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Nonprofiteer
← PRAIRIE LAKES HEALTH CARE SYSTEM INC

Form 990 for tax year 2023

Filed by PRAIRIE LAKES HEALTH CARE SYSTEM INC.

Totals

Total revenue
$161,897,147
Total expenses
$147,024,495
Contributions and grants received
$509,238
Grants paid
$253,200
Program service revenue
$137,807,185
Investment income
$21,347,993
Other revenue
$2,232,731
Total assets, end of year
$441,055,297
Total liabilities, end of year
$54,198,135
Net assets or fund balances, end of year
$386,857,162
Program services expenses (Part IX)
$131,219,689
Management and general expenses
$15,804,806
Fundraising expenses
$0
Program service expenses (Part III)
$131,219,689

Program services were 89.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1f · All other contributions, gifts and grants

    $509,238

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $136,396,914 · related or exempt $136,396,914

  • 2b · Program service revenue: RETAIL PHARMACY

    total $1,010,826 · unrelated business $1,010,826

  • 2c · Program service revenue: LAB SERVICE

    total $399,445 · unrelated business $399,445

  • 3 · Investment income

    total $4,891,408 · unrelated business $104,367 · excluded $4,787,041

  • 6a · Gross rents

    real property $1,065,450

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $1,065,450

  • 6d · Net rental income or loss

    total $1,065,450 · excluded $1,065,450

  • 7a · Gross sales of assets other than inventory

    securities $458,573,775 · other assets $69,572

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

    securities $442,186,471 · other assets $291

  • 7c · Gain or loss

    securities $16,387,304 · other assets $69,281

  • 7d · Net gain or loss

    total $16,456,585 · unrelated business -$17,597 · excluded $16,474,182

  • 11a · Other revenue: OTHER INCOME

    total $856,616 · excluded $856,616

  • 11b · Other revenue: CAFETERIA REVENUE

    total $308,487 · excluded $308,487

  • 11c · Other revenue: VENDING MACHINES

    total $2,178 · excluded $2,178

  • 11e · Other revenue, total

    $1,167,281

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $253,200 · program services $253,200

  • 7 · Other salaries and wages

    total $64,920,533 · program services $58,030,621 · management and general $6,889,912

  • 8 · Pension plan contributions

    total $1,651,041 · program services $1,651,041

  • 9 · Other employee benefits

    total $5,272,729 · program services $5,272,729

  • 10 · Payroll taxes

    total $4,232,896 · program services $3,755,487 · management and general $477,409

  • 11b · Fees: legal

    total $218,867 · program services $141,839 · management and general $77,028

  • 11f · Fees: investment management

    total $1,146,159 · management and general $1,146,159

  • 11g · Fees: other

    total $13,789,638 · program services $10,727,176 · management and general $3,062,462

  • 12 · Advertising and promotion

    total $689,983 · program services $33,108 · management and general $656,875

  • 13 · Office expenses

    total $2,137,267 · program services $1,524,640 · management and general $612,627

  • 14 · Information technology

    total $2,052,521 · program services $523,259 · management and general $1,529,262

  • 16 · Occupancy

    total $1,078,491 · program services $1,078,491

  • 17 · Travel

    total $650,883 · program services $496,291 · management and general $154,592

  • 19 · Conferences, conventions and meetings

    total $159,790 · program services $90,317 · management and general $69,473

  • 20 · Interest

    total $856,287 · program services $856,287

  • 22 · Depreciation, depletion and amortization

    total $7,557,076 · program services $7,020,785 · management and general $536,291

  • 23 · Insurance

    total $556,902 · program services $556,902

  • 24a · Other expenses: UNRELATED BUSINESS INCO

    total $10,662 · program services $10,662

  • 24b · Other expenses: DRUGS

    total $15,797,924 · program services $15,797,924

  • 24c · Other expenses: MEDICAL SUPPLIES

    total $13,347,742 · program services $13,347,742

  • 24d · Other expenses: PROVISION FOR BAD DEBT

    total $6,396,601 · program services $6,396,601

  • 24e · All other expenses

    total $4,247,303 · program services $3,654,587 · management and general $592,716

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $2,486 · end of year $3,485

  • 2 · Savings and temporary cash investments

    beginning of year $8,597,991 · end of year $7,269,492

  • 4 · Accounts receivable

    beginning of year $11,608,055 · end of year $13,995,210

  • 7 · Other notes and loans receivable

    beginning of year $1,312,712 · end of year $1,289,614

  • 8 · Inventories for sale or use

    beginning of year $3,333,167 · end of year $3,800,328

  • 9 · Prepaid expenses and deferred charges

    beginning of year $1,450,914 · end of year $1,722,903

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

    $184,305,091

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

    $107,296,329

  • 10c · Land, buildings and equipment, net

    beginning of year $71,891,409 · end of year $77,008,762

  • 11 · Investments: publicly traded securities

    beginning of year $268,887,742 · end of year $289,116,838

  • 12 · Investments: other securities

    beginning of year $5,175,128 · end of year $5,201,970

  • 14 · Intangible assets

    beginning of year $6,970,926 · end of year $7,525,080

  • 15 · Other assets

    beginning of year $25,425,549 · end of year $34,121,615

  • 17 · Accounts payable and accrued expenses

    beginning of year $15,413,280 · end of year $16,273,851

  • 19 · Deferred revenue

    beginning of year $179,450 · end of year $362,752

  • 20 · Tax-exempt bond liabilities

    beginning of year $23,332,008 · end of year $21,070,074

  • 25 · Other liabilities

    beginning of year $9,329,026 · end of year $16,491,458

  • 27 · Net assets without donor restrictions

    beginning of year $351,283,851 · end of year $381,714,479

  • 28 · Net assets with donor restrictions

    beginning of year $5,118,464 · end of year $5,142,683

Mission and programs · 2023

Mission

WE MAKE A POSITIVE DIFFERENCE IN THE HEALTH OF THE PATIENTS AND COMMUNITIES WE SERVE.

