FREEMAN REGIONAL HEALTH SERVICES: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- FREEMAN REGIONAL HEALTH SERVICES (EIN 46-0232450)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-10
- IRS object ID
- 201643159349303204
- Schema version
- 2015v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-10T14:35:37-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EIDE BAILLY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 EAST 10TH ST PO BOX 5125 | AddressLine1Txt |
| City | SIOUX FALLS | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 571175125 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 460232450 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Freeman Regional Health Services | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FREE | BusinessNameControlTxt |
| Phone | 6059254000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 370 | AddressLine1Txt |
| City | Freeman | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57029 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Nicholas Brandner | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 6059254000 | PhoneNum |
| Signature | 2016-11-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Laurie Hanson | PreparerPersonNm |
| PTIN | P00851848 | PTIN |
| Phone | 6053391999 | PhoneNum |
| Preparation | 2016-11-08 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Nicholas Brandner | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 370 | AddressLine1Txt |
| City | Freeman | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57029 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $10,862,732 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.freemanregional.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1944 | FormationYr |
| Legal Domicile State | SD | LegalDomicileStateCd |
| Activity Or Mission | Provide accessible, community based quality care that is competent, creative and compassionate. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 200 | TotalEmployeeCnt |
| Total Volunteers | 87 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $266,695 | PYContributionsGrantsAmt |
| CY Contributions Grants | $118,983 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $10,027,158 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $10,468,126 | CYProgramServiceRevenueAmt |
| PY Investment Income | $115 | PYInvestmentIncomeAmt |
| CY Investment Income | $49,392 | CYInvestmentIncomeAmt |
| PY Other Revenue | $62,273 | PYOtherRevenueAmt |
| CY Other Revenue | $55,703 | CYOtherRevenueAmt |
| PY Total Revenue | $10,356,241 | PYTotalRevenueAmt |
| CY Total Revenue | $10,692,204 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,043,670 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,345,246 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $1,546 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,591,097 | PYOtherExpensesAmt |
| CY Other Expenses | $4,800,146 | CYOtherExpensesAmt |
| PY Total Expenses | $9,634,767 | PYTotalExpensesAmt |
| CY Total Expenses | $10,145,392 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $721,474 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $546,812 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $12,382,200 | TotalAssetsBOYAmt |
| Total Assets EOY | $12,898,579 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,369,179 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,399,129 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $9,013,021 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $9,499,450 | NetAssetsOrFundBalancesEOYAmt |
| Mission | The mission of Freeman Regional Health Services is to provide accessible, community-based quality care that is competent, creative and compassionate. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $9,140,020 | ExpenseAmt |
| Revenue | $10,468,126 | RevenueAmt |
| Desc | To operate on a non-profit and purely charitable basis, a hospital and nursing home for the care and treatment of those in need. FRHS is comprised of a 56 Bed Nursing Home and a 25 Bed Critical Access Hospital with a 24/7 Emergency Room. The Emergency Room has local providers on call and Telemedicine capabilities with a regional trauma center. Hospital acute patient days= 561, swing bed days= 348, nursing home resident days= 19,925. | Desc |
| Total Program Service Expenses | $9,140,020 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 31 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 200 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mark Miller | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6059254000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 510 East 8th Street | AddressLine1Txt |
| City | Freeman | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57029 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| Lori Uecker | ||||||
| President | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Dennis Wollman | ||||||
| President (Until Nov 2015) | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Steve Fuhrmann | ||||||
| Vice President | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Jason Aanenson | ||||||
| Treasurer | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Cindy Mutchelknaus | ||||||
| Secretary | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Cam Becker | ||||||
| Trustee | 2.00 | Yes (X) | $0 | $0 | $0 | |
| Dan Crick | ||||||
| Trustee (Beg Nov 2015) | 2.00 | Yes (X) | $0 | $0 | $0 | |
| Delmer Hofer | ||||||
| Trustee | 2.00 | Yes (X) | $0 | $0 | $0 | |
| Jim Julson | ||||||
| Trustee | 2.00 | Yes (X) | $0 | $0 | $0 | |
| Glenn Roth | ||||||
| Trustee | 2.00 | Yes (X) | $0 | $0 | $0 | |
| Dan Gran | ||||||
| CEO (until Jan 2015) | 40.00 | Yes (X) | $23,730 | $0 | $238 | |
| Nicholas Brandner | ||||||
| CEO (Beg Jan 2015) | 40.00 | Yes (X) | $126,155 | $0 | $15,010 | |
| Mark Miller | ||||||
| CFO | 40.00 | Yes (X) | $90,435 | $0 | $23,984 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $240,320 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $39,232 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Avera McKennan | |||||
