Liabilities / Assets
86th percentile
Higher debt load relative to assets than 86% of similar nonprofits.
EIN 46-0274380 • 501(c)3 • Winner, SD
Profile
To improve the quality of life in our region by providing comprehensive healthcare in a local, nurturing environment. Through professionals who consider healthcare a calling, we will exceed the expectations of those we serve. Our role as a committed steward to our region will be sustained through fiscal responsibility, ensuring personalized healthcare for generations to come.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
86th percentile
Higher debt load relative to assets than 86% of similar nonprofits.
Liabilities / Revenue
74th percentile
Higher debt load relative to revenue than 74% of similar nonprofits.
Net Margin
13th percentile
Higher net margin than 13% of similar nonprofits.
Top Officer Pay
77th percentile
Higher top officer pay than 77% of similar nonprofits.
Top officer pay equals 1.5% of source-year revenue.
Asset Growth
15th percentile
Faster asset growth than 15% of similar nonprofits.
Revenue Growth
28th percentile
Faster revenue growth than 28% of similar nonprofits.
Assets
Down$27,571,958
Down $1,425,082 (-4.9%) from 2023
Liabilities
Up$21,638,002
Up $2,686,138 (+14%) from 2023
Net Assets
Down$5,933,956
Down $4,111,220 (-41%) from 2023
Revenue
Down$27,901,855
Down $520,921 (-1.8%) from 2023
Expenses
Up$31,984,788
Up $1,914,432 (+6.4%) from 2023
Net Income
Down-$4,082,933
Down $2,435,353 (-148%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
To improve the quality of life in our region by providing comprehensive healthcare in a local, nurturing environment. Through professionals who consider healthcare a calling, we will exceed the expectations of those we serve. Our role as a committed steward to our region will be sustained through fiscal responsibility, ensuring personalized healthcare for generations to come.
To improve the quality of life in our region.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $18,848,555 | $17,065,530 | ▼ $1,783,025 |
| Accounts Receivable | $6,838,768 | $6,403,895 | ▼ $434,873 |
| Investments Program Related | $1,399,313 | $1,371,026 | ▼ $28,287 |
| Investments in Publicly Traded Securities | $1,025,777 | $1,058,322 | ▲ $32,545 |
| Inventories for Sale or Use | $657,798 | $511,492 | ▼ $146,306 |
| Savings and Temporary Cash Investments | $10,385 | $374,078 | ▲ $363,693 |
| Prepaid Expenses and Deferred Charges | $30,717 | $44,348 | ▲ $13,631 |
| Other Notes and Loans Receivable, Net | $156,828 | $14,368 | ▼ $142,460 |
| Total Assets | $28,997,040 | $27,571,958 | ▼ $1,425,082 |
| Other Assets Total | $28,899 | $728,899 | ▲ $700,000 |
| Liabilities | |||
| Mortgage Notes Payable Secured by Investment Property | $14,610,768 | $14,275,297 | ▼ $335,471 |
| Accounts Payable and Accrued Expenses | $3,927,460 | $4,895,787 | ▲ $968,327 |
| Unsecured Notes Loans Payable | - | $2,145,499 | - |
| Other Liabilities | $396,679 | $305,542 | ▼ $91,137 |
| Deferred Revenue | $10,433 | $10,433 | → $0 |
| Escrow Account Liability | $6,524 | $5,444 | ▼ $1,080 |
| Total Liabilities | $18,951,864 | $21,638,002 | ▲ $2,686,138 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $8,645,863 | $4,562,930 | ▼ $4,082,933 |
| Net Assets With Donor Restrictions | $1,399,313 | $1,371,026 | ▼ $28,287 |
| Total Net Assets Fund Balance | $10,045,176 | $5,933,956 | ▼ $4,111,220 |
| Total Liabilities and Net Assets / Fund Balance | $28,997,040 | $27,571,958 | ▼ $1,425,082 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $15,436,484 | $15,230,199 | $30,666,683 |
| Equipment | $702,720 | $5,296,790 | $5,999,510 |
| Other Land Buildings | $901,688 | $918,292 | $1,819,980 |
| Land | $24,638 | - | $24,638 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Ken Noguchi | Md | FT | $389,137 | $35,803 | $424,940 |
| Anora Henderson Md | Director,chief of Staff From 05/2024 | FT | $285,190 | - | $285,190 |
