2024-10-28T16:24:35-05:00 2024-06-30 450250958 EIDE BAILLY LLP 345 N REID PL STE 400 SIOUX FALLS SD 571037034 990 2023-07-01 460318482 CENTER FOR FAMILY MEDICINE CENT 6053391783 1115 EAST 20TH STREET SIOUX FALLS SD 57105 DR BRAD KAMSTRA PROGRAM DIRECTOR 6053391783 2024-10-28 1 1 LAURIE HANSON CPA P00851848 6053391999 2024-10-28 2023 2024-10-15 13:58:12Z DR BRAD KAMSTRA 1115 EAST 20TH STREET SIOUX FALLS SD 57105 4861952 0 X WWW.CENTERFORFAMILYMED.ORG X 1972 SD PROVIDING EXCELLENT FAMILY MEDICAL CARE IN AN EDUCATIONAL ENVIRONMENT. 9 9 115 9 0 0 1311598 1105314 3521893 3723410 26134 33228 0 0 4859625 4861952 0 0 0 0 9213212 9967867 0 0 0 2317521 2314310 11530733 12282177 -6671108 -7420225 8046066 7190161 6458145 5993465 1587921 1196696 THE CENTER FOR FAMILY MEDICINE IS DEVOTED TO PROVIDING EXCELLENT FAMILY MEDICAL CARE IN AN EDUCATIONAL ENVIRONMENT. 0 0 11275538 3723410 EDUCATION OF FAMILY PRACTICE DOCTORS - THE CENTER OPERATES A RESIDENT PROGRAM FOR APPROXIMATELY 36 RESIDENT DOCTORS. THE CENTER IS A CORPORATE EXTENSION OF AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER AND SANFORD USD MEDICAL CENTER. THE CENTER'S PURPOSE IS TO FOSTER BETTER HOSPITAL, MEDICAL AND HEALTH SERVICES IN THE SURROUNDING COMMUNITIES THROUGH THE ESTABLISHMENT OF FACILITIES FOR RESEARCH, MEDICAL EDUCATION, PERSONNEL TRAINING AND COORDINATION OF MEDICAL EDUCATION, AND TO ENGAGE IN THE RECRUITING, TRAINING AND EDUCATION OF MEDICAL INTERNS, RESIDENTS AND OTHER ALLIED HEALTH SERVICES, PROVIDING TRAINING IN SIOUX FALLS AND PIERRE, SOUTH DAKOTA. 11275538 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 10 0 1 115 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 1 0 0 0 0 1 1 1 0 0 0 1 1 1 1 1 1 1 0 0 X X DENISA ARAPOVIC 6053391783 1115 EAST 20TH STREET SIOUX FALLS SD 57105 DR BRAD KAMSTRA PROGRAM DIRECTOR 40.00 X 284076 0 18835 DR MARJORIE HEIER PHYSICIAN 40.00 X 293696 0 7624 DR CHARLIE SHAFER MEDICAL DIRECTOR 40.00 X 272822 0 18835 DR MARK HUNTINGTON FORMER PROGRAM DIRECTOR 40.00 X 271289 0 18835 DR HEATHER CLOUSE ASSOCIATE DIRECTOR 36.00 X 264100 0 18835 DR TARA GEIS PHYSICIAN 40.00 X 263835 0 18835 DR STACEY LEBER PHYSICIAN 40.00 X 274578 0 7624 DENISA ARAPOVIC CLINIC MANAGER 40.00 X 111815 0 7624 DR JOSHUA CRABTREE BRD MBR THEN PRESIDENT BEG 12/2023 1.00 X X 0 0 0 MARK VORTHERMS PRESIDENT THEN SEC/TREAS BEG 12/2023 1.00 X X 0 0 0 JEFFREY POPPEN SEC/TREAS THEN VP BEG 12/2023 1.00 X X 0 0 0 AMY BIALAS VP THEN BOARD MEMBER BEG 12/2023 1.00 X X 0 0 0 DR CAROLYN GILBERTSON BOARD MEMBER BEG 03/2024 1.00 X 0 0 0 DR SUSAN ANDERSON BOARD MEMBER UNTIL 02/2024 1.00 X 0 0 0 DR ALISA REINDL BOARD MEMBER 1.00 X 0 0 0 DR JASON KNUTSON BOARD MEMBER 1.00 X 0 0 0 DR KATE BOOS BOARD MEMBER 1.00 X 0 0 0 DR JENNIFER SCHRIEVER BOARD MEMBER 1.00 X 0 0 0 2036211 0 117047 13 1 1 0 GIL HAUGAN CONSTRUCTION 200 E 60TH ST N SIOUX FALLS SD 57104 CONSTRUCTION SERVICES 159884 1 1104814 500 1105314 PATIENT SERVICES 621110 2490584 2490584 CONTRACT SERVICES 621990 1095224 1095224 137602 137602 3723410 32228 32228 1000 0 1000 1000 1000 4861952 3723410 0 33228 496375 323171 173204 306641 245312 61329 7101292 6817134 284158 