Liabilities / Assets
87th percentile
Higher debt load relative to assets than 87% of similar nonprofits.
EIN 46-0233029 • 501(c)3 • Sioux Falls, SD
Profile
Bethany Lutheran Home has a goal of meeting the physical, social and spiritual needs of individuals through comprehensive long-term and short-term health care.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
87th percentile
Higher debt load relative to assets than 87% of similar nonprofits.
Liabilities / Revenue
81st percentile
Higher debt load relative to revenue than 81% of similar nonprofits.
Net Margin
47th percentile
Higher net margin than 47% of similar nonprofits.
Top Officer Pay
39th percentile
Higher top officer pay than 39% of similar nonprofits.
Top officer pay equals 1.1% of source-year revenue.
Asset Growth
40th percentile
Faster asset growth than 40% of similar nonprofits.
Revenue Growth
50th percentile
Faster revenue growth than 50% of similar nonprofits.
Assets
Up$31,409,579
Up $774,087 (+2.5%) from 2024
Liabilities
Down$25,431,271
Down $128,521 (-0.5%) from 2024
Net Assets
Up$5,978,308
Up $902,608 (+18%) from 2024
Revenue
Up$19,916,350
Up $1,437,538 (+7.8%) from 2024
Expenses
Up$19,232,080
Up $122,313 (+0.6%) from 2024
Net Income
Up$684,270
Up $1,315,225 (+208%) from 2024
Most recent year
2025 • Form 990Detailed filing. Detailed filing data is available for this year.
Create a caring experience for the body, mind, and spirit.
Provide senior living facilities and care for the body, mind, and spirit.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $20,841,152 | $20,070,786 | ▼ $770,366 |
| Investments in Publicly Traded Securities | $4,406,569 | $6,467,751 | ▲ $2,061,182 |
| Savings and Temporary Cash Investments | $1,370,700 | $1,941,470 | ▲ $570,770 |
| Accounts Receivable | $1,289,755 | $1,627,746 | ▲ $337,991 |
| Prepaid Expenses and Deferred Charges | $70,856 | $51,155 | ▼ $19,701 |
| Inventories for Sale or Use | $48,044 | $50,050 | ▲ $2,006 |
| Other Notes and Loans Receivable, Net | $8,930 | $9,983 | ▲ $1,053 |
| Total Assets | $30,635,492 | $31,409,579 | ▲ $774,087 |
| Other Assets Total | $2,599,486 | $1,190,638 | ▼ $1,408,848 |
| Liabilities | |||
| Mortgage Notes Payable Secured by Investment Property | $14,283,675 | $13,701,440 | ▼ $582,235 |
| Other Liabilities | $10,158,425 | $10,536,612 | ▲ $378,187 |
| Accounts Payable and Accrued Expenses | $1,085,612 | $1,129,153 | ▲ $43,541 |
| Deferred Revenue | $9,214 | $42,980 | ▲ $33,766 |
| Escrow Account Liability | $22,866 | $21,086 | ▼ $1,780 |
| Total Liabilities | $25,559,792 | $25,431,271 | ▼ $128,521 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $5,075,700 | $5,978,308 | ▲ $902,608 |
| Total Net Assets Fund Balance | $5,075,700 | $5,978,308 | ▲ $902,608 |
| Total Liabilities and Net Assets / Fund Balance | $30,635,492 | $31,409,579 | ▲ $774,087 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $18,715,199 | $21,297,656 | $40,012,855 |
| Equipment | $682,603 | $1,839,885 | $2,522,488 |
| Other Land Buildings | $477,165 | $669,406 | $1,146,571 |
| Land | $195,819 | - | $195,819 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Deborah Herrboldt | CEO/administrator | FT | $180,049 | $40,092 | $220,141 |
| Rhonda Sturgeon | Registered Nurse | FT | $116,869 | $534 | $117,403 |
| Hunter Winkelpleck | Brandon Administrator | FT | $102,553 | $13,426 | $115,979 |
| Caitlyn Nickell | Sioux Falls Director of Nursing | FT | $103,969 | $5,834 | $109,803 |
| Katie Paauw | Brandon Director of Nursing | FT | $102,039 | $4,918 | $106,957 |
| Heather Kroger | CFO | FT | $68,472 | $6,546 | $75,018 |
| Name | Title |
|---|---|