| Rick Wagner Md | Director, Chief of Staff Until 05/24 | PT | $219,000 | - | $219,000 |
| Marla Hayes | Pharmacist/director of Pharmacy | FT | $183,539 | $7,153 | $190,692 |
| Rebecca Olson | CNP | FT | $161,168 | $7,000 | $168,168 |
| Nicole Olson | Director of Clinic Operation | FT | $147,956 | $17,882 | $165,838 |
| Korie Pravecek | CNP | FT | $146,118 | $10,540 | $156,658 |
| Amanda Soesbe | CFO | FT | $116,875 | $28,184 | $145,059 |
| Brian Williams | CEO | FT | $97,785 | $17,910 | $115,695 |
| Name | Title |
|---|---|
| Betsy Pravecek | President |
| Kim Vanneman | Vice President |
| Dione Rowe | Director |
| Roger Kingsbury | Director |
| Sara Petersek | Director |
| Cody Hairar | Director From 05/2024 |
| Justin Nelson | Director Until 04/2024 |
| Sara Hammerbeck | Secretary |
| Casey Heenan | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Rock Medical Group | Contracted Nursing | PO BOX 31246, Tampa, FL 33631 | $1,395,935 |
| Sanford Health | Mgmt Fees/salary Reimb/it Support | PO BOX 5074, Sioux Falls, SD 57117 | $962,177 |
| Fusion Medical Staffing LLC | Contracted Nursing | PO BOX 30131, Omaha, NE 68103 | $828,584 |
| Weatherby Healthcare | Contracted Physicians | PO BOX 972633, Dallas, TX 75397 | $616,505 |
| Fastaff LLC | Contracted Nursing | PO BOX 911452, Denver, CO 80291-1452 | $421,034 |
| Line Item | Amount |
|---|---|
| Other Expenses | $18,922,444 |
| Salaries, Compensation, and Employee Benefits | $13,062,344 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $7,737,733 | $2,241,247 | - | $9,978,980 |
| Fees for Services Other | $8,076,268 | $1,335,135 | - | $9,411,403 |
| Depreciation Depletion | $1,215,702 | $506,795 | - | $1,722,497 |
| Other Employee Benefits | $932,573 | $423,322 | - | $1,355,895 |
| Occupancy | $323,284 | $516,107 | - | $839,391 |
| Current Officers, Directors, Trustees, and Key Employees | $504,190 | $260,881 | - | $765,071 |
| Payroll Taxes | $515,592 | $171,445 | - | $687,037 |
| Interest | $385,201 | $195,591 | - | $580,792 |
| Office Expenses | $307,040 | $231,771 | - | $538,811 |
| Insurance | $140,334 | $239,009 | - | $379,343 |
| Travel | $241,931 | $16,144 | - | $258,075 |
| Fees for Services Management | - | $236,569 | - | $236,569 |
| Pension Plan Contributions | $180,549 | $53,841 | - | $234,390 |
| All Other Expenses | $18,144 | $162,802 | - | $180,946 |
| Fees for Services Accounting | - | $120,295 | - | $120,295 |
| Conferences and Meetings | $18,628 | $22,484 | - | $41,112 |
| Comp Disqual Persons | $40,971 | - | - | $40,971 |
| Other Expenses | $7,270 | $21,599 | - | $28,869 |
| Advertising | $10 | $21,890 | - | $21,900 |
| Fees for Services Legal | - | $11,782 | - | $11,782 |
| Fees for Services Lobbying | - | $660 | - | $660 |
| Total Functional Expenses | $25,147,445 | $6,837,343 | $0 | $31,984,788 |
| Line Item | Amount |
|---|---|
| Expenses per Audited Statements | $31,984,788 |
| Total Expenses per Audited Statements | $31,984,788 |
| Total Expenses per Form 990 | $31,984,788 |
| Expenses Not Reported on Financial Statements | $0 |
| Expenses Not Reported on Form 990 | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| Lori Kingsbury | Family Member of Roger Kingsbury, Board President | Independent Contractor Payments | No | $40,971 |
| Liability | Amount |
|---|---|
| Finance Lease Liabilities | $305,542 |
“The organization had a management agreement with sanford health network. The ceo is an employee of the management company. Sanford health is located at 1305 w 18th street, sioux falls, sd. Wrhc paid sanford health network for services provided by ian williams, ceo. Compensation and benefits for brian williams were $193,905. The ceo is responsible for local planning and management of all activities in the organization, including tasks such as managing human and financial resources, directing staff, and controlling the operations. The management agreeemnt was ended on august 1, 2024 and ceo became employee of wrhc.”
