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PRAIRIE LAKES HEALTH CARE SYSTEM INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
PRAIRIE LAKES HEALTH CARE SYSTEM INC (EIN 46-0391067)
Tax period
2016-06-01 to 2017-05-31
Filed
2018-04-16
IRS object ID
201831069349301758
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-04-16T19:11:37-05:00ReturnTs
Tax Period End2017-05-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1220 SOUTH SIXTH STREET SUITE 300AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55402ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-06-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN460391067EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PRAIRIE LAKES HEALTH CARE SYSTEM INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPRAIBusinessNameControlTxt
Phone6058827000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1210AddressLine1Txt
CityWATERTOWNCityNm
State AbbreviationSDStateAbbreviationCd
ZIP57201ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonADAM POPPPersonNm
Person TitleCFOPersonTitleTxt
Phone6058827000PhoneNum
Signature2018-04-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKURT BENNIONPreparerPersonNm
PTINP01469618PTIN
Phone6123764500PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.137.57.251IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-04-13IPDt
IP Tm10:43:33IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id9484E6C550CEFEA19C9729386319D1474AD693ADAtSubmissionCreationDeviceId
At Submission Filing Device Id0C3B949DE0044FA10488A02C94FF2E706A60DCABAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJILL FULLERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1210AddressLine1Txt
CityWATERTOWNCityNm
State AbbreviationSDStateAbbreviationCd
ZIP57201ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$315,805,862GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PRAIRIELAKES.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1986FormationYr
Legal Domicile StateSDLegalDomicileStateCd
Activity Or MissionHEALTH CARE SERVICESActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee632TotalEmployeeCnt
Total Volunteers240TotalVolunteersCnt
Total Gross UBI$987,771TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$242,579NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$148,957PYContributionsGrantsAmt
CY Contributions Grants$102,050CYContributionsGrantsAmt
PY Program Service Revenue$88,106,837PYProgramServiceRevenueAmt
CY Program Service Revenue$96,483,900CYProgramServiceRevenueAmt
PY Investment Income$9,486,492PYInvestmentIncomeAmt
CY Investment Income$13,723,446CYInvestmentIncomeAmt
PY Other Revenue$1,899,794PYOtherRevenueAmt
CY Other Revenue$1,591,546CYOtherRevenueAmt
PY Total Revenue$99,642,080PYTotalRevenueAmt
CY Total Revenue$111,900,942CYTotalRevenueAmt
PY Grants And Similar Paid$298,013PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,301,132CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$42,060,895PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$45,087,234CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$41,402,836PYOtherExpensesAmt
CY Other Expenses$47,823,644CYOtherExpensesAmt
PY Total Expenses$83,761,744PYTotalExpensesAmt
CY Total Expenses$95,212,010CYTotalExpensesAmt
PY Revenues Less Expenses$15,880,336PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$16,688,932CYRevenuesLessExpensesAmt
Total Assets BOY$246,951,179TotalAssetsBOYAmt
Total Assets EOY$308,032,192TotalAssetsEOYAmt
Total Liabilities BOY$26,616,175TotalLiabilitiesBOYAmt
Total Liabilities EOY$63,988,101TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$220,335,004NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$244,044,091NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionPRAIRIE LAKES HEALTH CARE SYSTEM THROUGH THE EFFORTS OF ITS DEDICATED EMPLOYEES AND PHYSICIANS, PROVIDES ACCESSIBLE, HIGH QUALITY, AFFORDABLE, AND COMPASSIONATE HEALTHCARE SERVICES FOR THE PEOPLE IN THE REGION.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$84,362,789ExpenseAmt
Grant$2,301,132GrantAmt
Revenue$96,483,900RevenueAmt
