Civic Intelligence

Marshall County Memorial Hospital

990 • Fiscal year 2014 • EIN 46-0380552

Jul 01, 2013 to Jun 30, 2014 • Filed on Feb 10, 2015

413 9th Street57430-0230

(605) 448-2253

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

30th percentile

0.05x

Higher debt load relative to assets than 30% of similar nonprofits.

2014 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2014

Liabilities / Revenue

28th percentile

0.08x

Higher debt load relative to revenue than 28% of similar nonprofits.

2014 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2014

Net Margin

65th percentile

8.6%

Higher net margin than 65% of similar nonprofits.

2014 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2014

Top Officer Pay

68th percentile

$163,845

Higher top officer pay than 68% of similar nonprofits.

Top officer pay equals 2.6% of source-year revenue.

2014 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2014

Asset Growth

71st percentile

9.9%

Faster asset growth than 71% of similar nonprofits.

2014 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2013 to 2014

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2014

Assets

Flat

$8,781,199

Flat from 2014

Net Assets

Flat

$8,304,082

Flat from 2014

Liabilities

Flat

$477,117

Flat from 2014

Revenue

Flat

$6,322,186

Flat from 2014

Expenses

Flat

$5,779,443

Flat from 2014

Net Income

Flat

$542,743

Flat from 2014

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$20M$15M$10M$5.0M$0Assets 2010: $6,359,394Liabilities 2010: $765,803Net Assets 2010: $5,593,5912010Assets 2011: $6,847,586Liabilities 2011: $585,392Net Assets 2011: $6,262,1942011Assets 2012: $7,219,125Liabilities 2012: $464,211Net Assets 2012: $6,754,9142012Assets 2013: $7,991,608Liabilities 2013: $408,575Net Assets 2013: $7,583,0332013Assets 2014: $8,781,199Liabilities 2014: $477,117Net Assets 2014: $8,304,0822014Assets 2014: $8,781,199Liabilities 2014: $477,117Net Assets 2014: $8,304,0822014Assets 2015: $9,063,787Liabilities 2015: $463,216Net Assets 2015: $8,600,5712015Assets 2016: $9,381,038Liabilities 2016: $572,159Net Assets 2016: $8,808,8792016Assets 2017: $10,014,156Liabilities 2017: $572,347Net Assets 2017: $9,441,8092017Assets 2018: $10,331,832Liabilities 2018: $644,474Net Assets 2018: $9,687,3582018Assets 2019: $11,700,422Liabilities 2019: $1,072,405Net Assets 2019: $10,628,0172019Assets 2020: $15,640,763Liabilities 2020: $4,902,207Net Assets 2020: $10,738,5562020Assets 2021: $17,206,820Liabilities 2021: $892,285Net Assets 2021: $16,314,5352021Assets 2022: $17,492,325Liabilities 2022: $1,556,668Net Assets 2022: $15,935,6572022Assets 2023: $16,693,651Liabilities 2023: $718,160Net Assets 2023: $15,975,4912023

Highlighted filing

2014

Assets$8,781,199
Liabilities$477,117
Net Assets$8,304,082

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$15M$10M$5.0M$0Expenses 2010: $5,104,8252010Expenses 2011: $4,993,6872011Expenses 2012: $5,303,0502012Expenses 2013: $5,599,8002013Revenue 2014: $6,322,186Expenses 2014: $5,779,443Net Income 2014: $542,7432014Revenue 2014: $6,322,186Expenses 2014: $5,779,443Net Income 2014: $542,7432014Revenue 2015: $6,116,232Expenses 2015: $5,980,655Net Income 2015: $135,5772015Revenue 2016: $6,678,709Expenses 2016: $6,552,291Net Income 2016: $126,4182016Revenue 2017: $7,623,619Expenses 2017: $7,422,286Net Income 2017: $201,3332017Revenue 2018: $7,899,066Expenses 2018: $7,860,008Net Income 2018: $39,0582018Revenue 2019: $9,108,176Expenses 2019: $8,349,693Net Income 2019: $758,4832019Revenue 2020: $9,269,127Expenses 2020: $8,989,239Net Income 2020: $279,8882020Revenue 2021: $14,895,272Expenses 2021: $10,017,178Net Income 2021: $4,878,0942021Revenue 2022: $10,874,285Expenses 2022: $10,530,208Net Income 2022: $344,0772022Revenue 2023: $12,119,127Expenses 2023: $11,812,829Net Income 2023: $306,2982023

