Destiny Healthcare International, Destiny Family Medical Clinic in Sioux Falls, South Dakota (SD)

Destiny Healthcare International, Destiny Family Medical Clinic
Employer Identification Number (EIN)	510529480
Name of Organization	Destiny Healthcare International
Secondary Name	Destiny Family Medical Clinic
In Care of Name	Destiny Family Medical Clinic
Address	1417 S Minnesota Ave, Sioux Falls, SD 57105-1715
Subsection	Charitable Organization, Educational Organization
Ruling Date	10/2005
Deductibility	Contributions are deductible
Foundation	Hospital or medical research organization
Organization	Corporation
Exempt Organization Status	Unconditional Exemption
Tax Period	12/2013
Assets	$25,000 to $99,999
Income	$100,000 to $499,999
Filing Requirement	990 (all other) or 990EZ return
Asset Amount	$87,623
Amount of Income	$464,371
Form 990 Revenue Amount	$464,371
National Taxonomy of Exempt Entities (NTEE)	Health - General and Rehabilitative: Hospitals and Related Primary Medical Care Facilities

Non-representatives - add comments:

Amount of income in 2013: $464,371 (it was $417,495 in 2012)

This organization:	$464,371
Other organizations performing similar types of work:	$6,375,943

Assets in 2013: $87,623 (it was $69,983 in 2012)

This organization:	$87,623
Other organizations performing similar types of work:	$3,096,979

Expenses in 2013: $461,151

This organization:	$461,151
Other organizations performing similar types of work:	$6,363,536

Income to expenses ratio in 2013: 1.0

Destiny Healthcare International, Destiny Family Medical Clinic:	1.0
Other organizations performing similar types of work:	1.1

Number of employees in 2013: 14

This organization:	14
Other organizations performing similar types of work:	83

Grants share in income in 2013: 15.4%

Destiny Healthcare International, Destiny Family Medical Clinic:	15.4%
Other organizations performing similar types of work:	0.0%

Financial snapshot ($)

Revenue for 2013

Assets at the end of 2013

Functional expenses for 2013

Support schedule

	2012	2013
Checklist
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?	No	Yes
Is the organization required to complete Schedule B, Schedule of Contributors?	Yes	Yes
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office?	No	No
Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year?	No	No
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19?	No	No
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts?	No	No
Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures?	No	No
Did the organization maintain collections of works of art, historical treasures, or other similar assets?	No	No
Did the organization report an amount for escrow or custodial account liability; serve as a custodian or provide credit counseling, debt management, credit repair, or debt negotiation services?	No	No
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments?	No	No
Did the organization report an amount for land, buildings, and equipment?	Yes	Yes
Did the organization report an amount for investments-other securities that is 5% or more of its total assets?	No	No
Did the organization report an amount for investments-program related that is 5% or more of its total assets?	No	No
Did the organization report an amount for other assets that is 5% or more of its total assets?	No	No
Did the organization report an amount for other liabilities?	Yes	Yes
Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)?	No	No
Did the organization obtain separate, independent audited financial statements for the tax year?	No	No
Was the organization included in consolidated, independent audited financial statements for the tax year?	No	No
Is the organization a school described in section 170(b)(1)(A)(ii)?	No	No
Did the organization maintain an office, employees, or agents outside of the United States?	No	No
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more?	No	No
Did the organization report more than $5,000 of grants or other assistance to or for any foreign organization?	No	No
Did the organization report more than $5,000 of aggregate grants or other assistance to or for foreign individuals?	No	No
Did the organization report a total of more than $15,000 of expenses for professional fundraising services?	No	No
Did the organization report more than $15,000 total of fundraising event gross income and contributions?	No	No
Did the organization report more than $15,000 of gross income from gaming activities?	No	No
Did the organization operate one or more hospital facilities?	No	No
Did the organization attach a copy of its audited financial statements?	No	No
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government?	No	No
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals?	No	No
Did the organization answer 'Yes' about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees?	No	No
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002?	No	No
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?	No	No
Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds?	No	No
Did the organization act as an 'on behalf of' issuer for bonds outstanding at any time during the year?	No	No
Did the organization engage in an excess benefit transaction with a disqualified person during the year?	No	No
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ?	No	No
Did the organization report any amount for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons?	No	No
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons?	No	No
Was the organization a party to a business transaction with one of the following parties
A current or former officer, director, trustee, or key employee?	No	No
A family member of a current or former officer, director, trustee, or key employee?	No	No
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner?	No	No
Did the organization receive more than $25,000 in non-cash contributions?	No	No
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions?	No	No
Did the organization liquidate, terminate, or dissolve and cease operations?	No	No
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?	No	No
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3?	No	No
Was the organization related to any tax-exempt or taxable entity?	No	No
Did the organization have a controlled entity within the meaning of section 512(b)(13)?	No	No
Did the organization make any transfers to an exempt non-charitable related organization?	No	No
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes?	No	No

