Liabilities / Assets
68th percentile
Higher debt load relative to assets than 68% of similar nonprofits.
EIN 46-0430984 • 501(c)3 • Milbank, SD
Profile
Providing health care services to citizens living in the greater northeastern south dakota area
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
68th percentile
Higher debt load relative to assets than 68% of similar nonprofits.
Liabilities / Revenue
95th percentile
Higher debt load relative to revenue than 95% of similar nonprofits.
Net Margin
85th percentile
Higher net margin than 85% of similar nonprofits.
Top Officer Pay
9th percentile
Higher top officer pay than 9% of similar nonprofits.
Top officer pay equals 0.0% of source-year revenue.
Asset Growth
27th percentile
Faster asset growth than 27% of similar nonprofits.
Revenue Growth
59th percentile
Faster revenue growth than 59% of similar nonprofits.
Assets
Down$29,455,881
Down $226,850 (-0.8%) from 2023
Liabilities
Down$12,375,413
Down $927,456 (-7.0%) from 2023
Net Assets
Up$17,080,468
Up $700,606 (+4.3%) from 2023
Revenue
Up$1,834,925
Up $188,646 (+11%) from 2023
Expenses
Down$1,134,319
Down $212,742 (-16%) from 2023
Net Income
Up$700,606
Up $401,388 (+134%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
Providing health care services to citizens living the the greater northeastern south dakota area
Providing health care services to citizens living in the greater northeastern south dakota area
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $20,619,358 | $19,975,830 | ▼ $643,528 |
| Rtn Earn Endowment Incm Other Fnds | $16,379,862 | $17,080,468 | ▲ $700,606 |
| Cash and Non-Interest-Bearing Accounts | $8,721,696 | $9,024,609 | ▲ $302,913 |
| Savings and Temporary Cash Investments | $1,456 | $1,556 | ▲ $100 |
| Total Assets | $29,682,731 | $29,455,881 | ▼ $226,850 |
| Other Assets Total | $340,221 | $453,886 | ▲ $113,665 |
| Liabilities | |||
| Tax Exempt Bond Liabilities | $12,870,836 | $12,068,388 | ▼ $802,448 |
| Unsecured Notes Loans Payable | $432,033 | $307,025 | ▼ $125,008 |
| Total Liabilities | $13,302,869 | $12,375,413 | ▼ $927,456 |
| Net Assets / Fund Balance | |||
| Total Net Assets Fund Balance | $16,379,862 | $17,080,468 | ▲ $700,606 |
| Total Liabilities and Net Assets / Fund Balance | $29,682,731 | $29,455,881 | ▼ $226,850 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $19,174,801 | $4,840,534 | $24,015,335 |
| Other Land Buildings | $401,056 | $1,829,123 | $2,230,179 |
| Land | $399,973 | - | $399,973 |
| Name | Title |
|---|---|
| Stuart Schreurs | President |
| Dori Kuper | Director |
| Gerald Zubke | Director |
| James Gesswein | Director |
| Nanci Vanpeursem | Director |
| Rick Dilts | Director |
| Gregory Grajczyk | Secretary |
| Daryl Halvorson | Treasury |
| Jason Mischel | Vice Preside |
| Line Item | Amount |
|---|---|
| Other Expenses | $1,134,319 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Salaries, Compensation, and Employee Benefits | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Depreciation Depletion | $643,528 | - | - | $643,528 |
| Interest | $393,148 | - | - | $393,148 |
| Fees for Service Investment Mgmnt Fees | - | $15,235 | - | $15,235 |
| Fees for Services Accounting | $3,313 | - | - | $3,313 |
| Other Expenses | $2,480 | - | - | $2,480 |
| Office Expenses | $84 | - | - | $84 |
| All Other Expenses | $3 | - | - | $3 |
| Total Functional Expenses | $1,119,084 | $15,235 | $0 | $1,134,319 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| A | Econ Dev Rev Bons Series 2015a | 2015-10-21 | $10,000,000 | Hospital building - 730,000 square foot |
| B | Econ Dev Rev Bons Series 2015b | 2015-10-21 | $7,819,276 | Hospital building - 730,000 square foot |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| A | - | - | - | - |
| B | - | - | - | - |
“The board is made up by appointments by various individuals or entities. Specifically, the bishop of the sioux falls diocese has the power to appoint every three years one board member. Likewise, a board emeber is appointed to a three year term by the city of milbank, the grant county commissioners, the milbank community foundation, the milbank area chamber of commerce, grant county economic development, and the hospital medical staff if electing a chief of staff for the hospital. The board also has two at large members.”
“The governing body was provided with a copy of the financial statement and form 990 by the accountant who completed the financial statement and form 990 prior to the date in which the governing body filed the actual form 990”
“During meetings held by the officers and directors, they are asked to inform the board of any potential conflicts which may arise with the organization.”
“The organization makes available to the public any of its documents or financial statements upon the request of the public.”