| 800 E 21st St | Sioux Falls | SD | 57105 | Radiology/Lab/Physician Services | $979,068 |
| Avera Sacred Heart Hospital | |||||
| 501 Summit St | Yankton | SD | 57078 | IT Support | $412,000 |
| Cardinal Health | |||||
| 7000 Cardinal Place | Dublin | OH | 43017 | Pharmacy | $162,603 |
| Wapiti Medical Group | |||||
| 107 Flynn Drive 600 | Milbank | SD | 57252 | Staffing | $115,216 |
| Jay Allison MD | |||||
| 804 Walnut St | Freeman | SD | 57029 | Medical Services | $112,785 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $27,387 | FundraisingAmt |
| Government Grants | $29,100 | GovernmentGrantsAmt |
| All Other Contributions | $62,496 | AllOtherContributionsAmt |
| Total Contributions | $118,983 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Service Revenue | 622110 | $10,243,353 | $10,243,353 |
| Collaborative Arrangement | 900099 | $185,783 | $185,783 |
| Meals on wheels | 624210 | $13,983 | $13,983 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $25,007 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $25,007 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $10,468,126 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $47,692 | TotalRevenueColumnAmt |
| Exclusion | $47,692 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $216,201 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $158,946 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $57,255 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $57,255 | TotalRevenueColumnAmt |
| Exclusion | $57,255 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,000 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$700 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,700 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,700 | TotalRevenueColumnAmt |
| Exclusion | $1,700 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $10,730 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $27,387 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $12,282 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,552 | TotalRevenueColumnAmt |
| Exclusion | -$1,552 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,692,204 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,468,126 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $105,095 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $279,552 | TotalAmt |
| Management And General | $279,552 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,096,023 | TotalAmt |
| Program Services | $3,802,385 | ProgramServicesAmt |
| Management And General | $293,638 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,806 | TotalAmt |
| Program Services | $72,125 | ProgramServicesAmt |
| Management And General | $5,681 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $558,567 | TotalAmt |
| Program Services | $495,306 | ProgramServicesAmt |
| Management And General | $63,261 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $333,298 | TotalAmt |
| Program Services | $290,596 | ProgramServicesAmt |
| Management And General | $42,702 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,058 | TotalAmt |
| Management And General | $11,058 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,425 | TotalAmt |
| Management And General | $39,425 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,241,700 | TotalAmt |
| Program Services | $2,084,085 | ProgramServicesAmt |
| Management And General | $157,615 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,968 | TotalAmt |
| Program Services | $30,924 | ProgramServicesAmt |
| Management And General | $12,623 | ManagementAndGeneralAmt |
| Fundraising | $1,421 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $347,002 | TotalAmt |
| Program Services | $297,658 | ProgramServicesAmt |
| Management And General | $49,277 | ManagementAndGeneralAmt |
| Fundraising | $67 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,215 | TotalAmt |
| Program Services | $2,215 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $161,453 | TotalAmt |
| Program Services | $161,453 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,275 | TotalAmt |
| Program Services | $14,174 | ProgramServicesAmt |
| Management And General | $3,101 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,823 | TotalAmt |
| Program Services | $12,257 | ProgramServicesAmt |
| Management And General | $2,566 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,483 | TotalAmt |
| Program Services | $52,483 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $658,453 | TotalAmt |
| Program Services | $658,453 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,509 | TotalAmt |
| Program Services | $82,509 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $736,754 | $736,754 | |
| Provision for Bad Debts | $202,777 | $202,777 | |
| Equipment Rental and Ma | $117,176 | $116,760 | $416 |
| Recruitment | $3,007 | $3,007 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,068 | TotalAmt |
| Program Services | $24,099 | ProgramServicesAmt |
| Management And General | $42,911 | ManagementAndGeneralAmt |
| Fundraising | $58 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,145,392 | TotalAmt |
| Program Services | $9,140,020 | ProgramServicesAmt |
| Management And General | $1,003,826 | ManagementAndGeneralAmt |
| Fundraising | $1,546 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,627,192 | BOYAmt |
| EOY | $4,056,068 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,012,723 | BOYAmt |
| EOY | $1,228,428 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $173,500 | BOYAmt |
| EOY | $159,049 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $175,867 | BOYAmt |
| EOY | $167,443 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $14,015,419 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,789,602 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,338,277 | BOYAmt |
| EOY | $6,225,817 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $992,689 | BOYAmt |
| EOY | $976,952 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $51,152 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,811 | BOYAmt |