	2011	2012	2013
Statements Regarding Other IRS Filings and Tax Compliance
The number reported in Box 3 of Form 1096	1	2	1
The number of Forms W-2G	0	0	0
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners?	No	No	No
The number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return	12	15	14
Did the organization file all required federal employment tax returns?	No	No	No
Did the organization have unrelated business gross income of $1,000 or more during the year?	No	No	No
Has it filed a Form 990-T for this year?	No	No	No
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?	No	No	No
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?	No	No	No
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?	No	No	No
Did the organization file Form 8886-T?	No	No	No
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?	No	No	No
Did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?	No	No	No
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?	No	No	No
Did the organization notify the donor of the value of the goods or services provided?	No	No	No
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?	No	No	No
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?	No	No	No
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?	No	No	No
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?	No	No	No
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?	No	No	No
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?	No	No	No
Did the sponsoring organization make any taxable distributions under section 4966?	No	No	No
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?	No	No	No
Initiation fees and capital contributions	$0	$0	$0
Gross receipts for public use of club facilities	$0	$0	$0
Gross income from members or shareholders	$0	$0	$0
Gross income from other sources	$0	$0	$0
Is the organization filing Form 990 in lieu of Form 1041?	No	No	No
The amount of tax-exempt interest received or accrued during the year	$0	$0	$0
Is the organization licensed to issue qualified health plans in more than one state?	No	No	No
The amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans	$0	$0	$0
The amount of reserves on hand	$0	$0	$0
Did the organization receive any payments for indoor tanning services during the tax year?	No	No	No
Has it filed a Form 720 to report these payments?	No	No	No

	2012	2013
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
Total reportable compensation from the organization	$102,128	$98,345
Total reportable compensation from related organizations	$0	$0
Total estimated amount of other compensation from the organization and related organizations	$0	$0
Total number of individuals who received more than $100,000 of reportable compensation from the organization	1	0
Total number of independent contractors who received more than $100,000 of compensation from the organization	0	0

	2011	2012	2013
Statement of Revenue
Total revenue	$167,978	$417,495	$464,371
Contributions, Gifts, Grants and Other Similar Amounts	$90,039	$81,145	$71,494
Program Service Revenue	$77,939	$332,006	$377,276
0	$77,939	$332,006	$377,276
All other program service revenue	$0	$0	$0
Other Revenue
Investment income (including dividends, interest, and other similar amounts)	$0	$0	$0
Income from investment of tax-exempt bond proceeds	$0	$0	$0
Royalties	$0	$0	$0
Net rental income	$0	$4,344	$15,601
Gross rents (Real / Personal)	$0 / $0	$4,344 / $0	$15,601 / $0
Less: rental expenses (Real / Personal)	$0 / $0	$0 / $0	$0 / $0
Rental income or (loss) (Real / Personal)	$0 / $0	$4,344 / $0	$15,601 / $0
Net gain/loss from sales of assets other than inventory	$0	$0	$0
Net income/loss from fundraising events	$0	$0	$0
Net income/loss from gaming activities	$0	$0	$0
Net income/loss from sales of inventory	$0	$0	$0
Miscellaneous Revenue	$0	$0	$0

