Form 990 for tax year 2022

Revenue

Part VIII, the statement of revenue.

• 1e · Government grants (contributions)

  $254,631

• 1f · All other contributions, gifts and grants

  $6,904,996

• 1g · Noncash contributions included above

  $338,525

• 2a · Program service revenue: Patient Service Revenue

  total $50,925,396 · related or exempt $50,925,396

• 2b · Program service revenue: Pharmacy Revenue

  total $1,853,561 · related or exempt $1,853,561

• 2c · Program service revenue: Assisted and Independent Living

  total $1,356,508 · related or exempt $1,356,508

• 2d · Program service revenue: Investment in Affiliated

  total $230,753 · related or exempt $230,753

• 2e · Program service revenue: Daycare Revenue

  total $2,403 · related or exempt $2,403

• 2f · All other program service revenue

  total $1,918,136 · related or exempt $1,918,136

• 3 · Investment income

  total $265,998 · excluded $265,998

• 6a · Gross rents

  real property $42,554

• 6b · Less rental expenses

  real property $0

• 6c · Rental income or loss

  real property $42,554

• 6d · Net rental income or loss

  total $42,554 · excluded $42,554

• 7a · Gross sales of assets other than inventory

  securities $1,446,131 · other assets $62,876

• 7b · Less cost or other basis and sales expenses

  securities $87,913 · other assets $72,237

• 7c · Gain or loss

  securities $1,358,218 · other assets -$9,361

• 7d · Net gain or loss

  total $1,348,857 · excluded $1,348,857

• 10a · Gross sales of inventory

  $48,243

• 10b · Cost of goods sold

  $33,399

• 10c · Net income from sales of inventory

  total $14,844 · excluded $14,844

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $10,000 · program services $10,000

• 5 · Compensation of officers, directors and key employees

  total $512,612 · management and general $512,612

• 6 · Compensation of disqualified persons

  total $214,942 · program services $214,942

• 7 · Other salaries and wages

  total $25,471,614 · program services $23,559,993 · management and general $1,911,621

• 8 · Pension plan contributions

  total $1,021,848 · program services $895,392 · management and general $126,456

• 9 · Other employee benefits

  total $4,896,432 · program services $4,566,145 · management and general $330,287

• 10 · Payroll taxes

  total $1,668,502 · program services $1,507,946 · management and general $160,556

• 11b · Fees: legal

  total $16,032 · management and general $16,032

• 11c · Fees: accounting

  total $65,917 · management and general $65,917

• 11g · Fees: other

  total $8,826,701 · program services $7,023,800 · management and general $1,802,901

• 12 · Advertising and promotion

  total $214,529 · program services $1,426 · management and general $213,103

• 13 · Office expenses

  total $1,694,945 · program services $1,032,595 · management and general $662,350

• 14 · Information technology

  total $427,019 · program services $82,244 · management and general $344,775

• 16 · Occupancy

  total $909,732 · program services $851,346 · management and general $58,386

• 17 · Travel

  total $136,700 · program services $130,065 · management and general $6,635

• 19 · Conferences, conventions and meetings

  total $38,840 · program services $38,840

• 20 · Interest

  total $1,672,504 · program services $1,447,588 · management and general $224,916

• 22 · Depreciation, depletion and amortization

  total $5,650,929 · program services $4,937,433 · management and general $713,496

• 23 · Insurance

  total $329,882 · program services $119,071 · management and general $210,811

• 24a · Other expenses: Medical Supplies

  total $7,682,080 · program services $7,682,080

• 24b · Other expenses: Food

  total $651,086 · program services $642,028 · management and general $9,058

• 24c · Other expenses: Taxes

  total $448,135 · program services $448,135

• 24e · All other expenses

  total $186,851 · program services $35,402 · management and general $151,449

Balance sheet

Part X, book values.

• 2 · Savings and temporary cash investments

  beginning of year $17,500,625 · end of year $9,281,107

• 4 · Accounts receivable

  beginning of year $7,320,826 · end of year $7,763,485

• 7 · Other notes and loans receivable

  beginning of year $754,721 · end of year $942,545

• 9 · Prepaid expenses and deferred charges

  beginning of year $592,321 · end of year $594,703

• 10a · Land, buildings and equipment: cost or other basis

  $111,723,760

• 10b · Land, buildings and equipment: accumulated depreciation

  $40,976,253

• 10c · Land, buildings and equipment, net

  beginning of year $69,356,490 · end of year $70,747,507

• 11 · Investments: publicly traded securities

  beginning of year $6,795,815 · end of year $7,413,477

• 12 · Investments: other securities

  beginning of year $9,452,654 · end of year $4,067,409

• 14 · Intangible assets

  beginning of year $39,941 · end of year $20,002

• 15 · Other assets

  beginning of year $2,438,246 · end of year $3,160,416

• 17 · Accounts payable and accrued expenses

  beginning of year $7,937,486 · end of year $5,686,754

• 19 · Deferred revenue

  beginning of year $1,847,585

• 20 · Tax-exempt bond liabilities

  beginning of year $32,800,165 · end of year $6,331,807

• 23 · Secured mortgages and notes payable

  beginning of year $22,261,492 · end of year $45,186,709

• 25 · Other liabilities

  beginning of year $2,992,995 · end of year $3,549,051

• 27 · Net assets without donor restrictions

  beginning of year $43,133,942 · end of year $42,306,998

• 28 · Net assets with donor restrictions

  beginning of year $3,277,974 · end of year $929,332

The filer's explanations (Part III)

Schedule J, Part II:

Cory Nelson, CEO is compensated through an arrangement with Avera McKennan, 800 E 21st Street, Sioux Falls, SD 57105.