| EOY | $19,468 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,141 | BOYAmt |
| EOY | $14,202 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,382,200 | BOYAmt |
| EOY | $12,898,579 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $786,507 | BOYAmt |
| EOY | $680,446 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,305 | BOYAmt |
| EOY | $27,821 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $527,721 | BOYAmt |
| EOY | $493,664 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $953,173 | BOYAmt |
| EOY | $948,053 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,006,231 | BOYAmt |
| EOY | $1,143,145 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,242 | BOYAmt |
| EOY | $106,000 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,369,179 | BOYAmt |
| EOY | $3,399,129 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,013,021 | BOYAmt |
| EOY | $9,499,450 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,013,021 | BOYAmt |
| EOY | $9,499,450 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,382,200 | BOYAmt |
| EOY | $12,898,579 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $546,812 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$60,383 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 0 | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $299,251 | OtherCostOrOtherBasisAmt |
| Book Value | $299,251 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,611,609 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,539,948 | DepreciationAmt |
| Book Value | $4,071,661 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,775,131 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,011,681 | DepreciationAmt |
| Book Value | $1,763,450 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $329,428 | OtherCostOrOtherBasisAmt |
| Depreciation | $237,973 | DepreciationAmt |
| Book Value | $91,455 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $6,225,817 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Estimated third-party payor settlements | Desc |
| Amt | $106,000 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $106,000 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $10,600,272 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$60,383 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$202,777 | OtherRevenueAmt |
| Revenue Not Reported | -$263,160 | RevenueNotReportedAmt |
| Revenue Subtotal | $10,863,432 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$171,228 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$171,228 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $10,692,204 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $10,113,843 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $171,228 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $171,228 | ExpensesNotReportedAmt |
| Expenses Subtotal | $9,942,615 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $202,777 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $202,777 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $10,145,392 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part IV, Line 2b: | The organization maintains separate accounts for its patients and uses the funds for purchases as directed by patients. |
| Part X, Line 2: | The Facility is organized as a South Dakota nonprofit corporation and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). The Facility is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. In addition, the Facility is subject to income tax on net income that is derived from business activities that are unrelated to its exempt purpose. The Facility has determined it is not subject to unrelated business income tax and has not filed an exempt organization business income tax return (Form 990T) with the IRS. The Facility believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Facility would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. |
| Part XI, Line 2d - Other Adjustments: | Bad Debt Expense -202,777. |
| Part XI, Line 4b - Other Adjustments: | Rental Expenses Reclassified -158,946. Direct Fundraising Expenses -12,282. |
| Part XII, Line 2d - Other Adjustments: | Rental Expenses Reclassified 158,946. Direct Fundraising Expenses 12,282. |
| Part XII, Line 4b - Other Adjustments: | Bad Debt Expense 202,777. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Gala | Event1Nm |
| Gross Receipts Event1 | $24,622 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $17,972 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $6,650 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $605 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $5,532 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $1,000 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $2,154 | OtherDirectExpensesEvent1Amt |
| Event2 | Golf Tournament | Event2Nm |
| Gross Receipts Event2 | $13,495 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $9,415 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $4,080 | GrossRevenueEvent2Amt |
| Food And Beverage Event2 | $711 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $2,280 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $38,117 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $27,387 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $10,730 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $605 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $6,243 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $1,000 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $4,434 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $12,282 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$1,552 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,421,750 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,270,892 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $150,858 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01520 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,432,750 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,270,892 