Liabilities / Assets
26th percentile
Higher debt load relative to assets than 26% of similar nonprofits.
990 • Fiscal year 2014 • EIN 46-0391067
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
26th percentile
Higher debt load relative to assets than 26% of similar nonprofits.
Liabilities / Revenue
34th percentile
Higher debt load relative to revenue than 34% of similar nonprofits.
Net Margin
75th percentile
Higher net margin than 75% of similar nonprofits.
Top Officer Pay
85th percentile
Higher top officer pay than 85% of similar nonprofits.
Top officer pay equals 1.4% of source-year revenue.
Asset Growth
71st percentile
Faster asset growth than 71% of similar nonprofits.
Revenue Growth
45th percentile
Faster revenue growth than 45% of similar nonprofits.
Assets
Up$234,746,435
Up $23,276,490 (+11%) from 2013
Net Assets
Up$205,372,696
Up $24,614,845 (+14%) from 2013
Liabilities
Down$29,373,739
Down $1,338,355 (-4.4%) from 2013
Revenue
$91,717,479
No earlier filing loaded for comparison.
Expenses
Up$75,995,373
Up $6,119,279 (+8.8%) from 2013
Net Income
$15,722,106
No earlier filing loaded for comparison.
We make a positive difference in the health of the patients and communities we serve.
HEALTH CARE SERVICES
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $133,328,865 | $153,988,709 | ▲ $20,659,844 |
| Land, Buildings, and Equipment, Net | $51,457,797 | $49,038,957 | ▼ $2,418,840 |
| Savings and Temporary Cash Investments | $7,906,505 | $9,402,972 | ▲ $1,496,467 |
| Accounts Receivable | $7,529,123 | $8,914,210 | ▲ $1,385,087 |
| Investments Other Securities | $5,938,750 | $6,243,565 | ▲ $304,815 |
| Inventories for Sale or Use | $1,542,896 | $1,499,071 | ▼ $43,825 |
| Prepaid Expenses and Deferred Charges | $516,464 | $503,912 | ▼ $12,552 |
| Intangible Assets | $511,901 | $466,030 | ▼ $45,871 |
| Other Notes and Loans Receivable, Net | $672,473 | $261,301 | ▼ $411,172 |
| Receivables From Officers Etc | $15,522 | - | - |
| Cash and Non-Interest-Bearing Accounts | $1,558 | $1,626 | ▲ $68 |
| Total Assets | $211,469,945 | $234,746,435 | ▲ $23,276,490 |
| Other Assets Total | $2,048,091 | $4,426,082 | ▲ $2,377,991 |
| Liabilities | |||
| Tax Exempt Bond Liabilities | $16,468,220 | $14,412,383 | ▼ $2,055,837 |
| Accounts Payable and Accrued Expenses | $11,691,323 | $11,923,375 | ▲ $232,052 |
| Other Liabilities | $2,552,551 | $3,037,981 | ▲ $485,430 |
| Total Liabilities | $30,712,094 | $29,373,739 | ▼ $1,338,355 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $177,279,679 | $201,613,434 | ▲ $24,333,755 |
| Temporarily Rstr Net Assets | $3,478,172 | $3,759,262 | ▲ $281,090 |
| Total Net Assets Fund Balance | $180,757,851 | $205,372,696 | ▲ $24,614,845 |
| Total Liabilities and Net Assets / Fund Balance | $211,469,945 | $234,746,435 | ▲ $23,276,490 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $17,500,927 | $38,090,442 | $55,591,369 |
| Buildings | $28,023,060 | $19,161,722 | $47,184,782 |
| Leasehold Improvements | $1,090,143 | $1,571,106 | $2,661,249 |
| Land | $2,341,520 | - | $2,341,520 |
| Other Land Buildings | $83,307 | - | $83,307 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Evelio Garcia Md | Physician | FT | $1,091,546 | $178,809 | $1,270,355 |
| Salem Maaliki Md | Physician | FT | $981,421 | $95,750 | $1,077,171 |
| Chris Adducci Md | Physician | FT | $630,769 | $44,193 | $674,962 |
| Bipinkumar Amin Md | Physician | FT | $610,000 | $19,193 | $629,193 |