DescPRAIRIE 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 TWENTY-THREE SPECIALTY PHYSICIANS IN ORDER TO BUILD NEW SERVICES THAT WERE NEEDED IN THE REGION. IN THE PAST YEAR, FOUR NEW PHYSICIANS WERE RECRUITED, INCLUDING A DERMATOLOGIST. IN THE NEXT FISCAL YEAR, WE ANTICIPATE TWO HOSPITALISTS, ANOTHER DERMATOLOGIST, A NON-INTERVENTIONAL CARDIOLOGIST, AN ENT PHYSICIAN, AND A PATHOLOGIST JOINING OUR STAFF. PLHS ALSO CONTINUED TO INCREASE THE NUMBER OF (CONTINUED IN SCHEDULE O)OUTREACH RURAL CLINICS TO NINETEEN. THESE CLINICS PROVIDE ACCESS TO SPECIALTY PHYSICIANS IN RURAL COMMUNITIES IN THE PLHS SERVICE AREA. DERMATOLOGY SERVICES WERE ADDED TO MEET THE NEEDS OF THE SERVICE AREA. THE FULL-TIME SERVICES SIGNIFICANTLY INCREASED ACCESSIBILITY TO NEEDED DERMATOLOGY CARE. A CLINICAL INTEGRATION INITIATIVE IS NOW IN ITS FOURTH YEAR. WORKING WITH COMMUNITY PRIMARY CARE PHYSICIANS, HOSPITAL-BASED PHYSICIANS, AND OTHER POST-ACUTE PROVIDERS, EFFORTS ARE FOCUSED ON IMPROVING PATIENT CARE TRANSITIONS FROM ONE SETTING TO ANOTHER AND BUILDING CARE MANAGEMENT PROTOCOLS TO ENSURE OPTIMAL CLINICAL OUTCOMES WHILE DECREASING THE TOTAL COST OF CARE. INCLUDED IN THESE CLINICAL INTEGRATION ACTIVITIES WERE THE FOLLOWING SPECIAL PROJECTS: 1. HOSPITAL-NURSING HOME CARE TRANSITIONS DESIGNED TO IMPROVE THE HANDOFF OF PATIENT INFORMATION DURING THE TRANSFER FROM ACUTE CARE TO SKILLED CARE TO DECREASE ERRORS AND TO DECREASE HOSPITAL READMISSIONS; 2. JOINT JOURNEY TO ENGAGE PATIENTS SCHEDULED FOR TOTAL JOINT REPLACEMENT WITH A SUPPORT GROUP, PROVIDE PATIENT AND FAMILY EDUCATION, AND PROVIDE PRE-OPERATIVE EXERCISE TRAINING. SUCH PROGRAMS RESULT IN IMPROVED RECOVERY, BETTER POST-OPERATIVE PAIN CONTROL, AND DECREASE THE TOTAL COST OF CARE; 3. DIABETIC SUPPORT GROUPS WERE ESTABLISHED THROUGH FINANCIAL SUPPORT FROM PLHS. IMPROVING DIABETIC HEALTH WAS A PRIORITY IDENTIFIED IN THE ORGANIZATION'S COMMUNITY HEALTH NEEDS ASSESSMENT; AND, 4. THE HOME TRANSITION PROGRAM THAT PROVIDES HIGH-RISK, RECENTLY DISCHARGED PATIENTS WITH A COMPLIMENTARY POST-DISCHARGE VISIT BY A REGISTERED NURSE. THIS SERVICE FILLS A GAP IN THE CARE OF PEOPLE WITH HEART FAILURE AND OTHER DISEASES. THE ORGANIZATION'S COMMITMENT TO IMPROVING QUALITY AND PATIENT OUTCOMES WAS ACKNOWLEDGED BY THE RECEIPT OF AWARDS BASED ON REVIEW OF PUBLICALLY REPORTABLE DATA. FOR THE FOURTH 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. IN JANUARY, 2017, PLHS WAS NAMED A RECIPIENT OF THE WOMEN'S CHOICE AWARD AS AMERICA'S BEST HOSPITALS FOR EMERGENCY CARE FOR THE THIRD YEAR IN A ROW. IN SUMMARY, PLHS ACHIEVES ITS HEALTHCARE MISSION IN THREE WAYS: FIRST, BY OPERATING A COMMUNITY HOSPITAL WITH ESSENTIAL SERVICES INCLUDING OBSTETRICS, CARDIOLOGY, EMERGENCY SERVICES, INPATIENT MEDICAL SERVICES AND OUTPATIENT SERVICES. SECOND, PLHS PROVIDES RURAL SPECIALTY OUTREACH WITH EMPHASIS ON DIALYSIS, HOME HEALTH, REHABILITATION SERVICES AND OUTREACH CLINICS THAT ALLOW PEOPLE TO SEE SPECIALISTS IN THEIR COMMUNITIES. THIRD, PLHS PROVIDES SPECIALTY MEDICAL AND SURGICAL CARE TO A TEN-COUNTY SERVICE AREA.Desc
Total Program Service Expenses$84,362,789TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document81IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee632EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ADAM POPPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6058827000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1401 9TH AVENUE NWAddressLine1Txt
CityWATERTOWNCityNm
State AbbreviationSDStateAbbreviationCd
ZIP57201ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
JIM REDLINGER
CHAIR1.000.00Yes (X)Yes (X)$0$0$0
ROBB PETERSON
VICE CHAIR1.000.00Yes (X)Yes (X)$0$0$0
TOM LABRIE
SECRETARY1.000.00Yes (X)Yes (X)$0$0$0
DUSTIN FLATTEN
TREASURER1.001.00Yes (X)Yes (X)$0$0$0
MARK ROBY
PAST CHAIR1.000.00Yes (X)$0$0$0
JOHN CALVIN
BOARD MEMBER1.000.00Yes (X)$0$0$0
ALAN CHRISTENSEN MD
BOARD MEMBER1.000.00Yes (X)$0$0$0
VINCE FOLEY
BOARD MEMBER1.000.00Yes (X)$0$0$0
CATHERINE GERRISH MD
BOARD MEMBER1.000.00Yes (X)$0$0$0
BERNIE HANSON MD
BOARD MEMBER1.000.00Yes (X)$0$0$0
MONTE HOPPER
BOARD MEMBER1.000.00Yes (X)$0$0$0
SHANNON KRUSE
BOARD MEMBER1.000.00Yes (X)$0$0$0
GERALD RIEBER MD
BOARD MEMBER1.000.00Yes (X)$0$0$0
DOUG SHARP
BOARD MEMBER1.001.00Yes (X)$0$0$0
LUANN STRAIT
BOARD MEMBER1.001.00Yes (X)$0$0$0
JILL FULLER
CHIEF EXECUTIVE OFFICER40.001.00Yes (X)$538,276$0$44,672
ADAM PAUL
CHIEF FINANCIAL OFFICER40.000.00Yes (X)$314,884$0$32,479