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $161,858 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01630 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $711,357 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $229,977 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $481,380 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04840 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $455 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $455 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $711,812 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $229,977 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $481,835 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04840 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,144,562 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,500,869 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $643,693 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06470 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $222,934 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $208,941 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,993 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $97,345 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $77,140 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $20,205 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00200 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,310 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,425 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,885 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $335,589 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $293,506 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $42,083 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00420 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $202,777 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $48,666 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $3,132,601 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $3,125,140 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $7,461 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Freeman Regional Health Services | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 370 | AddressLine1Txt |
| City | Freeman | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57029 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.freemanregional.com | WebsiteAddressTxt |
| State License | 10541 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | 1 provider based clinic | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Freeman Regional Health Services | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.freemanregional.com/community-needs | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | www.freemanregional.com/community-needs | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 150.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.freemanregional.com/services/charity-care | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.freemanregional.com/services/charity-care | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.freemanregional.com/services/charity-care | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Freeman Regional Health Services | Part V, Section B, Line 5: Freeman Regional Health Services took into account input from persons who represent the community through a joint effort with SD Planning & Development District. Five individuals were selected to represent a "workforce" group and a seven community members represented the "senior citizens" group. Both groups were made up of selected community members not related to the facility. The median age of the workforce group was 47, and the median age of the senior citizens group was 75. |
| Freeman Regional Health Services | Part V, Section B, Line 11: Pursuant to the implementation strategy adopted by FRHS, the following needs were addressed as of the end of the year for this 990:- Positioning FRHS to meet the changing needs of the aging population. FRHS addressed this need by looking into options for increasing availability of foot care clinics; - Researching the feasibility of expanding mental health services through psychiatry outreach and the use of telehealth applications and of working collaboratively with existing mental health providers to ensure their continued availability to provide services to our community. FRHS addressed this need by obtaining representation on the Wellspring board (provider of mental health services) and monitoring the availability of mental health services to the community; - Promotion of community-based education programs which focus on health-related topics of interest and which target specific common interest groups and the community as a whole. FRHS addressed this need by holding monthly education programs which included topics such as Diabetes, Heart Health, End of Life Care, Oral Health, Nutrition, Growth and Development, Farm Safety, and When to take your child to the ER; - Undertake community outreach initiatives aimed at benefiting our communities; evaluate unmet community needs and organize efforts, when possible, to address those needs. FRHS addressed this need through hosting free health screenings for community members; and- Support and advocate to its employees the value and importance of being involved in their communities; encourage volunteerism by its employees and continually explore opportunities that serve as a benefit to the community. FRHS addressed this need through staff volunteering in the community, specially getting involved with the Development Corporation Board.The following needs will continue to be met:- Explore the feasibility of building a wellness center and indoor pool which would be accessible to the community and used by FRHS for therapy and other wellness-related programs. This has not been addressed because it appears to not be financially viable at this time. |
| Freeman Regional Health Services | Part V, Section B, Line 13b: See Part I, Line 3c narrative. |