“Contact addresses for officers, directors, etc: james gesswein - 317 north dakota street, milbank, sd 57252 stuart schreurs - 1208 park drive, milbank, sd 57252 gregory grajczyk - 103 south 4th street, milbank, sd 57252 daryl halvorson - 108 villa lane, milbank, sd 57252 dr. Paul denna - 13945 482nd avenue, big stone city, sd 57216 rick dilts - 47208 us hwy 12, milbank, sd 57252 katie heller - 706 south 5th street, milbank, sd 57252 jason mischel, 47772 143rd street, milbank, sd 57252 gerald zubke - 14536 sd highway 15, milbank, sd 57252”
“Providing health care services to citizens living in the greater northeastern south dakota area”
“The process to complete the financial statement and related income tax return hasnn't changed from the prior year. The information is given to the accountant who then prepares a preliminary and tentative finacial statement and income tax return. These preliminary statements and return are then reviewed by the officers and directors. Once the reports are approved, then final financial statements and income tax returns are prepared.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
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| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
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| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 3 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 3 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | DARYL HALVORSON |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 6054324633 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 302 SOUTH MAIN STREET |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | MILBANK |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | SD |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 57252 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 8721696 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 9024609 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | false |
| IRS990/CompensationProcessOtherInd | 0 | false |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | false |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 1394038 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 440887 |
| IRS990/CYOtherExpensesAmt | 0 | 1134319 |
| IRS990/CYOtherRevenueAmt | 0 | 0 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 0 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 700606 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 0 |
| IRS990/CYTotalExpensesAmt | 0 | 1134319 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 1834925 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 643528 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 643528 |
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| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | false |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | true |
| IRS990/EmployeeCnt | 0 | 0 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 475556 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
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| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 3313 |
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| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 15235 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 0.25 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 0.25 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 0.25 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 0.25 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 0.25 |
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| 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/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | 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/PersonNm | 0 | RICK DILTS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | JAMES GESSWEIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | GREGORY GRAJCZYK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | DARYL HALVORSON |
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| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | JASON MISCHEL |
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| 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/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/TitleTxt | 0 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | TREASURY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | VICE PRESIDE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DIRECTOR |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | false |
| IRS990/FormationYr | 0 | 2001 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedInd | 0 | false |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 9 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossReceiptsAmt | 0 | 1834925 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 9 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 393148 |
| IRS990/InterestGrp/TotalAmt | 0 | 393148 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 440887 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 440887 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestTaxExemptBondsInd | 0 | false |
| IRS990/IRPDocumentCnt | 0 | 2 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 6669657 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 20619358 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 19975830 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 26645487 |
| 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 | PROVIDING HEALTH CARE SERVICES TO CITIZENS LIVING IN THE GREATER NORTHEASTERN SOUTH DAKOTA AREA |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
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| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 16379862 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 17080468 |
| IRS990/NoListedPersonsCompensatedInd | 0 | X |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 84 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 84 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OnBehalfOfIssuerInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
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| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 453886 |
| IRS990/OtherExpensesGrp/Desc | 0 | DOCTOR RETENTION EXPENSE |
| IRS990/OtherExpensesGrp/Desc | 1 | HOSPITAL RELATIONS |
| IRS990/OtherExpensesGrp/Desc | 2 | HOSPICE EXPENSE |
| IRS990/OtherExpensesGrp/Desc | 3 | CONTRACTED LABOR |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 50000 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 19692 |