MICHAEL ANDERSON
CHIEF INVESTMENT OFFICER40.000.00$409,150$0$40,871Yes (X)
NATE LAKE
VICE PRESIDENT40.001.00$227,227$0$33,354Yes (X)
TRACI RABINE
VICE PRESIDENT40.000.00$230,886$0$33,347Yes (X)
MICHELE TURBAK
CHIEF NURSING OFFICER40.000.00$228,426$0$33,664Yes (X)
GRANT TILLETT
CHIEF INFORMATION OFFICER40.000.00$209,912$0$32,382Yes (X)
EVELIO GARCIA
PHYSICIAN40.000.00$1,198,946$0$29,846Yes (X)
SALEM MAALIKI
PHYSICIAN40.000.00$1,002,753$0$29,846Yes (X)
RICHARD HOWARD
PHYSICIAN40.000.00$538,179$0$18,217Yes (X)
JEFFREY BRINDLE
PHYSICIAN40.000.00$543,697$0$29,846Yes (X)
BIPIN AMIN
PHYSICIAN40.000.00$610,000$0$24,769Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,052,336TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$383,293TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K38IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
COMPHEALTH
PO BOX 972651DALLASTX75397LOCUM PHYSICIANS$1,627,771
WMG DAKOTA LLCSUMMIT STEGLITS
107 FLYNN DRIVE STE 600MILBANKSD57252LOCUM ER PHYSICIANS$596,634
FEKA HEMATOLOGY ONCOLOGY
300 WEST CENTURY AVEBISMARCKND58503ONCOLOGY MD$427,200
NAZIR DELAWAR MD
411 N 6TH STEMERYSD57332HOSPITALIST LOCUM$375,829
PRECISION DIAGNOSTIC SERVICE INC
4152 30TH AVE S STE 103FARGOND58104SLEEP STUDIES$361,050
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K15CntrctRcvdGreaterThan100KCnt
All Other Contributions$102,050AllOtherContributionsAmt
Total Contributions$102,050TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE621400$95,496,129$95,496,129
RETAIL PHARMACY446110$837,580$837,580
LAB SERVICE621500$150,191$150,191
FieldValueIRS element (for citing)
Total Program Service Revenue$96,483,900TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$667,620TotalRevenueColumnAmt
Exclusion$667,620ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,008,605RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,008,605RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,008,605TotalRevenueColumnAmt
Exclusion$1,008,605ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$216,913,900SecuritiesAmt
Other$46,846OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$203,863,064SecuritiesAmt
Other$41,856OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$13,050,836SecuritiesAmt
Other$4,990OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,055,826TotalRevenueColumnAmt
Exclusion$13,055,826ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CAFETERIA REVENUE722210$321,302$321,302
OTHER INCOME900099$257,463$257,463
VENDING MACHINES722210$3,093$3,093

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,083TotalRevenueColumnAmt
Exclusion$1,083ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$582,941OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$111,900,942TotalRevenueColumnAmt
Related Or Exempt Func Income$95,496,129RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$987,771UnrelatedBusinessRevenueAmt
Exclusion$15,314,992ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,301,132TotalAmt
Program Services$2,301,132ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,334,859TotalAmt
Management And General$2,334,859ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$36,069,107TotalAmt
Program Services$33,034,044ProgramServicesAmt
Management And General$3,035,063ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$768,157TotalAmt
Program Services$756,033ProgramServicesAmt
Management And General$12,124ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,340,344TotalAmt
Program Services$3,024,331ProgramServicesAmt
Management And General$316,013ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,574,767TotalAmt
Program Services$2,264,941ProgramServicesAmt
Management And General$309,826ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$51,268TotalAmt
Management And General$51,268ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$10,315,915TotalAmt
Program Services$9,100,233ProgramServicesAmt
Management And General$1,215,682ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$430,484TotalAmt
Management And General$430,484ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,666,904TotalAmt
Program Services$1,126,763ProgramServicesAmt
Management And General$540,141ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$455,785TotalAmt