Highlighted filing

2014

Revenue$6,322,186
Expenses$5,779,443
Net Income$542,743
Jump To
Filing Snapshot
Filing Period
Jul 1, 2013 to Jun 30, 2014
Signed
Feb 10, 2015
Return Version
2013v4.0
Gross Receipts
$6,322,186
Mission and Program Overview

Mission

The mission of marshall county healthcare center is to oversee that the full continuum of quality healthcare services is made available to the people in its region.

To provide healthcare services.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$4,001,974$4,121,509▲ $119,535
Land, Buildings, and Equipment, Net$2,659,961$3,113,624▲ $453,663
Accounts Receivable$642,426$776,085▲ $133,659
Savings and Temporary Cash Investments$530,131$602,187▲ $72,056
Inventories for Sale or Use$99,670$90,054▼ $9,616
Prepaid Expenses and Deferred Charges$57,446$77,740▲ $20,294
Total Assets$7,991,608$8,781,199▲ $789,591
Liabilities
Accounts Payable and Accrued Expenses$358,076$471,613▲ $113,537
Mortgage Notes Payable Secured by Investment Property$48,149$3,704▼ $44,445
Other Liabilities$2,350$1,800▼ $550
Total Liabilities$408,575$477,117▲ $68,542
Net Assets / Fund Balance
Unrestricted Net Assets$7,537,514$8,256,975▲ $719,461
Temporarily Rstr Net Assets$45,519$47,107▲ $1,588
Total Net Assets Fund Balance$7,583,033$8,304,082▲ $721,049
Total Liabilities and Net Assets / Fund Balance$7,991,608$8,781,199▲ $789,591

Asset Categories

AssetBook ValueDepreciationBasis
Leasehold Improvements$2,066,871$1,863,452$3,930,323
Equipment$972,739$1,082,917$2,055,656
Land$74,014-$74,014
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Jacqueline BartlettPhysician's AssistantFT$92,607$71,238$163,845
Nick FosnessAdministratorFT$104,088$21,375$125,463
Jill ZuehlkeNurse PractionerFT$107,453$5,896$113,349
Patricia RoehrCFOFT$76,921$5,240$82,161

Board Members and Trustees

NameTitle
Bill DeutschPresident
BJ RichterVice President
Adrian HeitmannTrustee
Geoff DurstTrustee
Jorden HillTrustee
Myles DeVineTrustee
Tammy SatrangTrustee
Tom SnyderTrustee (eff Apr 2014)
KC DeBoerTrustee (left APR 2014)
Andrea KilkerSecretary/Treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Avera St Luke'sManagement, lab, PT/OT, IT, consulting,-$385,990
Revenue and Support

Revenue Composition

Contributions and Grants
$24,666
Program Service Revenue
$5,978,978
Investment Income
$318,542
Other Revenue
$0
Change in Net Assets
$542,743