“Committees make recommendations to the governing body, which approves all actions. No committees have broad authority to act on behalf of the governing body.”
“A copy of form 990 was provided to the governing body electronically prior to filing. The cfo reviews a draft of the form 990 in detail prior to filing.”
“Compliance is monitored through the use of annual questionnaires that each officer, director, trustee, and key employee must complete. The full board shall be advised of dealings and contracts to be made with any board member(s), physician(s), or employee(s). The board and the ceo investigate and make a determination regarding all conflicts that may arise.”
“Ceo: sanford presents a comparative schedule on ceo salaries with median and high/low salaries, for comparable positions and areas of responsibilities. The current market and longevity is also included in the evaluation of compensation. The sanford network vice president presents the compensation substantiation to the board of directors at a meeting that excludes the ceo. Performance evaluations are completed by each board member, the vice president and ceo self evaluation. Administrative staff (cfo, director of hr/materials, director of support services, hospital don, ltc don): the ceo compares compensation to sdaho salary survey. Salary increases are presented to the board of directors as part of the budget approval process. This process is undertaken annually.”
“Documents are available upon request”
“Brian williams, ceo, became an employee of the organization effective 8/1/2024. He was paid through a management agreement with sanford health prior to 8/1/2024. Dr. Rick wagner was a board member of winner regional healthcare center and chief of staff at the winner regional clinic until may, 2024 . His compensation includes services provided as a general surgeon throughout 2024. Dr. Anora henderson became a member of the board of directors and chief of staff in may, 2024.”
“Service contracts: program service expenses 582,454. Management and general expenses 402,977. Fundraising expenses 0. Total expenses 985,431. Outside medical services: program service expenses 464,772. Management and general expenses 0. Fundraising expenses 0. Total expenses 464,772. Repairs and maintenance: program service expenses 24,830. Management and general expenses 29,708. Fundraising expenses 0. Total expenses 54,538. Consulting: program service expenses 23,862. Management and general expenses 24,873. Fundraising expenses 0. Total expenses 48,735. Other: program service expenses 609. Management and general expenses 126,875. Fundraising expenses 0. Total expenses 127,484. Software maintenance: program service expenses 70,760. Management and general expenses 430,614. Fundraising expenses 0. Total expenses 501,374. Purchased staffing/contract physicians: program service expenses 6,908,981. Management and general expenses 320,088. Fundraising expenses 0. Total expenses 7,229,069.”
“Change in interest in net assets of foundation -28,287.”
“Long-term care residents request the facility to handle their financial affairs. This is directed by a written agreement between the facility and the resident. Some examples of financial affairs are social security checks, nursing home payments, and haircuts.”
“The 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 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.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
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| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 4895787 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 6838768 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 6403895 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | TO IMPROVE THE QUALITY OF LIFE IN OUR REGION. |
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| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 10 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 21900 |
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| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 18144 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 180946 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
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| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 6058427213 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 745 E 8TH ST |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | WINNER |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | SD |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 57580 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 1 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
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| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 504190 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 765071 |
| IRS990/CompDisqualPersonsGrp/ProgramServicesAmt | 0 | 40971 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 40971 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 1 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 0 |
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| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 18628 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 41112 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
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| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 962177 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 828584 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 616505 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 421034 |
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| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO BOX 5074 |
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| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | NE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | CO |
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| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 10433 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 1 |
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| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 1722497 |
| IRS990/Desc | 0 | WINNER REGIONAL HEALTHCARE CENTER, A 25-BED CRITICAL ACCESS HOSPITAL AND 60 BED LONG TERM CARE CENTER, PROMOTES HEALTH OF THE COMMUNITY BY PROVIDING A VARIETY OF HEALTH CARE SERVICES INCLUDING ACUTE PATIENT TREATMENT, SWING BED, LONG-TERM CARE, AND NEWBORN CARE. THE FACILITY ALSO OPERATES A HOME HEALTH AGENCY, HOMEMAKER PROGRAM, A PROVIDER BASED RURAL HEALTH CLINIC, A RETAIL PHARMACY AVAILABLE TO ANYONE IN THE PUBLIC, A COMMUNITY HEALTH PROGRAM AND PROVIDES COMMUNITY EDUCATION PROGRAMS THROUGHOUT THE SERVICE AREA. WINNER REGIONAL HEALTHCARE CENTER HAD 1,367 ACUTE PATIENT DAYS; 939 SWING BED PATIENT DAYS; 159 NEWBORN PATIENT DAYS; 106 BIRTHS; 11,218 RESIDENT DAYS; 1,339 HOME HEALTH VISITS; 11,013 RURAL HEALTH CLINIC VISITS; 7,099 OBSERVATION HOURS; 1,828 SPECIALTY OUTREACH VISITS. |
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| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 11782 |
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| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
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| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | 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/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/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 | 28184 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 17910 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 17789 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 7060 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 6907 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 10447 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 35710 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | RICK WAGNER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | BETSY PRAVECEK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | KIM VANNEMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | CASEY HEENAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | SARA HAMMERBECK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | JUSTIN NELSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | SARA PETERSEK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | DIONE ROWE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | ROGER KINGSBURY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | CODY HAIRAR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | ANORA HENDERSON MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | AMANDA SOESBE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | BRIAN WILLIAMS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | NICOLE OLSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | MARLA HAYES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | REBECCA OLSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | KORIE PRAVECEK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | KEN NOGUCHI |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 219000 |