	2011	2012	2013
Statement of Functional Expenses
Total functional expenses	$439,333	$466,937	$461,151
Grants and other assistance to domestic organizations and domestic governments	$0	$0	$0
Grants and other assistance to domestic individuals	$0	$0	$0
Grants and other assistance to foreign organizations, foreign governments, and foreign individuals	$0	$0	$0
Benefits paid to or for members	$0	$0	$0
Compensation of current officers, directors, trustees, and key employees	$107,794	$102,128	$98,345
Compensation not included above, to disqualified persons	$0	$0	$0
Other salaries and wages	$117,612	$159,907	$156,240
Pension plan accruals and contributions	$0	$0	$0
Other employee benefits	$6,010	$7,387	$4,193
Payroll taxes	$0	$21,247	$0
Fees for services (non-employees)
Management	$0	$0	$0
Legal	$0	$0	$0
Accounting	$0	$950	$2,397
Lobbying	$0	$0	$0
Professional fundraising services	$0	$0	$0
Investment management fees	$0	$0	$0
Other	$8,462	$10,037	$12,357
Advertising and promotion	$2,580	$3,541	$0
Office expenses	$33,958	$17,687	$37,185
Information technology	$0	$4,843	$1,719
Royalties	$0	$0	$0
Occupancy	$80,906	$79,067	$84,499
Travel	$0	$0	$0
Payments of travel or entertainment expenses for any federal, state, or local public officials	$0	$0	$0
Conferences, conventions, and meetings	$0	$0	$0
Interest	$0	$0	$0
Payments to affiliates	$0	$0	$0
Depreciation, depletion, and amortization	$3,890	$6,627	$9,865
Insurance	$14,248	$17,338	$15,298
Other expenses	$28,145	$3,396	$21,460
Other expenses	$20,313	$4,967	$6,735
Other expenses	$6,324	$6,826	$2,816
Other expenses	$4,843	$8,232	$2,579
Other expenses	$0	$12,757	$5,463

	2011	2012	2013
Balance Sheet
Total assets	$200,660	$69,983	$87,623
Cash - non-interest-bearing	$105,307	$32,478	$40,823
Savings and temporary cash investments	$0	$0	$0
Pledges and grants receivable, net	$0	$0	$0
Accounts receivable, net	$83,525	$0	$0
Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees	$0	$0	$0
Loans and other receivables from other disqualified persons, persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations	$0	$0	$0
Notes and loans receivable, net	$0	$0	$0
Inventories for sale or use	$0	$0	$0
Prepaid expenses and deferred charges	$2,100	$2,100	$4,585
Land, buildings, and equipment: cost or other basis	$9,728	$35,405	$42,215
Investments - publicly traded securities	$0	$0	$0
Investments - other securities	$0	$0	$0
Investments - program-related	$0	$0	$0
Intangible assets	$0	$0	$0
Other assets	$0	$0	$0
Total liabilities	$349,476	$6,499	$21,211
Accounts payable and accrued expenses	$36,409	$0	$0
Grants payable	$0	$0	$0
Deferred revenue	$0	$0	$0
Tax-exempt bond liabilities	$0	$0	$0
Escrow or custodial account liability	$0	$0	$0
Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons	$313,067	$0	$0
Secured mortgages and notes payable to unrelated third parties	$0	$0	$0
Unsecured notes and loans payable to unrelated third parties	$0	$0	$14,250
Other liabilities (including federal income tax, payables to related third parties, and other liabilities)	$0	$6,499	$6,961
Total net assets or fund balances	$-148,816	$63,484	$66,412
Unrestricted net assets	$-169,061	$63,484	$66,412
Temporarily restricted net assets	$20,245	$0	$0
Permanently restricted net assets	$0	$0	$0
Capital stock or trust principal, or current funds	$0	$0	$0
Paid-in or capital surplus, or land, building, or equipment fund	$0	$0	$0
Retained earnings, endowment, accumulated income, or other funds	$0	$0	$0

Reason for Public Charity Status (for 2013)
The organization is not a private foundation because it is:	An organization that normally receives: (1) more than 33 1/3 % of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions - subject to certain exceptions, and (2) no more than 33 1/3 % of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975
Number of organizations supported	0
Sum of amounts of support	$0

	2009 - 2013 Total
Support Schedule for Organizations Described in Section 509(a)(2) (for 2009 - 2013)
Public support	$1,908,892
Subtotal	$1,908,892
Gifts, grants, contributions, and membership fees received	$487,765
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose	$1,421,127
Gross receipts from activities that are not an unrelated trade or business under section 513	$0
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf	$0
The value of services or facilities furnished by a governmental unit to the organization without charge	$0
Less	$0
Amounts received from disqualified persons	$0
Amounts received from other than disqualified persons that exceed the greater of $5,000 or 1% of the total support	$0
Total support	$1,908,892
Public support	$1,908,892
Subtotal	$0
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources	$0
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975	$0
Net income from unrelated business activities, whether or not the business is regularly carried on	$0
Other income	$0