| Freeman Regional Health Services | Part V, Section B, Line 13h: For some patients, FRHS uses documentation from other government based agencies of the patient's financial situation and resources as a way to help determine the patient's financial situation. The Chief Financial Officer reviews all applications and makes the determination of assistance offered. |
| Freeman Regional Health Services | Part V, Section B, Line 16i: A summary of the policy was posted in the hospital facility's emergency rooms and waiting rooms, posted in the admissions offices, made available upon request, and attached to billing invoices. |
| Freeman Regional Health Services | Part V, Section B, Line 22d: FRHS shall bill patients who qualify for financial assistance under the Look Back Method of not more than the IP and OP combined Medicaid and private pay overall adjustment rate determined on an annual basis. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 4 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Oakview Terrace | ||||
| 510 E 8th Street | Freeman | SD | 57029 | Long Term Care Facility |
| 2 - Menno Clinic | ||||
| 301 South High Street | Menno | SD | 57045 | Rural Medical Clinic |
| 6 - Marion Clinic | ||||
| 307 State | Marion | SD | 57043 | Rural Medical Clinic |
| 7 - Bridgewater Clinic | ||||
| 209 N Main | Bridgewater | SD | 57319 | Rural Medical Clinic |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | Freeman Regional Health Services (FRHS) requires that the patient complete a financial assistance application showing his/her income and expenses. The application is reviewed to see what funds and assets the patient has and whether the patient has the resources to pay his/her medical bills. For some patients, FRHS uses documentation from other government based agencies of the patient's financial situation and resources as a way to help determine the patient's financial situation. The Chief Financial Officer reviews all applications and makes the determination of assistance offered.Part I, Line 6b:The FRHS made the community benefit report available to the public by posting it on their website (http://www.freemanregional.com/home). |
| Part I, Line 7: | Charity care expense was converted to cost on line 7a based on an overall cost-to-charge ratio addressing all patient segments. Lines 7b and 7g were obtained from the Medicaid and Medicare cost reports, respectively. Line 7i was obtained utilizing the actual general ledger system. |
| Part I, Ln 7 Col(f): | Bad debt expense of $202,777 was subtracted from total operating expense. |
| Part II, Community Building Activities: | We provided congregate living services to seniors in order to keep them in their home community longer. Subsidized the Meals on Wheels program to provide at least one good nutritious meal per day to seniors in need of that service. |
| Part III, Line 2: | Before an account is written off to bad debt all discounts and payments are applied, including contractual allowances. After every attempt is made to collect the unpaid balance, the account is written off to bad debt. Payments on accounts that were written off as bad debt reduces bad debt expense.Bad debt expense is reported based on charges for the year ending 12/31/15 as stated in the audited financial statement. |
| Part III, Line 3: | In knowing the prevailing income level and typical family size, a majority of the accounts charged off to Bad Debts would qualify for Charity Care. FRHS encourages its patients to complete the application to determine if the patient qualifies for assistance; however, very few forms are returned to FRHS for processing. The amount was determined based on an estimated percentage derived from a review of the accounts and statistics for the counties served. |
| Part III, Line 4: | The footnote that describes bad debt expense is on page 6 Note 1 - Organization and Significant Accounting Policies under Patient and Resident Receivables from the attached Financial Statements. |
| Part III, Line 8: | Medicare allowable costs of care was calculated from the Medicare Cost Report for fiscal year ending 12/31/2015.The Medicare Cost Report is completed based on the rules and regulations set forth by the Centers for Medicare and Medicaid Services. |
| Part III, Line 9b: | The collection policy contains provisions for patients known to qualify for financial assistance. If financial assistance eligible patients make payments as determined through completion of the financial assistance process, their account will not be sent to collection. However, if payments are not made as planned, the account of a financial assistance eligible patient may go to collection. FRHS will allow 240 days from the first post discharge billing statement for patients to apply for financial assistance. FRHS will allow all patients 120 days from first post discharge billing statement to apply for financial assistance before initiating any extraordinary collection activities. If, during the collection process, it is determined that a patient may be eligible for financial assistance, collection efforts would cease until the patient has ample time to prepare and submit information needed to determine eligibility under the financial assistance policy. If the patient qualifies for assistance, the account will be pulled from collection. |
| Part VI, Line 2: | Annually, on the 4th Monday of February, Freeman Regional Health Services (FRHS) has a community meeting that is advertised in the local newspapers inviting the community to attend and provide input regarding its needs and ideas on how FRHS can improve its services. On a quarterly basis, FRHS meets with the medical staff to discuss operations and any suggestions they may have on services provided by FRHS and the needs of the community. Twice a month FRHS has Department Manager meetings where the needs of the community and other issues can be discussed. Community members are encouraged to come to the facility at any time to discuss concerns or issues with the Administration.In addition, FRHS prepared a community health needs assessment in 2013. Please see Part V, Section B, Line 3 for more information. |