| 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 | 285190 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 116875 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 97785 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 147956 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 183539 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 161168 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 146118 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 389137 |
| 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/TitleTxt | 0 | DIRECTOR, CHIEF OF STAFF UNTIL 05/24 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | VICE PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR UNTIL 04/2024 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | DIRECTOR FROM 05/2024 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | DIRECTOR,CHIEF OF STAFF FROM 05/2024 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | DIRECTOR OF CLINIC OPERATION |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | PHARMACIST/DIRECTOR OF PHARMACY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | CNP |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | CNP |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | MD |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1961 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 272437 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 9 |
| IRS990/GovernmentGrantsAmt | 0 | 29332 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 272437 |
| IRS990/GrossReceiptsAmt | 0 | 27901855 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 28443 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 8 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 8 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 239009 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 140334 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 379343 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 195591 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 385201 |
| IRS990/InterestGrp/TotalAmt | 0 | 580792 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 657798 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 511492 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 22880 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 22880 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 1399313 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 1371026 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 1025777 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 1058322 |
| IRS990/IRPDocumentCnt | 0 | 44 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 21445281 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 18848555 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 17065530 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 38510811 |
| IRS990/LegalDomicileStateCd | 0 | SD |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 0 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 0 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 1 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 0 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 0 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | TO IMPROVE THE QUALITY OF LIFE IN OUR REGION BY PROVIDING COMPREHENSIVE HEALTHCARE IN A LOCAL, NURTURING ENVIRONMENT. THROUGH PROFESSIONALS WHO CONSIDER HEALTHCARE A CALLING, WE WILL EXCEED THE EXPECTATIONS OF THOSE WE SERVE. OUR ROLE AS A COMMITTED STEWARD TO OUR REGION WILL BE SUSTAINED THROUGH FISCAL RESPONSIBILITY, ENSURING PERSONALIZED HEALTHCARE FOR GENERATIONS TO COME. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 14610768 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 14275297 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 10045176 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 5933956 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 272437 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 272437 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 28443 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 28443 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 8645863 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 4562930 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 516107 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 323284 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 839391 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 231771 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 307040 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 538811 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 1 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 28899 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 728899 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | -28287 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 423322 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 932573 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 1355895 |
| IRS990/OtherExpensesGrp/Desc | 0 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | FOOD |
| IRS990/OtherExpensesGrp/Desc | 2 | LICENSES, DUES & SUBSCR |
| IRS990/OtherExpensesGrp/Desc | 3 | SALES TAX |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 28017 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 19957 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 21599 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 4154768 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 294861 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 52396 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 7270 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 4182785 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 294861 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 72353 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 28869 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 396679 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 305542 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 2241247 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 7737733 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 9978980 |
| IRS990/OthNotesLoansReceivableNetGrp/BOYAmt | 0 | 156828 |
| IRS990/OthNotesLoansReceivableNetGrp/EOYAmt | 0 | 14368 |
| IRS990/OwnWebsiteInd | 0 | X |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 171445 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 515592 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 687037 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 53841 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 180549 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 234390 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 30717 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 44348 |
| IRS990/PrincipalOfficerNm | 0 | ROGER KINGSBURY |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621110 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 900099 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 2 | 621110 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PATIENT AND RESIDENT SERVICE REVE |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | PHARMACY REVENUE |
| IRS990/ProgramServiceRevenueGrp/Desc | 2 | PHYSICIAN OUTREACH |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 24764436 |
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