Program Services$41,784ProgramServicesAmt
Management And General$414,001ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$880,055TotalAmt
Program Services$24,679ProgramServicesAmt
Management And General$855,376ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$492,643TotalAmt
Program Services$355,519ProgramServicesAmt
Management And General$137,124ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$239,399TotalAmt
Program Services$88,721ProgramServicesAmt
Management And General$150,678ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$457,579TotalAmt
Program Services$457,579ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,873,567TotalAmt
Program Services$4,476,836ProgramServicesAmt
Management And General$396,731ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$378,615TotalAmt
Program Services$378,615ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
UBI TAXES$77,856$77,856
MEDICAL SUPPLIES$11,369,405$11,369,405
DRUGS$8,751,255$8,751,255
PROVISION FOR BAD DEBT$4,138,557$4,138,557

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,244,357TotalAmt
Program Services$2,672,362ProgramServicesAmt
Management And General$571,995ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$95,212,010TotalAmt
Program Services$84,362,789ProgramServicesAmt
Management And General$10,849,221ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,026BOYAmt
EOY$2,026EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$7,546,784BOYAmt
EOY$9,786,390EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$9,327,184BOYAmt
EOY$11,019,019EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$390,523BOYAmt
EOY$378,340EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,026,580BOYAmt
EOY$2,678,379EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$780,324BOYAmt
EOY$759,553EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$126,702,979LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$69,214,787LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$47,053,229BOYAmt
EOY$57,488,192EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$165,900,189BOYAmt
EOY$180,771,303EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$6,255,139BOYAmt
EOY$4,504,169EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$207,890BOYAmt
EOY$2,570,154EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$7,461,311BOYAmt
EOY$38,074,667EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$246,951,179BOYAmt
EOY$308,032,192EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$12,887,305BOYAmt
EOY$14,569,467EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,871,073BOYAmt
EOY$43,187,520EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$1,775,890EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,857,797BOYAmt
EOY$4,455,224EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$26,616,175BOYAmt
EOY$63,988,101EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$216,470,980BOYAmt
EOY$239,841,138EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,864,024BOYAmt
EOY$4,202,953EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$220,335,004BOYAmt
EOY$244,044,091EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$246,951,179BOYAmt
EOY$308,032,192EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$16,688,932ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$6,681,227NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$338,929OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,101,762OtherCostOrOtherBasisAmt
Book Value$3,101,762BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$48,007,445OtherCostOrOtherBasisAmt
Depreciation$23,152,764DepreciationAmt
Book Value$24,854,681BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,736,874OtherCostOrOtherBasisAmt
Depreciation$1,848,899DepreciationAmt
Book Value$887,975BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$61,736,125OtherCostOrOtherBasisAmt
Depreciation$44,213,124DepreciationAmt
Book Value$17,523,001BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,120,773OtherCostOrOtherBasisAmt
Book Value$11,120,773BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$57,488,192TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
DUE FROM 457B$3,779,737
ACCRUED INTEREST RECEIVABLE$78,975
TRUSTEE HELD FUNDS$29,328,959