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| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 2480 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 50000 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 19692 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 6836 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 2480 |
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| IRS990/PYProgramServiceRevenueAmt | 0 | 1413249 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 299218 |
| IRS990/PYTotalExpensesAmt | 0 | 1347061 |
| IRS990/PYTotalRevenueAmt | 0 | 1646279 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 700606 |
| IRS990/RegularMonitoringEnfrcInd | 0 | true |
| IRS990/RelatedEntityInd | 0 | false |
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| IRS990/ReportLandBuildingEquipmentInd | 0 | true |
| IRS990/ReportOtherAssetsInd | 0 | false |
| IRS990/ReportOtherLiabilitiesInd | 0 | false |
| IRS990/ReportProgramRelatedInvstInd | 0 | false |
| IRS990/RevenueAmt | 0 | 1296004 |
| IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt | 0 | 16379862 |
| IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt | 0 | 17080468 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 1456 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 1556 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt | 0 | 1394038 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt | 0 | 2071 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 28515 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 38149 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 70254 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt | 0 | 1533027 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt | 0 | 440887 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt | 0 | 440887 |
| IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt | 0 | 5863914 |
| IRS990ScheduleA/PublicOrganization170Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY170Pct | 0 | 0.63360 |
| IRS990ScheduleA/PublicSupportPY170Pct | 0 | 0.45400 |
| IRS990ScheduleA/PublicSupportTotal170Amt | 0 | 1533027 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind | 0 | X |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt | 0 | 1394038 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt | 0 | 2071 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 28515 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 38149 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 70254 |
| IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt | 0 | 1533027 |
| IRS990ScheduleA/TotalSupportAmt | 0 | 2419513 |
| IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/CurrentTaxYearMinus1YearAmt | 0 | 229959 |
| IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 74555 |
| IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 69108 |
| IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 71977 |
| IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/TotalAmt | 0 | 445599 |
| 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 |
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| IRS990ScheduleK/SupplementalInformationDetail/ExplanationTxt | 0 | ECON. DEV. REV. BONS, SERIES 2015A HOSPITAL BUILDING - 730,000 SQUARE FOOT |
| IRS990ScheduleK/SupplementalInformationDetail/ExplanationTxt | 1 | ECON. DEV. REV. BONS, SERIES 2015B HOSPITAL BUILDING - 730,000 SQUARE FOOT |
| IRS990ScheduleK/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | PURPOSE OF ISSUE DESCRIPTION |
| IRS990ScheduleK/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | PURPOSE OF ISSUE DESCRIPTION |
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| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | PROVIDING HEALTH CARE SERVICES TO CITIZENS LIVING IN THE GREATER NORTHEASTERN SOUTH DAKOTA AREA |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | THE BOARD IS MADE UP BY APPOINTMENTS BY VARIOUS INDIVIDUALS OR ENTITIES. SPECIFICALLY, THE BISHOP OF THE SIOUX FALLS DIOCESE HAS THE POWER TO APPOINT EVERY THREE YEARS ONE BOARD MEMBER. LIKEWISE, A BOARD EMEBER IS APPOINTED TO A THREE YEAR TERM BY THE CITY OF MILBANK, THE GRANT COUNTY COMMISSIONERS, THE MILBANK COMMUNITY FOUNDATION, THE MILBANK AREA CHAMBER OF COMMERCE, GRANT COUNTY ECONOMIC DEVELOPMENT, AND THE HOSPITAL MEDICAL STAFF IF ELECTING A CHIEF OF STAFF FOR THE HOSPITAL. THE BOARD ALSO HAS TWO AT LARGE MEMBERS. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | THE GOVERNING BODY WAS PROVIDED WITH A COPY OF THE FINANCIAL STATEMENT AND FORM 990 BY THE ACCOUNTANT WHO COMPLETED THE FINANCIAL STATEMENT AND FORM 990 PRIOR TO THE DATE IN WHICH THE GOVERNING BODY FILED THE ACTUAL FORM 990 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | DURING MEETINGS HELD BY THE OFFICERS AND DIRECTORS, THEY ARE ASKED TO INFORM THE BOARD OF ANY POTENTIAL CONFLICTS WHICH MAY ARISE WITH THE ORGANIZATION. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 4 | THE ORGANIZATION MAKES AVAILABLE TO THE PUBLIC ANY OF ITS DOCUMENTS OR FINANCIAL STATEMENTS UPON THE REQUEST OF THE PUBLIC. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 5 | CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC: JAMES GESSWEIN - 317 NORTH DAKOTA STREET, MILBANK, SD 57252 STUART SCHREURS - 1208 PARK DRIVE, MILBANK, SD 57252 GREGORY GRAJCZYK - 103 SOUTH 4TH STREET, MILBANK, SD 57252 DARYL HALVORSON - 108 VILLA LANE, MILBANK, SD 57252 DR. PAUL DENNA - 13945 482ND AVENUE, BIG STONE CITY, SD 57216 RICK DILTS - 47208 US HWY 12, MILBANK, SD 57252 KATIE HELLER - 706 SOUTH 5TH STREET, MILBANK, SD 57252 JASON MISCHEL, 47772 143RD STREET, MILBANK, SD 57252 GERALD ZUBKE - 14536 SD HIGHWAY 15, MILBANK, SD 57252 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 6 | THE PROCESS TO COMPLETE THE FINANCIAL STATEMENT AND RELATED INCOME TAX RETURN HASNN'T CHANGED FROM THE PRIOR YEAR. THE INFORMATION IS GIVEN TO THE ACCOUNTANT WHO THEN PREPARES A PRELIMINARY AND TENTATIVE FINACIAL STATEMENT AND INCOME TAX RETURN. THESE PRELIMINARY STATEMENTS AND RETURN ARE THEN REVIEWED BY THE OFFICERS AND DIRECTORS. ONCE THE REPORTS ARE APPROVED, THEN FINAL FINANCIAL STATEMENTS AND INCOME TAX RETURNS ARE PREPARED. |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | FORM 990, PAGE 2, PART III, LINE 4D |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | FORM 990, PAGE 6, PART VI, LINE 7A |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | FORM 990, PAGE 6, PART VI, LINE 11B |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | FORM 990, PAGE 6, PART VI, LINE 12C |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 4 | FORM 990, PAGE 6, PART VI, LINE 19 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 5 | FORM 990, PART VII |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 6 | FORM 990, PART XII |
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