| Jill Fuller | CEO | FT | $347,308 | $200,239 | $547,547 |
| Jeffery Brindle Md | Physician | FT | $502,008 | $19,193 | $521,201 |
| Michael Anderson | Chief Investment Officer | FT | $254,948 | $129,491 | $384,439 |
| Adam Paul | CFO | FT | $208,544 | $55,161 | $263,705 |
| Nate Lake | Vice President | FT | $145,080 | $52,891 | $197,971 |
| Michele Turbak | Chief Nursing Officer | FT | $144,553 | $53,124 | $197,677 |
| Traci Rabine | Vice President | FT | $134,929 | $58,522 | $193,451 |
| Name | Title |
|---|---|
| Mark Roby | Board Chair |
| Monte Hopper | Past Board Chair |
| Geoff Heig | Board Vice Chair |
| Bernie Hanson Md | Board Member |
| Catherine Gerrish Md | Board Member |
| Douglas Sharp | Board Member |
| Gerald Rieber Md | Board Member |
| John Calvin | Board Member |
| Luann Strait | Board Member |
| Robb Peterson | Board Member |
| Roger Carter Md | Board Member |
| Tom Labrie | Board Member |
| Vince Foley | Board Member |
| Jim Redlinger | Board Secretary |
| Dustin Flatten | Board Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Brown Clinic | Hospitalist/surgical Coverage | - | $732,009 |
| Weatherby Locums | Er/md/oncology Coverage | - | $475,787 |
| Dr Ew Filler Md PC | Er/md Coverage | - | $372,632 |
| Pds INC | Sleep Studies | - | $255,200 |
| Dr Ram Pankaj | Ortho Locum Coverage | - | $204,137 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $38,855,388 |
| Other Expenses | $36,984,502 |
| Grants and Similar Amounts Paid | $155,483 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $28,275,096 | $2,969,923 | - | $31,245,019 |
| Fees for Services Other | $5,197,527 | $702,024 | - | $5,899,551 |
| Depreciation Depletion | $4,360,952 | $228,872 | - | $4,589,824 |
| Other Employee Benefits | $2,490,210 | $211,163 | - | $2,701,373 |
| Payroll Taxes | $1,958,774 | $286,309 | - | $2,245,083 |
| Current Officers, Directors, Trustees, and Key Employees | - | $1,980,137 | - | $1,980,137 |
| Other Expenses | $1,535,916 | $26,289 | - | $1,562,205 |
| Office Expenses | $852,454 | $539,453 | - | $1,391,907 |
| Occupancy | $321,621 | $933,927 | - | $1,255,548 |
| All Other Expenses | $520,171 | $509,232 | - | $1,029,403 |
| Interest | $693,344 | - | - | $693,344 |
| Pension Plan Contributions | $683,776 | - | - | $683,776 |
| Information Technology | $21,849 | $467,140 | - | $488,989 |
| Travel | $285,061 | $117,717 | - | $402,778 |
| Insurance | $395,026 | - | - | $395,026 |
| Advertising | - | $251,685 | - | $251,685 |
| Conferences and Meetings | $84,360 | $137,827 | - | $222,187 |
| Grants to Domestic Orgs | $155,483 | - | - | $155,483 |
| Fees for Services Accounting | - | $89,702 | - | $89,702 |
| Fees for Services Legal | - | $22,308 | - | $22,308 |
| Total Functional Expenses | $66,521,665 | $9,473,708 | $0 | $75,995,373 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| 47-0813269 | - | 501(c)(6) | Community Development | $32,000 |
| 46-0359557 | - | 501(c)(3) | Community Organization Funding | $31,000 |
| 13-1673104 | - | 501(c)(3) | Research and Screenings | $10,000 |
| 46-0447693 | - | 501(c)(3) | Family Planning Clinic | $10,000 |
| 41-1908759 | - | 501(c)(3) | Transit Bus | $10,000 |
| 46-6000515 | - | City Government | Fire Rescue Training Center | $10,000 |
| 46-0275247 | - | 501(c)(3) | Detox Funding | $6,000 |