ACCRUED REAL ESTATE$3,761,187
DUE FROM RELATED PARTY$1,125,809
FieldValueIRS element (for citing)
Total Book Value Other Assets$38,074,667TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
457(B) PAYABLE$3,779,737
LONG-TERM PTO$583,587
ASSET RETIREMENT OBLIGATION$91,900
FieldValueIRS element (for citing)
Total Liability$4,455,224TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE INTERNAL REVENUE SERVICE (IRS) HAS DETERMINED THAT PRAIRIE LAKES IS A TAX-EXEMPT, NOT-FOR-PROFIT CORPORATION 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.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,821,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,821,000NetCommunityBenefitExpnsAmt
Total Expense0.02000TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,930,802TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,331,126DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,599,676NetCommunityBenefitExpnsAmt
Total Expense0.01760TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,751,802TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,331,126DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,420,676NetCommunityBenefitExpnsAmt
Total Expense0.03760TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,833,299TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,297,967DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,535,332NetCommunityBenefitExpnsAmt
Total Expense0.08270TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,833,299TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,297,967DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,535,332NetCommunityBenefitExpnsAmt
Total Expense0.08270TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,585,101TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,629,093DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,956,008NetCommunityBenefitExpnsAmt
Total Expense0.12030TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$4,138,557BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$33,864,503ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$32,096,214CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$1,768,289MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PRAIRIE LAKES HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1401 9TH AVE NWAddressLine1Txt
CityWATERTOWNCityNm
State AbbreviationSDStateAbbreviationCd
ZIP57201ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.PRAIRIELAKES.COMWebsiteAddressTxt
State License10572StateLicenseNum
Subordinate Hospital EIN460391067SubordinateHospitalEIN
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1PRAIRIE LAKES HEALTH CARE SYSTEMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.PRAIRIELAKES.COM/IMAGES/PDFS/2016_COMMUNITY_NEEDS_ASSESSMENT_-_FINAL.PDOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.PRAIRIELAKES.COM/IMAGES/PDFS/2016_COMMUNITY_NEEDS_ASSESSMENT_-_FINAL.PDStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care200.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE LINE 16JFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE LINE 16JFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE LINE 16JFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PRAIRIE LAKES HEALTH CARE SYSTEMPART V, SECTION B, LINE 5: A COMPREHENSIVE, DATA DRIVEN ASSESSMENT WAS USED TO IDENTIFY COMMUNITY HEALTH NEEDS. PLHS UTILIZED A TWO-STEP PROCESS TO COLLECT PRIMARY AND SECONDARY DATA. IN STEP ONE, PLHS SOLICITED INPUT FROM COMMUNITY HEALTH STAKEHOLDERS INCLUDING PUBLIC HEALTH PROFESSIONALS; SERVICE AGENCIES ASSISTING VULNERABLE, LOW-INCOME, AND MINORITY POPULATIONS; HEALTHCARE PROVIDERS; AND, GOVERNMENT AND PUBLIC SAFETY OFFICIALS. IN ORDER TO ADDRESS NEEDS OF THE ENTIRE "COMMUNITY," STAKEHOLDERS INCLUDED INDIVIDUALS FROM OUTSIDE THE PRIMARY SERVICE AREA OF PLHS. INPUT WAS OBTAINED THROUGH TWO FOCUS GROUP SESSIONS AND KEY INFORMANT INTERVIEWS. STEP TWO CONSISTED OF EVALUATION OF DATA RELATED TO DEMOGRAPHICS AND HEALTH FROM THE UNITED STATES CENSUS BUREAU, SOUTH DAKOTA DEPARTMENT OF HEALTH, SOUTH DAKOTA ASSOCIATION OF HEALTHCARE ORGANIZATIONS, MINNESOTA DEPARTMENT OF HEALTH AND OTHER SOURCES.