Activities or mission (Part I)

PROVIDE HIGH QUALITY, AFFORDABLE & COMPASSIONATE HEALTHCARE SERVICES FOR THE PEOPLE IN THE REGION.

  • PRAIRIE LAKES HEALTH CARE SYSTEM SERVES TEN COUNTIES IN NORTHEASTERN SOUTH DAKOTA AND WESTERN MINNESOTA. IT IS COMMITTED TO PROVIDING ACCESSIBLE, HIGH QUALITY, COST-EFFECTIVE HEALTHCARE SERVICES. 33 PHYSICIANS HAVE BEEN RECRUITED OVER THE PAST DECADE TO BUILD NEW SERVICES AND BETTER SERVE THE COMMUNITY. IN 2024, WE ADDED A PRIMARY CARE CLINIC TO OUR SERVICES LINE, ADDING OVER 20 MEDICAL PROFESSIONALS.

    Expenses $131,219,689 · Grants $253,200 · Revenue $136,396,914

As filed on the 2023 return.

Listed in Part VII

  • Rob Peterson

    PAST CHAIR

    Total calculated
    $0
    Hours/week
    1
  • Vince Foley

    CHAIR

    Total calculated
    $0
    Hours/week
    1
  • Mike Luken

    TREASURER

    Total calculated
    $0
    Hours/week
    1
  • Chris Carter

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1
  • Scott Munger

    SECRETARY

    Total calculated
    $0
    Hours/week
    1
  • Alan Christensen MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Mark Roby

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Tammy Davis

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Jonathan Oviatt

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Kristen Henderson

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Jesse Peterson

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • John Allen

    PRESIDENT/CEO

    Total calculated
    $454,556
    From this org
    $414,250
    From related orgs
    $0
    Other
    $40,306
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $389,250
    Bonus
    $25,000
    Other
    $0
    Deferred
    $17,501
    Nontaxable benefits
    $22,805
    Filer's total
    $454,556
  • Lynn Severson

    CFO

    Total calculated
    $71,543
    From this org
    $63,606
    From related orgs
    $0
    Other
    $7,937
    Hours/week
    40
  • Jay Hodges

    INTERIM CFO

    Total calculated
    $0
    Hours/week
    40
  • Tim Pugsley

    CIO

    Total calculated
    $87,534
    From this org
    $72,115
    From related orgs
    $0
    Other
    $15,419
    Hours/week
    40
  • Shelly Turbak

    CNO

    Total calculated
    $214,458
    From this org
    $181,139
    From related orgs
    $0
    Other
    $33,319
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $167,139
    Bonus
    $14,000
    Other
    $0
    Deferred
    $15,054
    Nontaxable benefits
    $18,265
    Filer's total
    $214,458
  • Laurie Fieber

    VP OF CLINIC OPERATIONS

    Total calculated
    $212,311
    From this org
    $179,623
    From related orgs
    $0
    Other
    $32,688
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $165,623
    Bonus
    $14,000
    Other
    $0
    Deferred
    $11,596
    Nontaxable benefits
    $21,092
    Filer's total
    $212,311
  • Alison Gilbertson

    VP OF HUMAN RESOURCES

    Total calculated
    $196,458
    From this org
    $165,839
    From related orgs
    $0
    Other
    $30,619
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $151,839
    Bonus
    $14,000
    Other
    $0
    Deferred
    $12,354
    Nontaxable benefits
    $18,265
    Filer's total
    $196,458
  • Richard Howard MD

    PHYSICIAN

    Total calculated
    $1,234,932
    From this org
    $1,209,852
    From related orgs
    $0
    Other
    $25,080
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,171,352
    Bonus
    $38,500
    Other
    $0
    Deferred
    $9,500
    Nontaxable benefits
    $15,580
    Filer's total
    $1,234,932
  • Greg Gerrish MD

    PHYSICIAN

    Total calculated
    $1,063,674
    From this org
    $1,028,756
    From related orgs
    $0
    Other
    $34,918
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $608,187
    Bonus
    $420,569
    Other
    $0
    Deferred
    $9,900
    Nontaxable benefits
    $25,018
    Filer's total
    $1,063,674
  • Jacob Schaeffer MD

    PHYSICIAN

    Total calculated
    $1,298,392
    From this org
    $1,263,474
    From related orgs
    $0
    Other
    $34,918
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $421,784
    Bonus
    $841,690
    Other
    $0
    Deferred
    $9,900
    Nontaxable benefits
    $25,018
    Filer's total
    $1,298,392
  • Jeffrey Smith MD

    PHYSICIAN

    Total calculated
    $1,373,236
    From this org
    $1,338,318
    From related orgs
    $0
    Other
    $34,918
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $854,330
    Bonus
    $483,988
    Other
    $0
    Deferred
    $9,900
    Nontaxable benefits
    $25,018
    Filer's total
    $1,373,236
  • Vijay Rao

    PHYSICIAN

    Total calculated
    $655,426
    From this org
    $620,508
    From related orgs
    $0
    Other
    $34,918
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $590,508
    Bonus
    $30,000
    Other
    $0
    Deferred
    $9,900
    Nontaxable benefits
    $25,018
    Filer's total
    $655,426

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Provenance

Return type
form_990
Tax year
2023
Filed
28 March 2025
IRS schema version
2023v6.0
Source object
202520939349300142

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