Civic Intelligence

Northeast Sd Health Care Foundation % Daryl Halvorson

EIN 46-0430984 • 501(c)3 • Milbank, SD

Profile

Providing health care services to citizens living in the greater northeastern south dakota area

PO Box 425Milbank, SD 57252

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

68th percentile

0.42x

Higher debt load relative to assets than 68% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

95th percentile

6.74x

Higher debt load relative to revenue than 95% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Net Margin

85th percentile

38%

Higher net margin than 85% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

9th percentile

$0

Higher top officer pay than 9% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Asset Growth

27th percentile

-0.8%

Faster asset growth than 27% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

59th percentile

11%

Faster revenue growth than 59% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

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

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$40M$30M$20M$10M$0Assets 2011: $4,450,955Liabilities 2011: $79,138Net Assets 2011: $4,371,8172011Assets 2012: $4,581,003Liabilities 2012: $29,133Net Assets 2012: $4,551,8702012Assets 2013: $6,083,876Liabilities 2013: $0Net Assets 2013: $6,083,8762013Assets 2014: $8,034,336Liabilities 2014: $0Net Assets 2014: $8,034,3362014Assets 2015: $15,438,813Liabilities 2015: $300,001Net Assets 2015: $15,138,8122015Assets 2016: $34,900,370Liabilities 2016: $17,994,155Net Assets 2016: $16,906,2152016Assets 2017: $33,930,168Liabilities 2017: $18,326,684Net Assets 2017: $15,603,4842017Assets 2018: $33,383,674Liabilities 2018: $17,551,026Net Assets 2018: $15,832,6482018Assets 2019: $32,404,058Liabilities 2019: $16,752,226Net Assets 2019: $15,651,8322019Assets 2020: $31,705,741Liabilities 2020: $15,929,462Net Assets 2020: $15,776,2792020Assets 2021: $31,039,303Liabilities 2021: $15,116,771Net Assets 2021: $15,922,5322021Assets 2022: $30,283,409Liabilities 2022: $14,202,765Net Assets 2022: $16,080,6442022Assets 2023: $29,682,731Liabilities 2023: $13,302,869Net Assets 2023: $16,379,8622023Assets 2024: $29,455,881Liabilities 2024: $12,375,413Net Assets 2024: $17,080,4682024

Highlighted filing

2024

Assets$29,455,881
Liabilities$12,375,413
Net Assets$17,080,468

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$10M$5.0M$0-$5.0MRevenue 2011: $342,282Expenses 2011: $130,628Net Income 2011: $211,6542011Revenue 2012: $338,154Expenses 2012: $158,101Net Income 2012: $180,0532012Revenue 2013: $1,767,976Expenses 2013: $235,970Net Income 2013: $1,532,0062013Revenue 2014: $2,354,106Expenses 2014: $403,646Net Income 2014: $1,950,4602014Revenue 2015: $7,240,223Expenses 2015: $135,747Net Income 2015: $7,104,4762015Revenue 2016: $1,976,649Expenses 2016: $209,246Net Income 2016: $1,767,4032016Revenue 2017: $2,114,984Expenses 2017: $3,417,715Net Income 2017: -$1,302,7312017Revenue 2018: $1,749,405Expenses 2018: $1,520,241Net Income 2018: $229,1642018Revenue 2019: $1,241,095Expenses 2019: $1,421,911Net Income 2019: -$180,8162019Revenue 2020: $1,622,655Expenses 2020: $1,498,208Net Income 2020: $124,4472020Revenue 2021: $1,628,510Expenses 2021: $1,482,257Net Income 2021: $146,2532021Revenue 2022: $1,524,552Expenses 2022: $1,366,440Net Income 2022: $158,1122022Revenue 2023: $1,646,279Expenses 2023: $1,347,061Net Income 2023: $299,2182023Revenue 2024: $1,834,925Expenses 2024: $1,134,319Net Income 2024: $700,6062024

Highlighted filing

2024

Revenue$1,834,925
Expenses$1,134,319
Net Income$700,606

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$29.5$12.4$17.1$1.83$1.13$0.70
2023Detailed filing. Detailed filing data is available for this year.$29.7$13.3$16.4$1.65$1.35$0.30
2022Detailed filing. Detailed filing data is available for this year.$30.3$14.2$16.1$1.52$1.37$0.16
2021Detailed filing. Detailed filing data is available for this year.$31.0$15.1$15.9$1.63$1.48$0.15
2020Detailed filing. Detailed filing data is available for this year.$31.7$15.9$15.8$1.62$1.50$0.12
2019Summary only. Only limited summary data is available for this year.$32.4$16.8$15.7$1.24$1.42$0.18
2018Summary only. Only limited summary data is available for this year.$33.4$17.6$15.8$1.75$1.52$0.23
2017Summary only. Only limited summary data is available for this year.$33.9$18.3$15.6$2.11$3.42$1.30
2016Summary only. Only limited summary data is available for this year.$34.9$18.0$16.9$1.98$0.21$1.77
2015Summary only. Only limited summary data is available for this year.$15.4$0.30$15.1$7.24$0.14$7.10
2014Summary only. Only limited summary data is available for this year.$8.03$0.00$8.03$2.35$0.40$1.95
2013Summary only. Only limited summary data is available for this year.$6.08$0.00$6.08$1.77$0.24$1.53
2012Summary only. Only limited summary data is available for this year.$4.58$0.03$4.55$0.34$0.16$0.18
2011Summary only. Only limited summary data is available for this year.$4.45$0.08$4.37$0.34$0.13$0.21
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Sep 3, 2025
Return Version
2024v5.0
Gross Receipts
$1,834,925
Mission and Program Overview