PRAIRIE LAKES HEALTH CARE SYSTEMPART V, SECTION B, LINE 11: 1. MENTAL HEALTHOBJECTIVE:IMPROVE ACCESS TO MENTAL HEALTH SERVICES THROUGH PARTNERSHIPS WITH OTHER HEALTHCARE PROVIDERS TO FACILITATE IMPROVED ACCESS TO CARE.KEY INITIATIVES:A. DEVELOP THE INFRASTRUCTURE NEEDED TO IDENTIFY SPECIFIC NEEDS AND SOLUTIONSB. SEEK OUT COLLABORATION OPPORTUNITIES TO INCREASE ACCESS2. ACCESS TO HEALTHCARE - TRANSPORTATIONOBJECTIVES:DECREASES BARRIERS TO HEALTH CARE ACCESS RELATED TO TRANSPORTATION. KEY INITIATIVES:A. SUSTAIN PARTNERSHIP WITH WATERTOWN AREA TRANSIT PROVIDING FREE RIDE SERVICE TO MEDICAL APPOINTMENTSB. EXPLORE OPTIONS FOR INCREASED MARKETING AND DISSEMINATION OF INFORMATION TO INCREASE AWARENESS OF PUBLIC TRANSPORTATION OPTIONS3. CHRONIC DISEASE MANAGEMENTOBJECTIVE:IMPROVE QUALITY OF LIFE AND CLINICAL OUTCOMES FOR PEOPLE WITH CHRONIC DISEASE.KEY INITIATIVES:A. CARDIOVASCULAR DISEASE: - CONTINUE TO ENHANCE HOME TRANSITIONS PROGRAM 34 - ENHANCE PATIENT EDUCATIONB. DIABETES: - CONTINUE TO ENHANCE HOME TRANSITIONS PROGRAM - EXPLORE THE NEED FOR DIABETIC SPECIFIC TRAINED STAFFC. RESPIRATORY DISEASE: - CONTINUE TO ENHANCE HOME TRANSITIONS PROGRAM - RECRUIT A PULMONOLOGIST - REINSTATE OUTREACH CLINICSD. CEREBROVASCULAR DISEASE (STROKE): - ENHANCE PATIENT EDUCATION - EVALUATE STROKE PROTOCOLS4. HEALTH LITERACYOBJECTIVE:IMPROVE MEDICATION SAFETY FOR THE COMMUNITY.KEY INITIATIVES:A. DEVELOP THE INFRASTRUCTURE NEEDED TO PROVIDE PUBLIC EDUCATIONB. EXPLORE THE DEVELOPMENT OF MEDICATION PROTOCOLS FOR SELECT HEALTH CONDITIONS
PRAIRIE LAKES HEALTH CARE SYSTEMPART V, SECTION B, LINE 16J: HTTPS://WWW.PRAIRIELAKES.COM/PATIENT-INFORMATION/FINANCIAL-ASSISTANCE-PROGRAM-510.HTML
FieldValueIRS element (for citing)
Facility4FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - SISSETON SATELLITE DIALYSIS
5 EAST CHESTNUTSISSETONSD57262DIALYSIS UNIT
2 - MALLARD POINTE SURGICAL CENTER
1425 MICKELSON DRIVEWATERTOWNSD57201OUTPATIENT SURGERY CENTER
3 - ORTONVILLE SATELLITE DIALYSIS
450 EASTVOLD AVENUEORTONVILLEMN56278DIALYSIS UNIT
4 - PRAIRIE LAKE PULMONOLOGY CLINIC
600 4TH STREET NEWATERTOWNSD57201PULMONOLOGY CLINIC

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:IN ADDITION TO INCOME BASED CRITERIA FOR DETERMINING THE AMOUNT OF FINANCIAL ASSISTANCE SERVICES FOR WHICH A PATIENT IS ELIGIBLE AT THE TIME OF SERVICE OR DURING THE BILLING-AND-COLLECTION PROCESS, PLHS USES AN ASSET TEST. ASSET EXCLUSIONS THAT ARE CONIDERED IN QUALIFYING FOR FINANCIAL ASSISTANCE ARE: (A) EQUITY IN PRIMARY RESIDENCE UP TO $15,000(B) EQUITY IN AUTOMOBILE UP TO $5,000(C) 70% OF VALUE OF ASSETS IN RETIRMENT ACCOUNTS(D) ASSETS IN CHECKING/SAVINGS/ETC. UP TO $15,000(E) OTHER ASSETS USED FOR INCOME PRODUCING PURPOSES.
PART I, LINE 7:THE COSTS ARE CALCULATED USING A COST TO CHARGE RATIO DERIVED INTERNALLY USING THE HEALTH SYSTEM'S OVERALL COST TO CHARGE RATIO.
PART I, LINE 7G:THE SUBSIDIZED HEALTH SERVICES INCLUDED IN SCHEDULE H, PART I, LINE 7G RELATE TO THE EMERGENCY ROOM, CARDIOLOGY CLINIC, ONCOLOGY CLINIC, NEPHROLOGY CLINIC, UROLOGY CLINIC, PULMONOLOGY CLINIC, AND ENT CLINIC.
PART I, LN 7 COL(F):$4,138,557 OF BAD DEBT EXPENSE WAS ELIMINATED WHEN CALCULATING PART I, LINE 7, COLUMN F.
PART II, COMMUNITY BUILDING ACTIVITIES:THE ORGANIZATION SUPPORTS COMMUNITY BUILDING ACTIVITIES THROUGH DONATIONS TO COMMUNITY PROJECTS SUCH AS THE WATERTOWN DEVELOPMENT COMPANY, WHICH WORKS TO BRING NEW BUSINESSES TO WATERTOWN; JOY RANCH, WHICH PROVIDES CAMP EXPERIENCE TO DISABLED CHILDREN; LAKE AREA TECHNICAL INSTITUTE, WHICH PROVIDES EDUCATION AND TRAINING FOR HEALTH PROFESSIONALS; AND THE BOYS AND GIRLS CLUB, WHICH PROVIDES RESOURCES FOR COMMUNITY YOUTH.
PART III, LINE 2:IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE HEALTH SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HEALTH SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HEALTH SYSTEM RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE.
PART III, LINE 3:THE ORGANIZATION DOES NOT HAVE A WAY TO IDENTIFY THE NUMBER OF PEOPLE WHO WOULD QUALIFY FOR FINANCIAL ASSISTANCE SO WE HAVE REPORTED $0 IN PART III, LINE 3.
PART III, LINE 4:SEE THE "PATIENT ACCOUNTS RECEIVABLE" PARAGRAPH ON PAGE 9 OF THE AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:THERE WAS NO SHORTFALL CALCULATED IN PART III, LINE 7.THE MEDICARE ALLOWABLE COSTS INCLUDED IN PART III, LINE 6 WAS DERIVED USING THE 2017 FILED MEDICARE COST REPORT.