| Jim Sanden | President |
| Lee Person | 1st Vice President |
| Robert Anderson | 2nd Vice President |
| Debra Neiderhiser | Board Member |
| Joel Flier | Board Member |
| John Paulson | Board Member |
| Karen Zingmark | Board Member |
| Lynda Fonder | Board Member |
| Mary Hendricks-willkens | Board Member |
| Pastor Lori Hope | Board Member |
| Nancy Kreminz | Board Member (beg Jan 2025) |
| Rose Grant | Board Member (until Jan 2025) |
| Ellen Johnson | Secretary |
| Susan Kruse | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Goodcare LLC | Therapy | 1000 NORTHWEST AVE SUITE 210, Sioux Falls, SD 57104 | $786,550 |
| Lrs Healthcare LLC | Contract Labor | PO BOX 850349, Minneapolis, MN 55485-0349 | $304,150 |
| Lorri Lanpher | Construction | 26467 E SHORE PL, Hartford, SD 57033 | $286,334 |
| Marco Technologies | It | 4001 N LEWIS AVE, Sioux Falls, SD 57104 | $165,492 |
| Interim Healthcare | Contract Labor | 3608 S SOUTHEASTERN AVE, Sioux Falls, SD 57103 | $147,074 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $11,045,541 |
| Other Expenses | $8,184,589 |
| Total Fundraising Expense | $94,839 |
| Grants and Similar Amounts Paid | $1,950 |
| Professional Fundraising Fees | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $8,807,203 | $586,465 | $87,537 | $9,481,205 |
| Fees for Services Other | $1,779,733 | $214,688 | - | $1,994,421 |
| Depreciation Depletion | $1,465,130 | $99,644 | - | $1,564,774 |
| Occupancy | $744,906 | $68,945 | - | $813,851 |
| Payroll Taxes | $648,823 | $63,050 | $6,726 | $718,599 |
| Interest | $676,706 | - | - | $676,706 |
| Office Expenses | $365,383 | $125,292 | $453 | $491,128 |
| Other Employee Benefits | $431,945 | $44,363 | $14 | $476,322 |
| Current Officers, Directors, Trustees, and Key Employees | - | $324,965 | - | $324,965 |
| Insurance | $255,030 | $17,381 | - | $272,411 |
| Information Technology | - | $221,494 | - | $221,494 |
| All Other Expenses | $20,953 | $162,471 | $109 | $183,533 |
| Conferences and Meetings | $64,029 | $37,150 | - | $101,179 |
| Fees for Services Accounting | - | $63,038 | - | $63,038 |
| Advertising | $1,684 | $48,754 | - | $50,438 |
| Fees for Services Legal | - | $46,544 | - | $46,544 |
| Pension Plan Contributions | $34,945 | $9,505 | - | $44,450 |
| Travel | $32,405 | $1,022 | - | $33,427 |
| Fees for Service Investment Mgmnt Fees | - | $24,121 | - | $24,121 |
| Other Expenses | $20,727 | $1,228 | - | $20,727 |
| Grants to Domestic Orgs | $1,950 | - | - | $1,950 |
| Total Functional Expenses | $16,977,121 | $2,160,120 | $94,839 | $19,232,080 |
| Line Item | Amount |
|---|---|
| Total Expenses per Audited Statements | $19,238,526 |
| Total Expenses per Form 990 | $19,232,080 |
| Expenses per Audited Statements | $19,207,959 |
| Expenses Not Reported on Form 990 | $30,567 |
| Expenses Not Reported on Financial Statements | $24,121 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Entrance Fees Payable | $10,471,612 |
| Deposits Payable | $65,000 |
“The four officers, together with the pastoral advisors, shall comprise an executive committee with power to act for the board of directors in the interim between board meetings, but shall not have power to reconsider or reverse any action of policy of the board. The president, secretary and/or two board members may call meetings at any time and three members shall constitute a quorum. It shall report all of its actions to the board of directors. A written record of attendance and business transacted shall be maintained by the secretary.”
“Ceo and cfo will review the 990 in detail. After their review, the 990 will be provided to each board member.”
