Liabilities / Assets
63rd percentile
Higher debt load relative to assets than 63% of similar nonprofits.
EIN 46-0361016 • 501(c)3 • Philip, SD
Profile
To provide health care to philip, sd & surrounding areas
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
63rd percentile
Higher debt load relative to assets than 63% of similar nonprofits.
Liabilities / Revenue
65th percentile
Higher debt load relative to revenue than 65% of similar nonprofits.
Net Margin
32nd percentile
Higher net margin than 32% of similar nonprofits.
Top Officer Pay
68th percentile
Higher top officer pay than 68% of similar nonprofits.
Top officer pay equals 1.8% of source-year revenue.
Asset Growth
24th percentile
Faster asset growth than 24% of similar nonprofits.
Revenue Growth
28th percentile
Faster revenue growth than 28% of similar nonprofits.
Assets
Down$27,228,938
Down $349,855 (-1.3%) from 2023
Liabilities
Down$9,624,496
Down $260,752 (-2.6%) from 2023
Net Assets
Down$17,604,442
Down $89,103 (-0.5%) from 2023
Revenue
Down$19,379,854
Down $371,032 (-1.9%) from 2023
Expenses
Up$19,493,830
Up $1,079,843 (+5.9%) from 2023
Net Income
Down-$113,976
Down $1,450,875 (-109%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
To provide health care to philip, sd & surrounding areas
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $13,416,107 | $14,512,343 | ▲ $1,096,236 |
| Savings and Temporary Cash Investments | $8,812,927 | $8,865,520 | ▲ $52,593 |
| Accounts Receivable | $3,106,118 | $2,837,231 | ▼ $268,887 |
| Inventories for Sale or Use | $354,211 | $403,133 | ▲ $48,922 |
| Investments in Publicly Traded Securities | $32,283 | $191,533 | ▲ $159,250 |
| Other Notes and Loans Receivable, Net | $148,728 | $159,578 | ▲ $10,850 |
| Prepaid Expenses and Deferred Charges | $70,008 | $105,550 | ▲ $35,542 |
| Pledges and Grants Receivable | $4,539 | - | - |
| Total Assets | $27,578,793 | $27,228,938 | ▼ $349,855 |
| Other Assets Total | $1,633,872 | $154,050 | ▼ $1,479,822 |
| Liabilities | |||
| Mortgage Notes Payable Secured by Investment Property | $7,511,685 | $7,299,005 | ▼ $212,680 |
| Accounts Payable and Accrued Expenses | $1,889,142 | $1,948,032 | ▲ $58,890 |
| Unsecured Notes Loans Payable | $484,421 | $377,459 | ▼ $106,962 |
| Total Liabilities | $9,885,248 | $9,624,496 | ▼ $260,752 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $17,607,617 | $17,549,837 | ▼ $57,780 |
| Net Assets With Donor Restrictions | $85,928 | $54,605 | ▼ $31,323 |
| Total Net Assets Fund Balance | $17,693,545 | $17,604,442 | ▼ $89,103 |
| Total Liabilities and Net Assets / Fund Balance | $27,578,793 | $27,228,938 | ▼ $349,855 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $11,430,241 | $7,161,420 | $18,591,661 |
| Equipment | $1,874,278 | $3,841,187 | $5,715,465 |
| Other Land Buildings | $1,084,789 | $689,322 | $1,774,111 |
| Land | $123,035 | - | $123,035 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| David Holman Md | Employee | FT | $319,342 | $25,704 | $345,046 |
| Kerry Blackham | Employee | FT | $313,036 | $25,643 | $338,679 |
| Maureen Cadwell | Chief Execut | FT | - | $281,342 | $281,342 |
| Maureen Cadwell | Chief Executive Offi | - | $153,014 | $28,356 | $181,370 |
| Robert Fugate | Employee | FT | $173,161 | $5,328 | $178,489 |
| Name | Title |
|---|---|
| Ray Smith | President |
| Christy Willert | Director |
| Dj Rush | Director |
| Don Burns | Director |
| RITA O'CONNELL | Director |
| Thor Roseth | Director |
| Terry Henrie | Employee |