PART III, LINE 9B:BILLING STATEMENTS AND COLLECTION LETTERS WILL CONTAIN INFORMATION DIRECTING PATIENTS TO CONTACT THE HOSPITAL FOR INFORMATION ABOUT FINANCIAL ASSISTANCE OR PAYMENT PLANS IF THE PATIENTS ARE UNABLE TO PAY THE FULL OUTSTANDING ACCOUNT BALANCE BY THE DUE DATE. IF A COMPLETE ASSISTANCE APPLICATION IS RECEIVED, A DETERMINATION OF THE PATIENT'S ELIGIBILITY WILL BE DOCUMENTED APPROPRIATELY AND COMMUNICATED TO THE PATIENT IN WRITING. IF ELIGIBLE, THE HOSPITAL WILL ISSUE A BILLING STATEMENT WITH THE AMOUNT NOW OWED (ALONG WITH THE AMOUNT GENERALLY BILLED AND HOW IT WAS CALCULATED), REFUND ANY CREDIT BALANCES, AND REVERSE ANY EXTRAORDINARY COLLECTION ACTIONS. IF AN INCOMPLETE FINANCIAL ASSISTANCE APPLICATION (FAA) IS RECEIVED BY THE HOSPITAL, THE HOSPITAL WILL CEASE COLLECTION ACTIONS AND ALLOW 30 DAYS FOR THE FAA TO BE FULLY COMPLETED.
PART VI, LINE 2:THE FACILITY CONDUCTS NEEDS ASSESSMENT SURVEYS IN THE COMMUNITY AND SURROUNDING AREA TO DETERMINE WHAT HEALTH CARE SERVICES NEED TO BE ADDRESSED.
PART VI, LINE 3:PLHS INFORMS AND EDUCATES PATIENTS ABOUT FINANCIAL ASSISTANCE THROUGH INFORMATION PROVIDED ON THE PLHS WEBSITE. FURTHERMORE, HOSPITAL STAFF PROVIDE INFORMATION REGARDING FINANCIAL ASSISTANCE ELIGIBILITY.
PART VI, LINE 4:PRAIRIE LAKES HEALTH CARE SYSTEM'S PRIMARY SERVICE AREA COVERS 3 COUNTIES IN SOUTH DAKOTA WITH A POPULATION OF APPROXIMATELY 36,000. IT'S SECONDARY SERVICE AREA COVERS 4 COUNTIES IN SOUTH DAKOTA AND 3 COUNTIES IN MINNESOTA WITH A POPULATION OF 54,000.
PART VI, LINE 5:THE ORGANIZATION OFFERS FREE HEALTH SEMINARS TO COMMUNITY MEMBERS COVERING A VARIETY OF HEALTH TOPICS IN AN EFFORT TO EDUCATE PEOPLE ABOUT LEADING HEALTHY LIVES. COMMUNITY FORUMS ARE HELD TO UPDATE ATTENDEES ABOUT NEW EVENTS AND TECHNOLOGY AT THE FACILITY. THE ORGANIZATION WORKS WITH THE TECHNICAL INSTITUTE AND TWO STATE UNIVERSITIES TO HELP TRAIN MEDICAL STUDENTS. THE ORGANIZATION IS DEDICATED TO IMPLEMENTING AND MAINTAINING THE MOST CURRENT TECHNOLOGY IN PROVIDING CARE.
PART VI, LINE 7, REPORTS FILED WITH STATESSD

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
BOYS & GIRLS CLUB OF WATERTOWN
PO BOX 833WATERTOWNSD57201460311845501(C)(3)$125,000CAPITAL CAMPAIGN BUILDING PROJECT
WATERTOWN UNITED WAY
PO BOX 283WATERTOWNSD57201460359557501(C)(3)$24,250COMMUNITY ORGANIZATION FUNDING
LAKE AREA KIDNEY ENDOWMENT
901 4TH AVE NWWATERTOWNSD57201474601728501(C)(3)$11,000RESEARCH AND SCREENINGS
LAKE AREA TECHNICAL INSTITUTE
PO BOX 730WATERTOWNSD57201460381673501(C)(3)$2,010,123CONSTRUCTING AND EQUIPPING A HEALTH EDUCATION CENTER; SCHOLARSHIPS
HUMAN SERVICE AGENCY
PO BOX 1030WATERTOWNSD57201460275247501(C)(3)$12,833DETOX FUNDING
WATERTOWN DEVELOPMENT CORP
PO BOX 1267WATERTOWNSD57201466012194501(C)(6)$35,000COMMUNITY DEVELOPMENT
LUTHERAN OUTDOORS IN SD
2001 S SUMMIT AVESIOUX FALLSSD57197460320561501(C)(3)$25,000CAMP SPONSORSHIP
FieldValueIRS element (for citing)
Total501c3 Org6Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationFUNDS ARE GRANTED BASED ON ORGANIZATIONS AND INTERNAL REQUESTS. GRANT REQUESTS ARE REVIEWED AND APPROVED BY ADMINISTRATIVE LEADERSHIP TO BE USED FOR THE PURPOSES REQUESTED BY THE ORGANIZATION. FURTHER MONITORING IS NOT DONE ON A REGULAR BASIS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JILL FULLER
CHIEF EXECUTIVE OFFICER$398,276$0$140,000$0$0$0$22,776$0$21,896$0$582,948$0$0$0
ADAM PAUL
CHIEF FINANCIAL OFFICER$244,024$0$70,860$0$0$0$15,660$0$16,819$0$347,363$0$0$0
MICHAEL ANDERSON
CHIEF INVESTMENT OFFICER$284,150$0$125,000$0$0$0$18,975$0$21,896$0$450,021$0$0$0
NATE LAKE
VICE PRESIDENT$170,229$0$56,998$0$0$0$11,458$0$21,896$0$260,581$0$0$0
TRACI RABINE
VICE PRESIDENT$167,499$0$56,989$0$6,398$0$11,451$0$21,896$0$264,233$0$0$0
MICHELE TURBAK