Audited Revenue Reconciliation

Revenue per Audited Statements
$6,322,187
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$112,281
Total Revenue per Audited Statements
$6,434,468
Total Revenue per Form 990
$6,322,187
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$3,726,718
Other Expenses$2,004,225
Grants and Similar Amounts Paid$48,500
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$2,479,283$118,531-$2,597,814
Other Employee Benefits$538,626$43,601-$582,227
Fees for Services Other$285,786$7,032-$292,818
Depreciation Depletion$245,075--$245,075
Office Expenses$208,315$33,082-$241,397
Current Officers, Directors, Trustees, and Key Employees-$217,537-$217,537
Payroll Taxes$168,999$13,680-$182,679
Pension Plan Contributions$139,964$6,497-$146,461
Information Technology$5,313$102,512-$107,825
Occupancy$106,419--$106,419
Fees for Services Management-$79,014-$79,014
Fees for Services Accounting-$67,073-$67,073
Travel$42,989$7,437-$50,426
Grants to Domestic Orgs$48,500--$48,500
All Other Expenses$25,822$17,095-$42,917
Insurance$31,820--$31,820
Conferences and Meetings$24,362$1,354-$25,716
Other Expenses$15,937$9,734-$15,937
Advertising$3,101$9,537-$12,638
Total Functional Expenses$5,041,998$737,445$0$5,779,443

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$5,779,443
Expenses per Audited Statements$5,715,006
Total Expenses per Audited Statements$5,715,006
Expenses Not Reported on Financial Statements$64,437
Other Expense Adjustments$64,437
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Tenant Security Deposits$1,800
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, line 8B

The Hospital Board does not have committees.

Form 990, Part VI, Section B, line 11

The 990 will be reviewed in detail. After the review, the 990 will be provided to each board member. The 990 will be presented to the Board of Directors at the meeting held prior to its filing if so requested by any board member. Whether presented in a board meeting or not, the 990 is not filed until each board member has been given a copy of it and given ample time to review it.

Form 990, Part VI, Section B, line 12C

The policy covers the Board of Trustees, officers, directors and management. Board of Trustee members are required to sign a conflict of interest statement when they begin their term. The agenda of each meeting asks whether any conflicts of interest have arisen. Responses and discussions concerning any identified conflicts are reflected in the meeting minutes. Determinations are made by the Board of Trustees and conflicts are reviewed by the Board of Trustees. The restrictions could include refraining from voting and decision making.

Form 990, Part VI, Section B, line 15

The process for determining compensation for the Administrator includes a review of his job performance, an independent salary survey of similar organizations within the area, a review by independent members of the board, and documentation of the deliberation and decision of the board. This process was last undertaken in 2014. All other salaries are approved in a salary budget and discussions relating to the amount budgeted for salary adjustments is documented. Marshall County Healthcare Center participates in a semi-annual salary and benefits survey, conducted by the South Dakota Association of Healthcare Organizations, the results of which are used in establishing salary adjustments for each position. This process was last undertaken in 2014.

Form 990, Part VI, Section C, line 19

Documents are made available upon request.

Filing and Contact Details

Filer

EIN
46-0380552
Phone
6054482253

Signing Officer

Name
Patty Roehr
Title
Chief Financial Officer
Phone
6054482253
Signed
2015-02-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Nick Fosness
Formed
1983
Legal Domicile
Sd
Voting Board Members
9
Independent Board Members
9
Employees
99
Volunteers
43

Preparer

Preparer
Laurie Hanson
Phone
6053391999
Supplemental Narrative

Additional Explanations

Form 990, Part XI, line 9:

Change in interest in net assets 29,050. Other change in net assets of Avera Health Foundation 2,282.

Form 990, Part XII, line 2C

The board of directors is responsible for oversight of the audit and selection of the independent accountant.

Financial Statement Notes

Part X, Line 2:

The Center is organized as a South Dakota nonprofit corporation and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under the Internal Revenue Code Section 501(c)(3). The Center is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. In addition, the Center is subject to income tax on net income that is derived from business activities that are unrelated to its exempt purpose. The Center has determined it is not subject to unrelated business income tax and has not filed an exempt organization business income tax return (Form 990T) with the IRS. 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.

Part XI, Line 2D - Other Adjustments:

Change in interest in net assets of Avera Health Foundation 29,744. Provision for bad debt -15,937. Donation of land -48,500.