| Larry Gabriel | Vice Preside |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Monument Health | Mgmt Services | PO BOX 3450, Rapid City, SD 57709 | $1,280,105 |
| Medical Solutions | Contract Labor | PO BOX 850737, Minneapolis, MN 55485 | $861,814 |
| One Staff Medical | Contract Labor | PO BOX 3544, Omaha, NE 68103 | $411,484 |
| Rangel Construction | Contractor | 2626 W MAIN STREET, Rapid City, SD 57702 | $400,019 |
| Mac Construction | Construction | 4440 UNIVERSAL DR, Rapid City, SD 57702 | $240,017 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $10,792,782 |
| Other Expenses | $8,701,048 |
| Total Fundraising Expense | $16,357 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $7,056,436 | $1,351,815 | - | $8,408,251 |
| Fees for Services Other | $2,144,895 | $798,540 | $16,357 | $2,959,792 |
| Depreciation Depletion | $618,344 | $816,919 | - | $1,435,263 |
| Other Employee Benefits | $854,512 | $358,562 | - | $1,213,074 |
| Occupancy | $271,162 | $633,248 | - | $904,410 |
| Office Expenses | $43,970 | $627,365 | - | $671,335 |
| Payroll Taxes | $484,387 | $113,774 | - | $598,161 |
| Other Expenses | $369,286 | $277,837 | - | $369,286 |
| Pension Plan Contributions | $235,299 | $56,655 | - | $291,954 |
| Current Officers, Directors, Trustees, and Key Employees | - | $281,342 | - | $281,342 |
| Interest | $149,647 | $59,910 | - | $209,557 |
| Advertising | - | $90,299 | - | $90,299 |
| Travel | $61,982 | $3,718 | - | $65,700 |
| Fees for Services Accounting | - | $50,804 | - | $50,804 |
| Fees for Services Legal | - | $26,931 | - | $26,931 |
| Information Technology | $2,795 | $1,227 | - | $4,022 |
| Conferences and Meetings | $1,861 | $170 | - | $2,031 |
| Total Functional Expenses | $13,928,357 | $5,549,116 | $16,357 | $19,493,830 |
| Line Item | Amount |
|---|---|
| Expenses per Audited Statements | $19,493,830 |
| Total Expenses per Audited Statements | $19,493,830 |
| Total Expenses per Form 990 | $19,493,830 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
“Members elect the governing board at the annual meeting”
“Board decisions are not subject to approval of members”
“Chief executive reviews 990 which is prepared by an auditing firm”
“Officers, directors and key employees required to annually disclose interests that could give rise to conflicts”
“Annual board evaluation conducted with input from regional health personnel. Sdaho salary study used as a guideline.”
“Physicians have employment contracts”
“GUIDESTAR.COM”
“Governing documents are made available on request”
“Board members serve without compensation volunteers entertain nursing residents”
“Consultant & mgmt 161,019 744,838 0 data processing 80 2,661 0 education/training 20,232 0 0 maintenance contract 86,466 14,743 0 professional-non phys 1,694,616 208 0 physician fees 40,718 0 0 professional fees-other 0 0 16,357 recruitment 22,916 33,557 0 special assessments 0 2,533 0 phl laboratory 118,848 0 0 total 2,144,895 798,540 16,357”
“The facility is a not-for-profit corporation as described in section 501 (c)(3) of the internal revenue code and is exempt from federal income taxes on related income pursuant to section 501(a) of the code. However, the facility can be subject to federal income tax on any unrelated business taxable income. The facility has no reserve for uncertain tax positions as of december 31, 2024. Additionally, the facility has not recognized any interest or penalties in relation to income tax filings as of the year ended december 31, 2024.”
