Civic Intelligence

Community Memorial Hospital Inc

EIN 46-0219795 • 501(c)3 • Burke, SD

Profile

Excellence in the provision of health care and related services, governed as a not-for-profit community organization, serving the needs of our people with superior quality and value.

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

52nd percentile

0.19x

Higher debt load relative to assets than 52% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Liabilities / Revenue

63rd percentile

0.37x

Higher debt load relative to revenue than 63% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Net Margin

61st percentile

9.7%

Higher net margin than 61% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Top Officer Pay

40th percentile

$157,368

Higher top officer pay than 40% of similar nonprofits.

Top officer pay equals 1.7% of source-year revenue.

501(c)3 • $10M-$25M nonprofits • Source year 2024

Asset Growth

49th percentile

4.0%

Faster asset growth than 49% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Revenue Growth

61st percentile

13%

Faster revenue growth than 61% of similar nonprofits.

501(c)3 • $10M-$25M nonprofits • Annualized from 2023 to 2024

Assets

Up

$17,527,105

Up $678,250 (+4.0%) from 2023

Liabilities

Down

$3,373,444

Down $191,106 (-5.4%) from 2023

Net Assets

Up

$14,153,661

Up $869,356 (+6.5%) from 2023

Revenue

Up

$9,028,385

Up $1,016,783 (+13%) from 2023

Expenses

Up

$8,155,381

Up $559,137 (+7.4%) from 2023

Net Income

Up

$873,004

Up $457,646 (+110%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$20M$15M$10M$5.0M$0Assets 2010: $2,100,954Liabilities 2010: $438,643Net Assets 2010: $1,662,3112010Assets 2011: $2,317,795Liabilities 2011: $381,971Net Assets 2011: $1,935,8242011Assets 2012: $3,292,677Liabilities 2012: $729,432Net Assets 2012: $2,563,2452012Assets 2013: $3,556,562Liabilities 2013: $651,339Net Assets 2013: $2,905,2232013Assets 2014: $3,943,542Liabilities 2014: $785,510Net Assets 2014: $3,158,0322014Assets 2015: $4,184,940Liabilities 2015: $340,403Net Assets 2015: $3,844,5372015Assets 2016: $5,533,647Liabilities 2016: $413,368Net Assets 2016: $5,120,2792016Assets 2017: $7,556,829Liabilities 2017: $1,641,977Net Assets 2017: $5,914,8522017Assets 2018: $11,923,868Liabilities 2018: $5,238,293Net Assets 2018: $6,685,5752018Assets 2019: $12,725,029Liabilities 2019: $5,403,081Net Assets 2019: $7,321,9482019Assets 2020: $16,470,278Liabilities 2020: $7,559,422Net Assets 2020: $8,910,8562020Assets 2021: $16,272,801Liabilities 2021: $4,300,805Net Assets 2021: $11,971,9962021Assets 2022: $17,327,418Liabilities 2022: $4,460,855Net Assets 2022: $12,866,5632022Assets 2023: $16,848,855Liabilities 2023: $3,564,550Net Assets 2023: $13,284,3052023Assets 2024: $17,527,105Liabilities 2024: $3,373,444Net Assets 2024: $14,153,6612024

Highlighted filing

2024

Assets$17,527,105
Liabilities$3,373,444
Net Assets$14,153,661

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$10M$5.0M$0Expenses 2010: $3,684,2372010Expenses 2011: $3,747,2222011Expenses 2012: $4,341,8712012Revenue 2013: $4,535,964Expenses 2013: $4,205,219Net Income 2013: $330,7452013Revenue 2014: $4,538,681Expenses 2014: $4,264,250Net Income 2014: $274,4312014Revenue 2015: $4,921,709Expenses 2015: $4,205,599Net Income 2015: $716,1102015Revenue 2016: $5,672,000Expenses 2016: $4,412,777Net Income 2016: $1,259,2232016Revenue 2017: $5,323,315Expenses 2017: $4,628,244Net Income 2017: $695,0712017Revenue 2018: $5,951,631Expenses 2018: $5,065,480Net Income 2018: $886,1512018Revenue 2019: $6,465,471Expenses 2019: $5,843,199Net Income 2019: $622,2722019Revenue 2020: $7,905,279Expenses 2020: $6,319,381Net Income 2020: $1,585,8982020Revenue 2021: $9,989,465Expenses 2021: $6,930,820Net Income 2021: $3,058,6452021Revenue 2022: $7,980,870Expenses 2022: $7,251,798Net Income 2022: $729,0722022Revenue 2023: $8,011,602Expenses 2023: $7,596,244Net Income 2023: $415,3582023Revenue 2024: $9,028,385Expenses 2024: $8,155,381Net Income 2024: $873,0042024