CHIEF NURSING OFFICER$170,563$0$57,863$0$0$0$11,768$0$21,896$0$262,090$0$0$0
GRANT TILLETT
CHIEF INFORMATION OFFICER$155,792$0$54,120$0$0$0$10,486$0$21,896$0$242,294$0$0$0
EVELIO GARCIA
PHYSICIAN$1,073,946$0$125,000$0$0$0$7,950$0$21,896$0$1,228,792$0$0$0
SALEM MAALIKI
PHYSICIAN$1,002,753$0$0$0$0$0$7,950$0$21,896$0$1,032,599$0$0$0
RICHARD HOWARD
PHYSICIAN$488,179$0$50,000$0$0$0$0$0$18,217$0$556,396$0$0$0
JEFFREY BRINDLE
PHYSICIAN$543,697$0$0$0$0$0$7,950$0$21,896$0$573,543$0$0$0
BIPIN AMIN
PHYSICIAN$610,000$0$0$0$0$0$7,950$0$16,819$0$634,769$0$0$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY
A46031550983755VRN62010-12-08$21,672,812CURRENT REFUNDING OF SERIES 1998 BONDS & ADVANCE REFUNDING OF SERIES 2002000
SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY
B4603155092017-01-27$36,000,000FUNDING OF THE NEW SPECIALTY CLINIC BUILDING000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapital ExpendituresCapitalExpendituresAmt
A$13,285,000$25,166,290$3,303$431,508$24,731,4802010Yes (1)Yes (1)Yes (1)Yes (1)
B$36,000,000$397,999201700Yes (1)Yes (1)$35,602,001

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceBBondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)0000Yes (1)
B0Yes (1)000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMEDISSUER NAME: SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/01/2013
SCHEDULE K, PART II, LINE 3THE DIFFERENCE IN THE ISSUANCE PRICE INCLUDED IN PART I, LINE A, COLUMN E OF $21,672,812 IS DIFFERENT THAN THE TOTAL PROCEEDS OF ISSUANCE INCLUDED IN PART II, LINE 3 OF $25,166,290 BECAUSE OF THE TRUSTEE FUNDS UTILIZED DURING THE REFINANCING.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GREGORY GERRISH MDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionCATHERINE GERRISH IS A BOARD MEMBER AND THE MOTHER OF GREGORY GERRISHRelationshipDescriptionTxt
Transaction$408,025TransactionAmt
TransactionRESIDENCY STIPEND AND EMPLOYEE COMPENSATIONTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1THE 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.
FORM 990, PART VI, SECTION B, LINE 11BEXECUTIVE 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.
FORM 990, PART VI, SECTION B, LINE 12CA 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.
FORM 990, PART VI, SECTION B, LINE 15ACOMPENSATION 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 2017. THE BOARD APPROVES SALARY OF THE CEO THROUGH ITS EXECUTIVE COMMITTEE SERVING AS THE COMPENSATION COMMITTEE. THE BOARD DELEGATES VICE PRESIDENT EXECUTIVE COMPENSATION APPROVAL TO THE CEO BASED ON THE ORGANIZATION'S COMPENSATION PHILOSOPHY IN CONJUNCTION WITH MARKET BENCHMARKS.
FORM 990, PART VI, SECTION C, LINE 19FINANCIAL 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.
FORM 990, PART IX, LINE 11GPURCHASED SERVICES / PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 9,100,233. MANAGEMENT AND GENERAL EXPENSES 1,215,682. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,315,915.
FORM 990, PART XI, LINE 9:CHANGE IN BENEFICIAL INTEREST IN PRAIRIE LAKES FOUNDATION 338,929.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1PRAIRIE LAKES HOME CONNECTIONS INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1401 9TH AVE NWAddressLine1Txt
CityWATERTOWNCityNm
State AbbreviationSDStateAbbreviationCd
ZIP57201ZIPCd
FieldValueIRS element (for citing)
EIN460394984EIN
Primary ActivitiesHOMEMAKER & NURSING SERVICESPrimaryActivitiesTxt
Legal Domicile StateSDLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 10PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1PRAIRIE LAKES HEALTH CARE SYSTEM INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PRAIRIE LAKES HOME CONNECTIONS INC
L$80,757GAAP
PRAIRIE LAKES HOME CONNECTIONS INC
O$122,249GAAP