188245 179282 8963 1369660 1286700 82960 505654 473023 32631 137697 137697 127619 127619 83110 67682 15428 195601 195601 775033 606135 168898 91668 91668 121598 121598 2725 2725 112440 92828 19612 95149 73390 21759 MEDICAL SUPPLIES 352271 352271 DUES AND SUBSCRIPTIONS 104847 104847 LANGUAGE SERVICES 58232 58232 PERSONNEL RECRUITMENT 56203 56203 117 117 12282177 11275538 1006639 0 891126 825926 552431 470362 187691 224648 2790502 2336625 369076 453877 328331 182354 5717411 5032994 8046066 7190161 648371 794037 5809774 5199428 6458145 5993465 X 1587921 1196696 1587921 1196696 8046066 7190161 X -7420225 7029000 X 0 1 X 1 0 X 1496564 1232499 264065 1293938 1104126 189812 453877 OPERATING LEASE RIGHT-OF-USE ASSET 4967832 FINANCE LEASE RIGHT-OF-USE ASSET 65162 5032994 OPERATING LEASE LIABILITY 5132714 FINANCING LEASE LIABILITY 66714 5199428 X 4861952 0 4861952 0 4861952 12282177 0 12282177 0 12282177 PART X, LINE 2: THE CENTER 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 CENTER 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. X X 0 0 0 0 0 0 0 0 0 DR BRAD KAMSTRA PROGRAM DIRECTOR 284076 0 0 0 0 0 0 0 23863 0 307939 0 0 0 DR MARJORIE HEIER PHYSICIAN 293696 0 0 0 0 0 0 0 12652 0 306348 0 0 0 DR CHARLIE SHAFER MEDICAL DIRECTOR 272822 0 0 0 0 0 0 0 23863 0 296685 0 0 0 DR MARK HUNTINGTON FORMER PROGRAM DIRECTOR 271289 0 0 0 0 0 0 0 24010 0 295299 0 0 0 DR HEATHER CLOUSE ASSOCIATE DIRECTOR 264100 0 0 0 0 0 0 0 23672 0 287772 0 0 0 DR TARA GEIS PHYSICIAN 263835 0 0 0 0 0 0 0 23863 0 287698 0 0 0 DR STACEY LEBER PHYSICIAN 274578 0 0 0 0 0 0 0 12652 0 287230 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 DOCTORS BOOS, KNUTSON, REINDL, AND MARK VORTHERMS HAD A BUSINESS RELATIONSHIP DURING FY2024. DOCTORS SCHRIEVER, CRABTREE, JEFFREY POPPEN, AND AMY BIALAS HAD A BUSINESS RELATIONSHIP DURING FY2024. AMY BIALAS AND MARK VORTHERMS HAD A BUSINESS RELATIONSHIP DURING FY2024. DOCTOR ANDERSON, AMY BIALAS AND MARK VORTHERMS HAD A BUSINESS RELATIONSHIP DURING FY2024. DOCTOR GILBERTSON, AMY BIALAS, AND MARK VORTHERMS HAD A BUSINESS RELATIONSHIP DURING FY2024. FORM 990, PART VI, SECTION A, LINE 7A THE BYLAWS STATE THAT ONE DIRECTOR SHALL AT ALL TIMES BE THE CHAIRMAN OF THE DEPARTMENT OF FAMILY MEDICINE OF THE SANFORD SCHOOL OF MEDICINE OF THE UNIVERSITY OF SOUTH DAKOTA. THE REMAINING DIRECTORS SHALL BE DETERMINED AS FOLLOWS: FOUR MEMBERS ARE ELECTED OR APPOINTED BY THE BOARD OF DIRECTORS OF SANFORD HEALTH AND FOUR MEMBERS ARE ELECTED OR APPOINTED BY THE BOARD OF TRUSTEES OF AVERA MCKENNAN HOSPITAL. THE FOUR MEMBERS SHALL CONSIST OF ONE MEMBER FROM ITS SENIOR ADMINISTRATIVE STAFF, TWO PHYSICIANS FROM ITS MEDICAL STAFF, AND ONE OTHER PERSON FROM EACH HEALTH SYSTEM. FORM 990, PART VI, SECTION A, LINE 7B THE BUDGET IS APPROVED BY SANFORD HEALTH AND AVERA MCKENNAN HOSPITAL. FORM 990, PART VI, SECTION A, LINE 8B COMMITTEES ARE ADVISORY IN NATURE AND DO NOT HAVE BROAD AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PROVIDED IN ELECTRONIC FORMAT TO THE GOVERNING BODY AT LEAST ONE WEEK PRIOR TO FILING AND IS REVIEWED IN DETAIL BY THE CLINIC MANAGER AND DIRECTOR. FORM 990, PART