Mission

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

Balance Sheet Detail
LineBeginningEndChange
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 Categories

AssetBook ValueDepreciationBasis
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
Compensation and Service Providers

Board Members and Trustees

NameTitle
Stuart SchreursPresident
Dori KuperDirector
Gerald ZubkeDirector
James GessweinDirector
Nanci VanpeursemDirector
Rick DiltsDirector
Gregory GrajczykSecretary
Daryl HalvorsonTreasury
Jason MischelVice Preside
Revenue and Support

Revenue Composition

Contributions and Grants
$1,394,038
Program Service Revenue
$0
Investment Income
$440,887
Other Revenue
$0
All Other Contributions
$1,394,038
Change in Net Assets
$700,606
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
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

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
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
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

Bond Issues

BondIssuerIssuedIssue PricePurpose
AEcon Dev Rev Bons Series 2015a2015-10-21$10,000,000Hospital building - 730,000 square foot
BEcon Dev Rev Bons Series 2015b2015-10-21$7,819,276Hospital building - 730,000 square foot

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A----
B----

Bond Financing Compliance

No rebate due
No
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
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
No
Other officer compensation reviewed
No
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, Page 6, Part VI, Line 7A

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.

Form 990, Page 6, Part VI, Line 11B

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

Form 990, Page 6, Part VI, Line 12C

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.

Form 990, Page 6, Part VI, Line 19

The organization makes available to the public any of its documents or financial statements upon the request of the public.

Form 990, Part VII

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

Filing and Contact Details

Filer

Filer Name
Northeast Sd Health Care Foundation
EIN
46-0430984
Phone
6054324633
Address
PO BOX 425, MILBANK, SD 57252

Signing Officer

Name
Daryl Halvorson
Title
Treasury
Phone
6054324633
Signed
2025-09-03
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Stuart Schreurs
Formed
2001
Legal Domicile
Sd
Voting Board Members
9
Independent Board Members
9
Employees
0

Preparer

Firm
Premier Tax Service Inc
Address
102 W 4TH AVE STE 1, MILBANK, SD 57252
Preparer
Robert Porter Iii
Phone
6054326446
Supplemental Narrative

Additional Explanations

Form 990, Page 2, Part III, Line 4D

Providing health care services to citizens living in the greater northeastern south dakota area

Form 990, Part XII

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.

Raw XML AppendixShowing 400 of 444 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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IRS990ScheduleD/LandGrp/BookValueAmt0399973
IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt0399973
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IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt01829123
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IRS990ScheduleK/SupplementalInformationDetail/ExplanationTxt0ECON. DEV. REV. BONS, SERIES 2015A HOSPITAL BUILDING - 730,000 SQUARE FOOT
IRS990ScheduleK/SupplementalInformationDetail/ExplanationTxt1ECON. DEV. REV. BONS, SERIES 2015B HOSPITAL BUILDING - 730,000 SQUARE FOOT
IRS990ScheduleK/SupplementalInformationDetail/FormAndLineReferenceDesc0PURPOSE OF ISSUE DESCRIPTION
IRS990ScheduleK/SupplementalInformationDetail/FormAndLineReferenceDesc1PURPOSE OF ISSUE DESCRIPTION
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IRS990ScheduleK/TaxExemptBondsIssuesGrp/BondIssuedDt02015-10-21
IRS990ScheduleK/TaxExemptBondsIssuesGrp/BondIssuedDt12015-10-21
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IRS990ScheduleK/TaxExemptBondsIssuesGrp/IssuerName/BusinessNameLine1Txt0ECON DEV REV BONS SERIES 2015A
IRS990ScheduleK/TaxExemptBondsIssuesGrp/IssuerName/BusinessNameLine1Txt1ECON DEV REV BONS SERIES 2015B
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IRS990ScheduleK/TaxExemptBondsIssuesGrp/PurposeDesc0HOSPITAL BUILDING - 730,000 SQUARE FOOT
IRS990ScheduleK/TaxExemptBondsIssuesGrp/PurposeDesc1HOSPITAL BUILDING - 730,000 SQUARE FOOT
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0PROVIDING HEALTH CARE SERVICES TO CITIZENS LIVING IN THE GREATER NORTHEASTERN SOUTH DAKOTA AREA
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE 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/ExplanationTxt2THE 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/ExplanationTxt3DURING 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/ExplanationTxt4THE ORGANIZATION MAKES AVAILABLE TO THE PUBLIC ANY OF ITS DOCUMENTS OR FINANCIAL STATEMENTS UPON THE REQUEST OF THE PUBLIC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5CONTACT 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/ExplanationTxt6THE 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/FormAndLineReferenceDesc0FORM 990, PAGE 2, PART III, LINE 4D
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VII
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART XII
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