Part XII, Line 4B - Other Adjustments:

Provision for bad debts 15,937. Donation of land 48,500.

Raw XML AppendixShowing 400 of 694 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/PersonNm2Andrea Kilker
IRS990/Form990PartVIISectionAGrp/PersonNm3Tom Snyder
IRS990/Form990PartVIISectionAGrp/PersonNm4KC DeBoer
IRS990/Form990PartVIISectionAGrp/PersonNm5Geoff Durst
IRS990/Form990PartVIISectionAGrp/PersonNm6Myles DeVine
IRS990/Form990PartVIISectionAGrp/PersonNm7Jorden Hill
IRS990/Form990PartVIISectionAGrp/PersonNm8Tammy Satrang
IRS990/Form990PartVIISectionAGrp/PersonNm9Adrian Heitmann
IRS990/Form990PartVIISectionAGrp/PersonNm10Nick Fosness
IRS990/Form990PartVIISectionAGrp/PersonNm11Patricia Roehr
IRS990/Form990PartVIISectionAGrp/PersonNm12Jacqueline Bartlett
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IRS990/Form990PartVIISectionAGrp/TitleTxt0President
IRS990/Form990PartVIISectionAGrp/TitleTxt1Vice President
IRS990/Form990PartVIISectionAGrp/TitleTxt2Secretary/Treasurer
IRS990/Form990PartVIISectionAGrp/TitleTxt3Trustee (eff Apr 2014)
IRS990/Form990PartVIISectionAGrp/TitleTxt4Trustee (left APR 2014)
IRS990/Form990PartVIISectionAGrp/TitleTxt5Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt6Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt7Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt8Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt9Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt10Administrator
IRS990/Form990PartVIISectionAGrp/TitleTxt11CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt12Physician's Assistant
IRS990/Form990PartVIISectionAGrp/TitleTxt13Nurse Practioner
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr01983
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd0X
IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd00
IRS990/GainOrLossGrp/OtherAmt016119
IRS990/GainOrLossGrp/SecuritiesAmt0297082
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt09
IRS990/GovernmentGrantsAmt024666
IRS990/GrantAmt048500
IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt048500
IRS990/GrantsToDomesticOrgsGrp/TotalAmt048500
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd01
IRS990/GrantToRelatedPersonInd00
IRS990/GrossAmountSalesAssetsGrp/OtherAmt016119
IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt0297082
IRS990/GrossReceiptsAmt06322186
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd01
IRS990/IndependentAuditFinclStmtInd01
IRS990/IndependentVotingMemberCnt09
IRS990/IndivRcvdGreaterThan100KCnt03
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIIInd0X
IRS990/InfoInScheduleOPartXIInd0X
IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt0102512
IRS990/InformationTechnologyGrp/ProgramServicesAmt05313
IRS990/InformationTechnologyGrp/TotalAmt0107825
IRS990/InsuranceGrp/ProgramServicesAmt031820
IRS990/InsuranceGrp/TotalAmt031820
IRS990/InventoriesForSaleOrUseGrp/BOYAmt099670
IRS990/InventoriesForSaleOrUseGrp/EOYAmt090054
IRS990/InvestmentIncomeGrp/RelatedOrExemptFuncIncomeAmt05341
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt05341
IRS990/InvestmentInJointVentureInd00
IRS990/InvestmentsPubTradedSecGrp/BOYAmt04001974
IRS990/InvestmentsPubTradedSecGrp/EOYAmt04121509
IRS990/IRPDocumentCnt014
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt02946369
IRS990/LandBldgEquipBasisNetGrp/BOYAmt02659961
IRS990/LandBldgEquipBasisNetGrp/EOYAmt03113624
IRS990/LandBldgEquipCostOrOtherBssAmt06059993
IRS990/LegalDomicileStateCd0SD
IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt00
IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt00
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd00
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0The mission of Marshall County Healthcare Center is to oversee that the full continuum of quality healthcare services is made available to the people in its region.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt048149
IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt03704
IRS990/NetAssetsOrFundBalancesBOYAmt07583033
IRS990/NetAssetsOrFundBalancesEOYAmt08304082
IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt0313201
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt0313201
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt0146974