| 46-0320561 | - | 501(c)(3) | Camp Sponsorship | $6,000 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| - | Trustee of Plhs, Cathy Gerrish, Was a Key Employee of Brown Clinic | PLHS PAID BROWN CLINIC FOR: CONTRACT HOSPITALIST PHYSICIANS, MEDICAL DIRECTORSHIP, AND TRAUMA CALL COVERAGE. | No | $558,508 |
| - | Trustee of Plhs, Mark Roby, Was a Key Employee of Watertown Public Opinion | Plhs Paid to Advertise in the Watertown Public Opinion. | No | $58,499 |
| - | Trustee of Plhs, Cathy Gerrish, Is the Mother of Gregory Gerrish, Md | Plhs Paid a Residency Stipend to Gregory Gerrish, Md. | No | $50,000 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Receivables from Officers, Directors, Trustees, and Key Employees | $15,522 | - | - |
| Liability | Amount |
|---|---|
| 457(b) Payable | $2,446,333 |
| Long-term Pto | $499,748 |
| Asbestos Payable | $91,900 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| A | 46-0315509 | 2010-12-08 | $21,672,812 | Current refunding of series 1998 bonds & advance refunding of series 2002 |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| A | $25,166,290 | - | $7,260,429 | $431,508 |
“The executive committee shall be comprised of the officers of the corporation. Except as may be limited by the board, the executive committee shall have and exercise the authority of the board in the management of the business of the corporation. The executive committee shall act in the intervals between meetings of the board and shall at all times be subject to the control and direction of the board. The executive committee shall also serve as the corporation's compensation committee, unless it or the board delegates those responsibilities to another committee of the board. The executive committee shall not usurp the functions of the other standing committees, although it will coordinate projects, tasks and communications among such committees. A majority of the executive committee shall constitute a quorum for the transaction of any business.”
“Executive management reviewed the form 990 in detail. They then presented the form 990 to the finance committee chair for final review prior to filing with the irs.”
“A conflict of interest statement is signed by all board members on an annual basis. That statement discloses any areas that may have a potential for conflict of interest with themselves or family members. The conflict of interest policy is monitored by the ceo and the board. At board meetings, the members will excuse themselves from any discussion or voting on an issue where a conflict may exist.”
“Compensation comparability studies are reviewed each year for all positions. The compensation studies are conducted internally by the human resources department. The human resources department has access to various compensation surveys which they review in order to determine if the hospital's compensation is reasonable compared to other facilities. The last compensation study was performed in 2014. The board approves the salary of the ceo through its executive committee serving as the compensation committee. The board delegates vice president executive compensation approval to ceo based on the organization's compensation philosophy in conjunction with market benchmarks. The executive committee reviews and approves the salaries of other key employees.”
“Financial statements are available through filings with bonding authority. The organization does not make its governing documents and conflict of interest policy available to the public.”
“Change in beneficial interest in prairie lakes foundation 281,090.”