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 | false |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 1889142 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 1948032 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 3106118 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 2837231 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | TO PROVIDE HEALTH CARE TO PHILIP, SD & SURROUNDING AREAS |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 90299 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 90299 |
| IRS990/AllOtherContributionsAmt | 0 | 144751 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/AuditedFinancialStmtAttInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | ORGANIZATION |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 6058592511 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | PO BOX 790 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | PHILIP |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | SD |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 57567 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 8 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 281342 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 281342 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 170 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 1861 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 2031 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | false |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 1280105 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 861814 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 411484 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 400019 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 240017 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | PO BOX 3450 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | PO BOX 850737 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | PO BOX 3544 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 2626 W MAIN STREET |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 4440 UNIVERSAL DR |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | RAPID CITY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | MINNEAPOLIS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | OMAHA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | RAPID CITY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | RAPID CITY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | SD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | MN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | NE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | SD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | SD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 57709 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 55485 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 68103 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 57702 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 57702 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | MONUMENT HEALTH |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | MEDICAL SOLUTIONS |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | ONE STAFF MEDICAL |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | RANGEL CONSTRUCTION |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | MAC CONSTRUCTION |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | MGMT SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | CONTRACT LABOR |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | CONTRACT LABOR |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | CONTRACTOR |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | CONSTRUCTION |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 198063 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 415053 |
| IRS990/CYOtherExpensesAmt | 0 | 8701048 |
| IRS990/CYOtherRevenueAmt | 0 | 36067 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 18730671 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -113976 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 10792782 |
| IRS990/CYTotalExpensesAmt | 0 | 19493830 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 16357 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 19379854 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | true |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 816919 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 618344 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 1435263 |
| IRS990/Desc | 0 | THE FACILITY OPERATES A CRITICAL ACCESS HOSPITAL IN PHILIP, SD PROVIDING SHORT TERM INPATIENT, OUTPATIENT AND EMERGENCY HEALTH CARE SERVICES. THE FACILITY ALSO OPERATES AN ASSISTED LIVING FACILITY PROVIDING RESIDENTIAL CARE SERVICES, A SKILLED NURSING FACILITY PROVIDING LONG TERM NURSING HOME CARE, AND CLINIC FACILITIES FOR PHYSICIAN SERVICES. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 85928 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 54605 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | true |
| IRS990/EmployeeCnt | 0 | 199 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 13928357 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditPerformedInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | true |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 50804 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 50804 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 26931 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 26931 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 16357 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 798540 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 2144895 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 2959792 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form1098CFiledInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form8899Filedind | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | 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/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 25704 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 25643 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 22189 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 28356 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 5328 |
| 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/PersonNm | 0 | DAVID HOLMAN MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | KERRY BLACKHAM |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | MAUREEN CADWELL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | ROBERT FUGATE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | TERRY HENRIE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | DON BURNS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | LARRY GABRIEL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | RITA O'CONNELL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | THOR ROSETH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | DJ RUSH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | RAY SMITH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | CHRISTY WILLERT |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 319342 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 313036 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 153014 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 173161 |
| 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/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 259153 |
| 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/TitleTxt | 0 | EMPLOYEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | EMPLOYEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | CHIEF EXECUT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | EMPLOYEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | EMPLOYEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | VICE PRESIDE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | DIRECTOR |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | false |
| IRS990/FormationYr | 0 | 1953 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 11000 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 7 |
| IRS990/GovernmentGrantsAmt | 0 | 53312 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 11000 |
| IRS990/GrossReceiptsAmt | 0 | 19379854 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 36067 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IndependentAuditFinclStmtInd | 0 | true |
| IRS990/IndependentVotingMemberCnt | 0 | 7 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 5 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 1227 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 2795 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 4022 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 59910 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 149647 |