IRS990/NondeductibleContributionsInd00
IRS990/OccupancyGrp/ProgramServicesAmt0106419
IRS990/OccupancyGrp/TotalAmt0106419
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt033082
IRS990/OfficeExpensesGrp/ProgramServicesAmt0208315
IRS990/OfficeExpensesGrp/TotalAmt0241397
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd01
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherChangesInNetAssetsAmt031332
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt043601
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt0538626
IRS990/OtherEmployeeBenefitsGrp/TotalAmt0582227
IRS990/OtherExpensesGrp/Desc0Medical Supplies
IRS990/OtherExpensesGrp/Desc1Equipment and Maintenan
IRS990/OtherExpensesGrp/Desc2Dues and Subscriptions
IRS990/OtherExpensesGrp/Desc3Bad Debt
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt03729
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt19734
IRS990/OtherExpensesGrp/ProgramServicesAmt0474052
IRS990/OtherExpensesGrp/ProgramServicesAmt1181438
IRS990/OtherExpensesGrp/ProgramServicesAmt216197
IRS990/OtherExpensesGrp/ProgramServicesAmt315937
IRS990/OtherExpensesGrp/TotalAmt0474052
IRS990/OtherExpensesGrp/TotalAmt1185167
IRS990/OtherExpensesGrp/TotalAmt225931
IRS990/OtherExpensesGrp/TotalAmt315937
IRS990/OtherLiabilitiesGrp/BOYAmt02350
IRS990/OtherLiabilitiesGrp/EOYAmt01800
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt0118531
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt02479283
IRS990/OtherSalariesAndWagesGrp/TotalAmt02597814
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt013680
IRS990/PayrollTaxesGrp/ProgramServicesAmt0168999
IRS990/PayrollTaxesGrp/TotalAmt0182679
IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt06497
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt0139964
IRS990/PensionPlanContributionsGrp/TotalAmt0146461
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt057446
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt077740
IRS990/PrincipalOfficerNm0Nick Fosness
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0621110
IRS990/ProgramServiceRevenueGrp/BusinessCd1623990
IRS990/ProgramServiceRevenueGrp/BusinessCd2621110
IRS990/ProgramServiceRevenueGrp/Desc0Patient Service Fees
IRS990/ProgramServiceRevenueGrp/Desc1Assisted Living Care
IRS990/ProgramServiceRevenueGrp/Desc2Clinic reimbursement
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt04631824
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt1658203
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt2609293
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt04631824
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt1658203
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt2609293
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt039558
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt0161839
IRS990/PYOtherExpensesAmt02017934
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt06027614
IRS990/PYRevenuesLessExpensesAmt0629211
IRS990/PYSalariesCompEmpBnftPaidAmt03581866
IRS990/PYTotalExpensesAmt05599800
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt06229011
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0542743
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd00
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt05984319
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0530131
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0602187
IRS990ScheduleA/HospitalInd0X
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/EquipmentGrp/BookValueAmt0972739
IRS990ScheduleD/EquipmentGrp/DepreciationAmt01082917
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt02055656
IRS990ScheduleD/ExpensesNotReportedAmt00
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt064437
IRS990ScheduleD/ExpensesSubtotalAmt05715006
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/LandGrp/BookValueAmt074014
IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt074014
IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt02066871
IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt01863452
IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt03930323
IRS990ScheduleD/NetUnrealizedGainsInvstAmt0146974
IRS990ScheduleD/OtherExpensesNotIncludedAmt064437
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt01800