VI, SECTION B, LINE 12C PEOPLE WITH POTENTIAL INFLUENCE OVER EXPENDITURES, WHICH INCLUDE THE MEMBERS OF THE CENTER FOR FAMILY MEDICINE BOARD OF DIRECTORS ALONG WITH THE DIRECTOR, CLINIC MANAGER, AND SUPERVISORS, ARE COVERED BY THE CONFLICT OF INTEREST POLICY CURRENTLY IN PLACE. EACH INDIVIDUAL REQUIRED TO SIGN THE ANNUAL DISCLOSURE DOCUMENT IS REQUIRED TO DETERMINE AND DISCLOSE IF HE/SHE IS INVOLVED OR POSSIBLY COULD BE INVOLVED IN ANY MATTER THAT WOULD VIOLATE THE POLICY. IF ANY CONCERN OF CONFLICT IS DISCLOSED BY ANY INDIVIDUAL OR THE AUDITORS, THE CONFLICT IS REVIEWED BY THE PROGRAM DIRECTOR AND/OR CLINIC MANAGER, AND BROUGHT TO THE ATTENTION OF THE FULL BOARD OF DIRECTORS IF ANY CONCERNS RESULT FROM THE REVIEW. FURTHER REVIEW IS COMPLETED BY THE FULL BOARD OF DIRECTORS IF DEEMED SIGNIFICANT. IF A CONFLICT IS DEEMED TO EXIST, THE BOARD OF DIRECTORS HAS THE FOLLOWING PROCESS IT SHALL FOLLOW: (1) AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD MEETING, BUT AFTER SUCH PRESENTATION, THE INTERESTED PERSON SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON THE CONTRACT, TRANSACTION OR RELATIONSHIP FORMING THE BASIS OF THE CONFLICT; (2) IF APPROPRIATE AND IN ITS SOLE DISCRETION, THE BOARD THEREOF MAY APPOINT A NON-INTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE CONTRACT, TRANSACTION OR RELATIONSHIP FORMING THE BASIS OF THE CONFLICT OR TO OBTAIN A COMPETITIVE BID OR COMPARABLE VALUATION; (3) BEFORE THE CONTRACT, TRANSACTION OR RELATIONSHIP FORMING THE BASIS OF THE CONFLICT IS DEEMED APPROVED, THE BOARD SHALL DETERMINE, BY A MAJORITY VOTE OF THE NON-INTERESTED MEMBERS PRESENT, THAT SUCH CONTRACT, TRANSACTION OR RELATIONSHIP IS IN CFM'S BEST INTERESTS AND FOR ITS OWN BENEFIT, IS FAIR AND REASONABLE TO CFM, AND, AFTER EXERCISING DUE DILIGENCE, THAT CFM CANNOT OBTAIN A MORE ADVANTAGEOUS CONTRACT, TRANSACTION OR RELATIONSHIP WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES; (4) THE BOARD SHALL TAKE APPROPRIATE DISCIPLINARY ACTION AGAINST ANY RESPONSIBLE PERSON WHO VIOLATES THIS POLICY TO PROTECT CFM'S BEST INTERESTS; AND (5) THE MINUTES OF ALL BOARD MEETINGS INVOLVING CONFLICTS SHALL INCLUDE THE NAMES OF THE PERSONS WHO DISCLOSED THE FINANCIAL INTERESTS OR RELATIONSHIPS, THE NATURE OF THE FINANCIAL INTERESTS AND RELATIONSHIPS, AND WHETHER THE BOARD DETERMINED THERE WAS A CONFLICT. IN ADDITION, THE MINUTES SHALL SET FORTH THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE CONTRACT, TRANSACTION OR RELATIONSHIP FORMING THE BASIS OF THE CONFLICT; THE CONTENT OF THESE DISCUSSIONS, INCLUDING ANY ALTERNATIVES TO THE PROPOSED CONTRACT, TRANSACTION OR RELATIONSHIP; THE BASIS FOR THE DECISION; AND A RECORD OF THE VOTE. FORM 990, PART VI, SECTION B, LINE 15A TO DETERMINE COMPENSATION FOR THE DIRECTOR, A SALARY SURVEY IS PERFORMED AND THE BOARD OF DIRECTORS MUST APPROVE THE COMPENSATION. TO DETERMINE COMPENSATION FOR THE OTHER OFFICERS, THE CLINIC MANAGER PERFORMS A SALARY SURVEY AND THE DIRECTOR APPROVES THE SALARIES. THIS PROCESS IS DONE ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: FUNDS RECEIVED FROM SANFORD HOSPITAL & AVERA MCKENNAN HOSPITAL 7,029,000.