“The internal revenue service (irs) has determined that prairie lakes and home connections are tax-exempt, not-for-profit corporations under section 501(c)(3) of the internal revenue code (irc). The health system follows the guidance in the accounting standards regarding the recognition and measurement of uncertain tax positions. The guidance clarifies the accounting for uncertainty in income taxes recognized in an entity's financial statements. The guidance further prescribes recognition and measurement of tax provisions taken or expected to be taken on a tax return that are not certain to be realized. The application of this standard has no impact on the health system's financial statements. The health system's income tax returns are subject to review and examination by federal, state, and local authorities. The information tax returns for the years ended 2011 to 2013 are open to examination by federal, local, and state authorities.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 11691323 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 11923375 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 7529123 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 8914210 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | HEALTH CARE SERVICES |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 251685 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 251685 |
| IRS990/AllOtherContributionsAmt | 0 | 55328 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 509232 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 520171 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 1029403 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1 | 0 | ADAM PAUL |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 6058827000 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1 | 0 | 401 9TH AVENUE NW |
| IRS990/BooksInCareOfDetail/USAddress/City | 0 | WATERTOWN |
| IRS990/BooksInCareOfDetail/USAddress/State | 0 | SD |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCode | 0 | 57201 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 1 |
| IRS990/BusinessRlnWithOfficerEntInd | 0 | 1 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 1558 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 1626 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 13 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 1980137 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 1980137 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 137827 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 84360 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 222187 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 732009 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 475787 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 372632 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 255200 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 204137 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1 | 0 | 506 1ST AVE SE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1 | 1 | PO BOX 972633 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1 | 2 | 21804 468TH AVE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1 | 3 | 4152 30TH AVE S STE 103 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1 | 4 | 3 CASCADE COURT EAST |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/City | 0 | WATERTOWN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/City | 1 | DALLAS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/City | 2 | VOLGA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/City | 3 | FARGO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/City | 4 | BURR RIDGE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/State | 0 | SD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/State | 1 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/State | 2 | SD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/State | 3 | ND |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/State | 4 | IL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCode | 0 | 57201 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCode | 1 | 75397 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCode | 2 | 57006 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCode | 3 | 58104 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCode | 4 | 60521 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1 | 0 | BROWN CLINIC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1 | 1 | WEATHERBY LOCUMS |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1 | 2 | DR EW FILLER MD PC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1 | 3 | PDS INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1 | 4 | DR RAM PANKAJ |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | HOSPITALIST/SURGICAL COVERAGE |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | ER/MD/ONCOLOGY COVERAGE |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | ER/MD COVERAGE |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | SLEEP STUDIES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | ORTHO LOCUM COVERAGE |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 55328 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 155483 |
| IRS990/CYInvestmentIncomeAmt | 0 | 9496857 |
| IRS990/CYOtherExpensesAmt | 0 | 36984502 |
| IRS990/CYOtherRevenueAmt | 0 | 2775855 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 79389439 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 15722106 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 38855388 |
| IRS990/CYTotalExpensesAmt | 0 | 75995373 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 91717479 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 228872 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 4360952 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 4589824 |