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0Tenant Security Deposits
IRS990ScheduleD/OtherRevenueAmt0-34693
IRS990ScheduleD/RevenueNotReportedAmt0112281
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt00
IRS990ScheduleD/RevenueSubtotalAmt06322187
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0The Center is organized as a South Dakota nonprofit corporation and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under the Internal Revenue Code Section 501(c)(3). The Center is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. In addition, the Center is subject to income tax on net income that is derived from business activities that are unrelated to its exempt purpose. The Center has determined it is not subject to unrelated business income tax and has not filed an exempt organization business income tax return (Form 990T) with the IRS. 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.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1Change in interest in net assets of Avera Health Foundation 29,744. Provision for bad debt -15,937. Donation of land -48,500.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt2Provision for bad debts 15,937. Donation of land 48,500.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Part X, Line 2:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1Part XI, Line 2d - Other Adjustments:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc2Part XII, Line 4b - Other Adjustments:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt03113624
IRS990ScheduleD/TotalExpensesPerForm990Amt05779443
IRS990ScheduleD/TotalLiabilityAmt01800
IRS990ScheduleD/TotalRevenuePerForm990Amt06322187
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt06434468
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt05715006
IRS990ScheduleH/AllHospitalsPolicyInd0X
IRS990ScheduleH/AnnualCommunityBnftReportInd01
IRS990ScheduleH/BadDebtExpenseAmt0116985
IRS990ScheduleH/BadDebtExpenseAttributableAmt00
IRS990ScheduleH/BadDebtExpenseReportedInd00
IRS990ScheduleH/CashAndInKindContributionsGrp/NetCommunityBenefitExpnsAmt048500
IRS990ScheduleH/CashAndInKindContributionsGrp/PersonsServedCnt01
IRS990ScheduleH/CashAndInKindContributionsGrp/TotalCommunityBenefitExpnsAmt048500
IRS990ScheduleH/CashAndInKindContributionsGrp/TotalExpensePct00.00840
IRS990ScheduleH/CommunityHealthServicesGrp/DirectOffsettingRevenueAmt00
IRS990ScheduleH/CommunityHealthServicesGrp/NetCommunityBenefitExpnsAmt05981
IRS990ScheduleH/CommunityHealthServicesGrp/PersonsServedCnt0460
IRS990ScheduleH/CommunityHealthServicesGrp/TotalCommunityBenefitExpnsAmt05981
IRS990ScheduleH/CommunityHealthServicesGrp/TotalExpensePct00.00100
IRS990ScheduleH/CostingMethodologyUsedGrp/OtherInd0X
IRS990ScheduleH/CostOfCareReimbursedByMedcrAmt02445290
IRS990ScheduleH/ExpensesExceedBudgetInd00
IRS990ScheduleH/FacilityNum02
IRS990ScheduleH/FinancialAssistanceAtCostTyp/NetCommunityBenefitExpnsAmt07000

Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2023Summary only. Only limited summary data is available for this year.$16.7$0.72$16.0$12.1$11.8$0.31
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$17.5$1.56$15.9$10.9$10.5$0.34
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$17.2$0.89$16.3$14.9$10.0$4.88
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$15.6$4.90$10.7$9.27$8.99$0.28
2019Summary only. Only limited summary data is available for this year.$11.7$1.07$10.6$9.11$8.35$0.76
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.3$0.64$9.69$7.90$7.86$0.04
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$10.0$0.57$9.44$7.62$7.42$0.20
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$9.38$0.57$8.81$6.68$6.55$0.13
2015Detailed filing. Detailed filing data is available for this year.$9.06$0.46$8.60$6.12$5.98$0.14
2014Detailed filing. Detailed filing data is available for this year.$8.78$0.48$8.30$6.32$5.78$0.54
2014Summary only. Only limited summary data is available for this year.$8.78$0.48$8.30$6.32$5.78$0.54
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.99$0.41$7.58$5.60
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.22$0.46$6.75$5.30
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.85$0.59$6.26$4.99
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.36$0.77$5.59$5.10