“Officers and directors are required to complete conflict of interest questionnaires which are monitored and tracked. The questionnaires are reviewed by the board for any possible conflicts with any noted conflicts being brought to management's attention. Conflicts are also reviewed at the board level. After a conflict is deemed to exist, the individual(s) involved must abstain from the discussion and vote related to the issue.”
“Bethany lutheran home creates an annual budget that includes salary increases for all staff. This budget is presented to the board with an explanation of what increases were built into the budget. The board approves the budget and salary increases for all staff for the next fiscal year. The increase to compensation for all staff must be at or below the approved increase in the budget. The compensation changes are implemented on the employee's anniversary date after an employee evaluation has been completed and documented. Additionally, compensation surveys are used in determining the compensation of the ceo and cfo.”
“Documents are made available upon request.”
“Consulting - dietician: program service expenses 61,068. Management and general expenses 0. Fundraising expenses 0. Total expenses 61,068. Purchased services - maintenance: program service expenses 283,220. Management and general expenses 0. Fundraising expenses 0. Total expenses 283,220. Purchased services - housekeeping: program service expenses 11,853. Management and general expenses 0. Fundraising expenses 0. Total expenses 11,853. Purchased sevices - nursing: program service expenses 63,592. Management and general expenses 0. Fundraising expenses 0. Total expenses 63,592. Consulting - medical director: program service expenses 26,400. Management and general expenses 0. Fundraising expenses 0. Total expenses 26,400. Consulting - pharmacy: program service expenses 35,738. Management and general expenses 0. Fundraising expenses 0. Total expenses 35,738. Consulting - medical review: program service expenses 330. Management and general expenses 0. Fundraising expenses 0. Total expenses 330. Purchased services - therapy: program service expenses 841,717. Management and general expenses 0. Fundraising expenses 0. Total expenses 841,717. Purchased services - dietary: program service expenses 3,285. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,285. Purchased services - wellness: program service expenses 19,859. Management and general expenses 0. Fundraising expenses 0. Total expenses 19,859. Contract labor - nursing: program service expenses 432,512. Management and general expenses 0. Fundraising expenses 0. Total expenses 432,512. Purchased services - admin: program service expenses 0. Management and general expenses 214,688. Fundraising expenses 0. Total expenses 214,688. Purchased services - social services: program service expenses 159. Management and general expenses 0. Fundraising expenses 0. Total expenses 159.”
“This is a resident trust account. The facility tracks the funds in this account by resident. Residents may withdraw funds as requested based on their individual account balance. The funds are held on behalf of the residents for their convenience.”
“Bethany lutheran home for the aged 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 consolidated financial statements. Bethany lutheran home for the aged 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.”
“Cogs included in expenses on audit financials -3,735. Rental expense included in expenses on audit financials -26,832.”
“Cogs included in revenue on form 990 3,735. Rental expenses included in revenue on form 990 26,832.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 1085612 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 1129153 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 1289755 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 1627746 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | PROVIDE SENIOR LIVING FACILITIES AND CARE FOR THE BODY, MIND, AND SPIRIT. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 48754 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 1684 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 50438 |
| IRS990/AllOtherContributionsAmt | 0 | 845 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 109 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 162471 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 20953 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 183533 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | DEBORAH HERRBOLDT |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 6053382351 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1901 SOUTH HOLLY AVENUE |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | SIOUX FALLS |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | SD |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 57105 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 5 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 324965 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 324965 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 37150 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 64029 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 101179 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 786550 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 304150 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 286334 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 165492 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 147074 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 1000 NORTHWEST AVE SUITE 210 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO BOX 850349 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 26467 E SHORE PL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 4001 N LEWIS AVE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 3608 S SOUTHEASTERN AVE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | SIOUX FALLS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | MINNEAPOLIS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | HARTFORD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | SIOUX FALLS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | SIOUX FALLS |
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| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | MN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | SD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | SD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | SD |
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| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 554850349 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 57033 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 57104 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 57103 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | GOODCARE LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | LRS HEALTHCARE LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | LORRI LANPHER |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | MARCO TECHNOLOGIES |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | INTERIM HEALTHCARE |
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| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | CONSTRUCTION |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | IT |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | CONTRACT LABOR |
| IRS990/CostOfGoodsSoldAmt | 0 | 3735 |
| IRS990/CreditCounselingInd | 0 | 1 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
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| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 42980 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
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| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 1465130 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 1564774 |