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Id	Name	Address	State	Established	Total Income
Organizations performing similar types of work
1	Avera Mckennan, Avera Mckennan Hosp & Univ Heal Cen	1325 S Cliff Ave, Sioux Falls, SD 57105-1007	SD	1942-07	$759,202,729
2	Scott & White Hospital Round Rock	2401 S 31st St, Temple, TX 76508-0001	TX	2006-02	$144,415,293
3	Saint Francis Hospital South Llc, Heart Hospital Of Saint Francis	6600 S Yale Ave Ste 400, Tulsa, OK 74136-3319	OK	2008-01	$86,261,555
4	Wheaton Franciscan Healthcare-Franklin Inc	10101 S 27th St, Franklin, WI 53132-7209	WI	2006-11	$68,978,780
5	West 380 Family Care Facility, North Texas Community Hospital	1905 Doctors Hospital Dr, Bridgeport, TX 76426-2260	TX	2003-03	$18,654,152
6	Wamego Hospital Association, Wamego City Hospital	711 Genn Dr, Wamego, KS 66547-1179	KS	2003-06	$7,683,999
7	Houston Hospitals Inc	1601 Watson Blvd, Warner Robins, GA 31093-3431	GA	2008-12	$506,331,627
8	Physician Affiliate Group Of New York Pc	234 East 149th St Suite 8d200, Bronx, NY 10451-5504	NY	2013-12	$469,104,278
9	Mercy Hospital Joplin	100 Mercy Way, Joplin, MO 64804-4524	MO	1946-03	$397,962,118
10	Methodist Hospital, Tmh Physician Organization	6565 Fannin No Gb-240, Houston, TX 77030	TX	2010-09	$322,311,056
11	Innovis Health Llc	3000 32nd Ave S, Fargo, ND 58103-6132	ND	2009-11	$300,635,151
12	West Kendall Baptist Hospital Inc	9555 Sw 162nd Ave, Miami, FL 33196-6408	FL	2006-01	$245,977,776
13	West Georgia Medical Center Inc	1514 Vernon Rd, Lagrange, GA 30240-4131	GA	2008-06	$199,162,495
14	Community Physicians Of Indiana Inc	7240 Shadeland Sta Ste 200, Indianapolis, IN 46256-3968	IN	2010-12	$174,564,290
15	Texas Health Huguley Inc	11801 South Fwy, Burleson, TX 76028-7021	TX	2013-08	$174,161,836
16	Bennett County Hospital And Nursing Home	PO BOX 70, Martin, SD 57551-0070	SD	2006-05	$6,753,795
17	Destiny Healthcare International, Destiny Family Medical Clinic	1417 S Minnesota Ave, Sioux Falls, SD 57105-1715	SD	2005-10	$464,371
18	Dells Area Health Center	909 N Iowa Ave, Dell Rapids, SD 57022-1231	SD	1960-05	$112,696
19	Cheyenne River Health Care Corporation, Medicine Wheel Village	Airport Rd 1, Eagle Butte, SD 57625	SD	2009-03	$0
20	Rural Meade Ambulance Service	PO BOX 54, Enning, SD 57737	SD	1997-02	$0

Number of organizations performing similar types of work

Alaska	2
Alabama	8
Arkansas	12
Arizona	14
California	41
Colorado	10
Connecticut	7
District of Columbia	3
Delaware	1
Florida	34
Georgia	35
Hawaii	1
Iowa	16
Idaho	8
Illinois	24
Indiana	28
Kansas	28
Kentucky	18
Louisiana	15
Massachusetts	14
Maryland	8
Maine	8
Michigan	30
Minnesota	17
Missouri	22
Mississippi	13

Montana	11
North Carolina	20
North Dakota	2
Nebraska	5
New Hampshire	4
New Jersey	20
New Mexico	5
Nevada	4
New York	68
Ohio	26
Oklahoma	12
Oregon	5
Pennsylvania	38
Rhode Island	2
South Carolina	12
South Dakota	6
Tennessee	16
Texas	82
Utah	4
Virginia	10
Vermont	1
Washington	16
Wisconsin	17
West Virginia	3
Wyoming	7
International	10

Total

823

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