| Part VI, Line 3: | FRHS has posted signage about charity care and financial assistance programs in admissions areas, emergency rooms, and other areas of the organization's facilities in which eligible patients are likely to be present. FRHS addresses the financial assistance program and provides information on how to apply for assistance at discharge and in patient bills. The Business Office and Social Workers advise patients on the availability of various government benefits, such as Medicaid or state programs, and assist the patient with qualification for such programs, where applicable. A notice related to available charity care is printed at the bottom of all service statements. |
| Part VI, Line 4: | FRHS is a healthcare facility that primarily serves residents in rural Hutchinson, McCook and Turner Counties in southeastern South Dakota. Service Area Demographics Hutchinson McCook TurnerPopulation (2010 Census) 7,343 5,618 8,347Households 3,351 2,491 3,939Average Household Size (People) 2.33 2.48 2.40Median Household Income $42,386 $46,964 $50,143Median Age 46.8 42.7 43.7% of Population under 18 24% 26% 24%% of Population 19-64 51% 55% 57%% of Population 65+ 25% 19% 19%% of Population below poverty income level 11.8% 7.1% 7.3%A majority of the employers in these areas are small employers who offer little to no employee benefits. Of the employers who do offer health insurance to their employees, deductibles and co-pays have risen from 300-500% over the past 10 years. Many employers have passed the increase in health insurance premiums to their employees making paying the higher deductibles and co-pays very difficult. |
| Part VI, Line 5: | FRHS's governing body is comprised of persons who reside in the organization's primary service area who are neither employees nor contractors of the organization, nor family members thereof. FRHS extends medical staff privileges to all qualified providers in its community and surrounding area. FRHS reinvests surplus funds to improvements in patient care, including but not limited to expansion of services offered, patient education, employee education, and equipment and facility renovations. FRHS is comprised of a 56 Bed Nursing Home and a 25 Bed Critical Access Hospital with a 24/7 Emergency Room. The Emergency Room has local providers on call and Telemedicine capabilities with a regional trauma center. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | City of Freeman | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 466000164 | BondIssuerEIN |
| Bond Issued | 2006-09-29 | BondIssuedDt |
| Issue Price | $750,000 | IssuePriceAmt |
| Purpose | To help finance unit congregate living units. | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $256,336 | RetiredAmt |
| Total Proceeds | $750,000 | TotalProceedsAmt |
| Capital Expenditures | $750,000 | CapitalExpendituresAmt |
| Substantial Completion | 2006 | SubstantialCompletionYr |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00000 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00000 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | Yes (1) | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 2 | Lori Uecker, President, and Dennis Wollman, Former President, have a business relationship. |
| Form 990, Part VI, Section A, line 8b | Freeman Regional Health Services does not utilize committees. |
| Form 990, Part VI, Section B, line 11 | The CEO and CFO review the Form 990 in detail, it is then presented and reviewed by the Board at a board meeting prior to filing. |
| Form 990, Part VI, Section B, line 12c | FRHS requires annual compliance with and disclosure of conflicts in accordance with the written policy. Conflicts of interest or potential conflicts of interest must be reported to the Compliance Officer. If a conflict is deemed to exist, appropriate action is taken such as a board member may be required to abstain from discussion, deliberation, and voting on the issue at hand. |
| Form 990, Part VI, Section B, line 15 | Compensation is initially set by the Board and/or Administration following a review and assessment of the SDAHO comparability study. The annual increases are subject to the approval of the Board of Directors. The compensation determination is documented in a written contract. |
| Form 990, Part VI, Section C, line 19 | Available upon request |
| Form 990, Part IX, line 11g | Collection Fees: Program service expenses 6,117. Management and general expenses 0. Fundraising expenses 0. Total expenses 6,117. Purchase Other Clinic : Program service expenses 1,022,300. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,022,300. Medical Professional Fees: Program service expenses 440,138. Management and general expenses 0. Fundraising expenses 0. Total expenses 440,138. Purchase Courier: Program service expenses 13,693. Management and general expenses 0. Fundraising expenses 0. Total expenses 13,693. Consulting Fees: Program service expenses 2,291. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,291. Other Purchased Services: Program service expenses 493,310. Management and general expenses 0. Fundraising expenses 0. Total expenses 493,310. Maintenance Contracts: Program service expenses 42,220. Management and general expenses 0. Fundraising expenses 0. Total expenses 42,220. UltraSound & MRI Contracts: Program service expenses 64,016. Management and general expenses 0. Fundraising expenses 0. Total expenses 64,016. Pt Financial Svc Collection Fees : Program service expenses 0. Management and general expenses 28,563. Fundraising expenses 0. Total expenses 28,563. Administration Consulting Fees : Program service expenses 0. Management and general expenses 123,902. Fundraising expenses 0. Total expenses 123,902. Purchase Printing : Program service expenses 0. Management and general expenses 4,998. Fundraising expenses 0. Total expenses 4,998. Marketing Purchase : Program service expenses 0. Management and general expenses 152. Fundraising expenses 0. Total expenses 152. |