| IRS990/Desc | 0 | PRAIRIE LAKES HEALTHCARE SYSTEM IS A RURAL, REGIONAL MEDICAL CENTER SERVING TEN COUNTIES IN NORTHEASTERN SOUTH DAKOTA AND WESTERN MINNESOTA. THE ORGANIZATION IS COMMITTED TO PROVIDING ACCESSIBLE, HIGH QUALITY, COST-EFFECTIVE HEALTHCARE WHILE EFFECTIVELY MANAGING THE TRANSITION TO NEW PAYMENT AND CARE DELIVERY MODELS. OVER THE PAST DECADE, PLHS SUCCESSFULLY RECRUITED SPECIALTY PHYSICIANS IN ORDER TO BUILD NEW SERVICES THAT WERE NEEDED IN THE REGION. IN THE PAST YEAR, 6 NEW PHYSICIANS WERE RECRUITED INCLUDING A UROLOGIST, AN ENT SURGEON AND A PULMONOLOGIST. THIS IS THE FIRST TIME FULL-TIME PULMONOLOGY SERVICES HAVE BEEN AVAILABLE IN THE COMMUNITY. PLHS CONTRACTED WITH A NEW PRIVATE PRACTICE RADIOLOGY GROUP OF OVER 70 PHYSICIANS THAT PROVIDE TELERADIOLOGY SERVICES AND WEEKLY ON-SITE PROCEDURAL RADIOLOGY SERVICES. RADIOLOGY SERVICES WERE ENHANCED WITH THIS ADDITION OF FELLOWSHIP-TRAINED SUBSPECIALTY RADIOLOGISTS TRAINED IN BODY, BREAST, NUCLEAR MEDICINE, INTERVENTIONAL, MUSCULOSKELETAL AND NEURORADIOLOGY. PLHS ALSO CONTINUED TO INCREASE THE NUMBER OF RURAL OUTREACH CLINICS FROM 10 TO 14. THESE CLINICS PROVIDE ACCESS TO SPECIALTY PHYSICIANS IN RURAL COMMUNITIES IN THE PLHS SERVICE AREA. WORKING WITH OTHER PHYSICIANS IN THE COMMUNITY, PLHS INITIATED A CLINICAL INTEGRATION COLLABORATIVE. THE COLLABORATIVE WILL SELECT AREAS FOR FOCUSED IMPROVEMENT SUCH AS CARE COORDINATION, REFERRAL COORDINATION, CHRONIC CARE MANAGEMENT AND ACCESS EXPANSION. THE ORGANIZATION'S COMMITMENT TO IMPROVING QUALITY AND PATIENT OUTCOMES WAS ACKNOWLEDGED BY THE RECEIPT OF SEVERAL AWARDS. FOR THE SECOND CONSECUTIVE YEAR, PLHS RECEIVED THE AMERICAN COLLEGE OF CARDIOLOGY FOUNDATION'S NCDR ACTION REGISTRY PLATINUM PERFORMANCE ACHIEVEMENT AWARD. THE AWARD RECOGNIZED CONSISTENT ADHERENCE TO RECOMMENDED TREATMENT GUIDELINES FOR CARDIOLOGY PATIENTS AND PERFORMANCE AT THE 90TH PERCENTILE ON SELECTED PERFORMANCE MEASURES. PLHS ALSO RECEIVED THE 2014 WOMEN'S CHOICE AWARD AS ONE OF AMERICA'S BEST HOSPITALS FOR EMERGENCY CARE. THE AWARD GRANTED TO ONLY 241 HOSPITALS IN THE NATION, WAS BASED ON PUBLICALLY REPORTED MEASURES OF EMERGENCY CARE DEEMED MOST IMPORTANT TO WOMEN. PLHS RECEIVED NO PENALTIES FOR AVOIDABLE HOSPITAL ADMISSIONS AS PART OF THE FEDERAL GOVERNMENT'S HOSPITAL READMISSION REDUCTION PROGRAM. PLHS RECEIVED A NUMBER OF RECOGNITIONS THAT RECOGNIZED FINANCIAL STABILITY AND PERFORMANCE. CLEVERLEY + ASSOCIATES, A LEADING HEALTHCARE FIRM SPECIALIZING IN OPERATIONAL BENCHMARKING, AWARDED PRAIRIE LAKES THE COMMUNITY FIVE STAR DESIGNATION BASED ON PERFORMANCE IN THE FOLLOWING AREAS: FINANCIAL VIABILITY AND PLANT REINVESTMENT, HOSPITAL COST STRUCTURE, HOSPITAL CHARGE STRUCTURE AND HOSPITAL QUALITY PERFORMANCE.PLHS WAS NAMED A 2014 HEALTHSTRONG HOSPITAL BY IVANTAGE HEALTH ANALYTICS. PRAIRIE LAKES WAS AMONG 547 HOSPITALS NATIONWIDE SELECTED FOR THIS HONOR, RANKING IN THE TOP 13% OF THE 4,299 HOSPITALS STUDIED. THE PURPOSE OF THE HEALTHSTRONG HOSPITAL STUDY WAS TO PROVIDE A COMPREHENSIVE COMPARISON OF ACUTE CARE HOSPITALS ACROSS A CONTINUUM OF QUALITY, POPULATION HEALTH, OUTCOMES AND FINANCIAL INDICATORS. THE 2014 HEALTHSTRONG HOSPITALS HIGHLIGHTS TOP PERFORMING HOSPITALS RATED AS PART OF IVANTAGE'S HOSPITAL STRENGTH INDEX. THE HOSPITAL STRENGTH INDEX IS A COMPREHENSIVE RATING SYSTEM OF HOSPITALS AND THE RESULTS RECOGNIZE THE TOP PERFORMING HOSPITALS-MEASURING THEM ACROSS 66 DIFFERENT PERFORMANCE METRICS, INCLUDING QUALITY, VALUE-BASED OUTCOMES, PATIENT PERSPECTIVE, AFFORDABILITY, FINANCIALS AND EFFICIENCY. IN MAY 2013, CMS RELEASED HOSPITAL PRICE RANGES OF 100 COMMON TREATMENTS. THE REPORT SHOWED WIDE VARIATIONS AMONG HOSPITALS IN PRICES CHARGED FOR THE SAME PROCEDURES. PLHS CONSISTENTLY HAD THE LOWEST PRICES AMONG THE STATE PROVIDERS FOR PROCEDURES PERFORMED AT THE HOSPITAL. FOR THE PAST DECADE, THE ORGANIZATION HAS MADE A CONCERTED EFFORT TO BENCHMARK FAVORABLY TO OTHER PROVIDERS ON PRICING. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 620 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/EscrowAccountInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 66521665 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 89702 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 89702 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 22308 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 22308 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 702024 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 5197527 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 5899551 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 24 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 25 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.00 |
| 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/AverageHoursPerWeekRt | 12 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 25 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 13 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 14 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 19193 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 6819 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 19193 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 19193 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 19193 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 19193 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 19193 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 19193 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 19193 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 19193 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 19193 