| IRS990/InterestGrp/TotalAmt | 0 | 209557 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 354211 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 403133 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 404053 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 404053 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 32283 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 191533 |
| IRS990/IRPDocumentCnt | 0 | 21 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 11691929 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 13416107 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 14512343 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 26204272 |
| IRS990/LegalDomicileStateCd | 0 | SD |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LobbyingActivitiesInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | false |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MissionDesc | 0 | TO PROVIDE HEALTH CARE TO PHILIP, SD & SURROUNDING AREAS |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 7511685 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 7299005 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 17693545 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 17604442 |
| IRS990/NetGainOrLossInvestmentsGrp/RelatedOrExemptFuncIncomeAmt | 0 | 11000 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 11000 |
| IRS990/NetRentalIncomeOrLossGrp/RelatedOrExemptFuncIncomeAmt | 0 | 36067 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 36067 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 24873 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 17607617 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 17549837 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 633248 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 271162 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 904410 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 627365 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 43970 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 671335 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | true |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 1633872 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 154050 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 358562 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 854512 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 1213074 |
| IRS990/OtherExpensesGrp/Desc | 0 | SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | 340B DRUG COSTS |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 277837 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 1633781 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 369286 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 1911618 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 369286 |
| IRS990/OtherInd | 0 | X |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 1351815 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 7056436 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 8408251 |
| IRS990/OthNotesLoansReceivableNetGrp/BOYAmt | 0 | 148728 |
| IRS990/OthNotesLoansReceivableNetGrp/EOYAmt | 0 | 159578 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 113774 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 484387 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 598161 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 56655 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 235299 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 291954 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 4539 |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 70008 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 105550 |
| IRS990/PrincipalOfficerNm | 0 | MAUREEN CADWELL |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621990 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 621990 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PATIENT SERVICE REVENUE |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | OTHER OPERATING REVENUE |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 18626084 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 104587 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 18626084 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 104587 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYContributionsGrantsAmt | 0 | 379571 |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYInvestmentIncomeAmt | 0 | 304225 |
| IRS990/PYOtherExpensesAmt | 0 | 8167088 |
| IRS990/PYOtherRevenueAmt | 0 | 842 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 19066248 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 1336899 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 10246899 |
| IRS990/PYTotalExpensesAmt | 0 | 18413987 |
| IRS990/PYTotalRevenueAmt | 0 | 19750886 |
| IRS990/QuidProQuoContributionsInd | 0 | false |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | false |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | -113976 |
| IRS990/RegularMonitoringEnfrcInd | 0 | true |
| IRS990/RelatedEntityInd | 0 | true |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | false |
| IRS990/RentalIncomeOrLossGrp/RealAmt | 0 | 36067 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | false |
| IRS990/ReportLandBuildingEquipmentInd | 0 | true |
| IRS990/ReportOtherAssetsInd | 0 | false |
| IRS990/ReportOtherLiabilitiesInd | 0 | false |
| IRS990/ReportProgramRelatedInvstInd | 0 | false |
| IRS990/RevenueAmt | 0 | 18730671 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 8812927 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 8865520 |
| IRS990ScheduleA/HospitalInd | 0 | X |
| IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorNum | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine2 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt | 0 | RESTRICTED |
| IRS990/ScheduleBRequiredInd | 0 | true |
| IRS990ScheduleD/BuildingsGrp/BookValueAmt | 0 | 11430241 |
| IRS990ScheduleD/BuildingsGrp/DepreciationAmt | 0 | 7161420 |
| IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 18591661 |
| IRS990ScheduleD/EquipmentGrp/BookValueAmt | 0 | 1874278 |
| IRS990ScheduleD/EquipmentGrp/DepreciationAmt | 0 | 3841187 |
| IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt | 0 | 5715465 |
| IRS990ScheduleD/ExpensesSubtotalAmt | 0 | 19493830 |
| IRS990ScheduleD/FootnoteTextInd | 0 | X |
| IRS990ScheduleD/LandGrp/BookValueAmt | 0 | 123035 |
| IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt | 0 | 123035 |
| IRS990ScheduleD/NetUnrealizedGainsInvstAmt | 0 | 24873 |
| IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt | 0 | 1084789 |
| IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt | 0 | 689322 |
| IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 1774111 |
| IRS990ScheduleD/RevenueNotReportedAmt | 0 | 24873 |
| IRS990ScheduleD/RevenueSubtotalAmt | 0 | 19379854 |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 0 | THE FACILITY IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. HOWEVER, THE FACILITY CAN BE SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE FACILITY HAS NO RESERVE FOR UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2024. ADDITIONALLY, THE FACILITY HAS NOT RECOGNIZED ANY INTEREST OR PENALTIES IN RELATION TO INCOME TAX FILINGS AS OF THE YEAR ENDED DECEMBER 31, 2024. |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | SCHEDULE D, PAGE 3, PART X |
| IRS990ScheduleD/TotalBookValueLandBuildingsAmt | 0 | 14512343 |
| IRS990ScheduleD/TotalExpensesPerForm990Amt | 0 | 19493830 |
| IRS990ScheduleD/TotalRevenuePerForm990Amt | 0 | 19379854 |
| IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt | 0 | 19404727 |
| IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt | 0 | 19493830 |
| IRS990ScheduleH/AllHospitalsPolicyInd | 0 | X |
| IRS990ScheduleH/AnnualCommunityBnftReportInd | 0 | false |
| IRS990ScheduleH/BadDebtExpenseAmt | 0 | 145144 |
| IRS990ScheduleH/BadDebtExpenseReportedInd | 0 | true |
| IRS990ScheduleH/CostOfCareReimbursedByMedcrAmt | 0 | 7633643 |
| IRS990ScheduleH/ExpensesExceedBudgetInd | 0 | false |
| IRS990ScheduleH/FacilityNum | 0 | 4 |
| IRS990ScheduleH/FinancialAssistanceAtCostTyp/NetCommunityBenefitExpnsAmt | 0 | 57795 |
| IRS990ScheduleH/FinancialAssistanceAtCostTyp/TotalCommunityBenefitExpnsAmt | 0 | 57795 |
| IRS990ScheduleH/FinancialAssistanceAtCostTyp/TotalExpensePct | 0 | 0.00300 |
| IRS990ScheduleH/FinancialAssistanceBudgetInd | 0 | true |
| IRS990ScheduleH/FinancialAssistancePolicyInd | 0 | true |
| IRS990ScheduleH/FinancialAssistancePrvsnInd | 0 | true |
| IRS990ScheduleH/FPGReferenceDiscountedCareInd | 0 | true |
| IRS990ScheduleH/FPGReferenceFreeCareInd | 0 | true |
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