| IRS990/Desc | 0 | BETHANY LUTHERAN HOME FOR THE AGED, INC. DBA BETHANY HOME SIOUX FALLS AND BETHANY HOME BRANDON CONSISTS OF A 52-BED LONG-TERM CARE FACILITY, 27 ASSISTED LIVING UNITS AND 9 INDEPENDENT LIVING HOMES IN SIOUX FALLS, SOUTH DAKOTA; A 60 BED LONG-TERM CARE FACILITY IN BRANDON, SOUTH DAKOTA; AND A SENIOR LIVING COMMUNITY IN BRANDON, SOUTH DAKOTA, D/B/A BETHANY MEADOWS. BETHANY MEADOWS CONSISTS OF 66 INDEPENDENT OR ASSISTED LIVING UNITS AND 56 TWIN HOMES. |
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| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
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| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.00 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 45.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 45.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 62.80 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 45.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 45.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 45.00 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 13 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 11991 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 6546 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 534 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 5834 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 13426 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 4918 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | JIM SANDEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | LEE PERSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | ROBERT ANDERSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | ELLEN JOHNSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | SUSAN KRUSE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | PASTOR LORI HOPE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | JOEL FLIER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | MARY HENDRICKS-WILLKENS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | JOHN PAULSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | LYNDA FONDER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | KAREN ZINGMARK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | DEBRA NEIDERHISER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | NANCY KREMINZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | ROSE GRANT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | DEBORAH HERRBOLDT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | HEATHER KROGER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | RHONDA STURGEON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | CAITLYN NICKELL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | HUNTER WINKELPLECK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | KATIE PAAUW |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 208136 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 68472 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 116869 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 103969 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 102553 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 102039 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | 1ST VICE PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | 2ND VICE PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | BOARD MEMBER (BEG JAN 2025) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | BOARD MEMBER (UNTIL JAN 2025) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | CEO/ADMINISTRATOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | REGISTERED NURSE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | SIOUX FALLS DIRECTOR OF NURSING |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | BRANDON ADMINISTRATOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | BRANDON DIRECTOR OF NURSING |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1950 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 55738 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 13 |
| IRS990/GovernmentGrantsAmt | 0 | 60299 |
| IRS990/GrantAmt | 0 | 1950 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 1950 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 1950 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 2088896 |
| IRS990/GrossReceiptsAmt | 0 | 21980075 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 109281 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 5559 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 13 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 5 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 221494 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 221494 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 17381 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 255030 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 272411 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 676706 |
| IRS990/InterestGrp/TotalAmt | 0 | 676706 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 48044 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 50050 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 215669 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 215669 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 4406569 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 6467751 |
| IRS990/IRPDocumentCnt | 0 | 39 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 23806947 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 20841152 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 20070786 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 43877733 |
| IRS990/LegalDomicileStateCd | 0 | SD |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 2033158 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 26832 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 0 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | CREATE A CARING EXPERIENCE FOR THE BODY, MIND, AND SPIRIT. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 14283675 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 13701440 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 5075700 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 5978308 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 55738 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 55738 |
| IRS990/NetIncomeOrLossGrp/ExclusionAmt | 0 | 1824 |
| IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 1824 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 16790 |
| IRS990/NetRentalIncomeOrLossGrp/RelatedOrExemptFuncIncomeAmt | 0 | 65659 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 82449 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 218338 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 5075700 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 5978308 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 68945 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 744906 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 813851 |
| IRS990/OfficeExpensesGrp/FundraisingAmt | 0 | 453 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 125292 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 365383 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 491128 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 2599486 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 1190638 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/FundraisingAmt | 0 | 14 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 44363 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 431945 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 476322 |
| IRS990/OtherExpensesGrp/Desc | 0 | FOOD |
| IRS990/OtherExpensesGrp/Desc | 1 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 2 | REPAIRS |
| IRS990/OtherExpensesGrp/Desc | 3 | BAD DEBT EXPENSE |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 1228 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 784278 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 584600 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 256691 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 20727 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 785506 |
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