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | MARK ROBY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | GEOFF HEIG |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | JIM REDLINGER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | DUSTIN FLATTEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | MONTE HOPPER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | JOHN CALVIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | ROGER CARTER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | VINCE FOLEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | CATHERINE GERRISH MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | BERNIE HANSON MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | TOM LABRIE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | ROBB PETERSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | GERALD RIEBER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | DOUGLAS SHARP |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | LUANN STRAIT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | JILL FULLER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | ADAM PAUL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | MICHAEL ANDERSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | NATE LAKE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | TRACI RABINE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | MICHELE TURBAK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | CHRIS ADDUCCI MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | BIPINKUMAR AMIN MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | JEFFERY BRINDLE MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | EVELIO GARCIA MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | SALEM MAALIKI MD |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 528354 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 256886 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 365246 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 178778 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 174258 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 178484 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 655769 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 610000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 502008 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 1251162 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 25 | 1057978 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | BOARD CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | BOARD VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | BOARD SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | BOARD TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | PAST BOARD CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | CHIEF INVESTMENT OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | VICE PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | VICE PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | CHIEF NURSING OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 25 | PHYSICIAN |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 0 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1986 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -2599 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 9109474 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 15 |
| IRS990/GrantAmt | 0 | 155483 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 155483 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 155483 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 1 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 1408928 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 29379212 |
| IRS990/GrossReceiptsAmt | 0 | 113398744 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 897673 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 13 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 33 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 467140 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 21849 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 488989 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 395026 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 395026 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 511901 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 466030 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 693344 |
| IRS990/InterestGrp/TotalAmt | 0 | 693344 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 1542896 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 1499071 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 389982 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 389982 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 5938750 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 6243565 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 133328865 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 153988709 |
| IRS990/InvestTaxExemptBondsInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 84 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 58823270 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 51457797 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 49038957 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 107862227 |
| IRS990/LegalDomicileStateCd | 0 | SD |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 1411527 |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 20269738 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 0 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 0 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
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Displayed year
2014 • Form 990Detailed filing. Detailed filing data is available for this year.