWARDED ON JULY 1ST ANNUALLY. ANNUAL MERIT INCREASES (NOT TO EXCEED 2.5 PERCENT) ARE GIVEN BASED ON A PERFORMANCE REVIEW ON THE CFO'S ANNIVERSARY DATE OF EMPLOYMENT.
FORM 990, PART VI, SECTION C, LINE 19THESE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 337,090.

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