Highlighted filing

2024

Revenue$9,028,385
Expenses$8,155,381
Net Income$873,004

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$17.5$3.37$14.2$9.03$8.16$0.87
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$16.8$3.56$13.3$8.01$7.60$0.42
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$17.3$4.46$12.9$7.98$7.25$0.73
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$16.3$4.30$12.0$9.99$6.93$3.06
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$16.5$7.56$8.91$7.91$6.32$1.59
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$12.7$5.40$7.32$6.47$5.84$0.62
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$11.9$5.24$6.69$5.95$5.07$0.89
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$7.56$1.64$5.91$5.32$4.63$0.70
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.53$0.41$5.12$5.67$4.41$1.26
2015Detailed filing. Detailed filing data is available for this year.$4.18$0.34$3.84$4.92$4.21$0.72
2014Detailed filing. Detailed filing data is available for this year.$3.94$0.79$3.16$4.54$4.26$0.27
2013Detailed filing. Detailed filing data is available for this year.$3.56$0.65$2.91$4.54$4.21$0.33
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.29$0.73$2.56$4.34
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.32$0.38$1.94$3.75
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.10$0.44$1.66$3.68
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Jul 31, 2025
Return Version
2024v5.2
Gross Receipts
$9,450,218
Mission and Program Overview

Mission

Excellence in the provision of health care and related services, governed as a not-for-profit community organization, serving the needs of our people with superior quality and value.

PROVIDE MEDICAL SERVICES

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$6,894,358$7,894,460▲ $1,000,102
Land, Buildings, and Equipment, Net$6,991,745$6,392,751▼ $598,994
Savings and Temporary Cash Investments$1,233,141$1,441,902▲ $208,761
Accounts Receivable$884,199$1,102,955▲ $218,756
Inventories for Sale or Use$184,623$186,698▲ $2,075
Prepaid Expenses and Deferred Charges$85,886$103,467▲ $17,581
Pledges and Grants Receivable$96,514$61,600▼ $34,914
Other Notes and Loans Receivable, Net$47,500$47,500→ $0
Investments Other Securities$24,282$24,282→ $0
Total Assets$16,848,855$17,527,105▲ $678,250
Other Assets Total$406,607$271,490▼ $135,117
Liabilities
Mortgage Notes Payable Secured by Investment Property$2,927,361$2,683,888▼ $243,473
Accounts Payable and Accrued Expenses$519,650$661,199▲ $141,549
Other Liabilities$17,761$18,104▲ $343
Escrow Account Liability$99,778$10,253▼ $89,525
Total Liabilities$3,564,550$3,373,444▼ $191,106
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$13,264,305$14,143,661▲ $879,356
Net Assets With Donor Restrictions$20,000$10,000▼ $10,000
Total Net Assets Fund Balance$13,284,305$14,153,661▲ $869,356
Total Liabilities and Net Assets / Fund Balance$16,848,855$17,527,105▲ $678,250

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$4,089,824$2,012,338$6,102,162
Equipment$2,055,206$1,236,036$3,291,242
Other Land Buildings$203,493$218,872$422,365
Land$44,228-$44,228
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Amy JuracekCNPFT$122,368$35,583$157,951
Brittney KorthalsCNPFT$107,985$31,553$139,538
Tyler Van MetrePharmdFT$105,247$33,181$138,428
Spencer ArmentCNPFT$109,763$14,424$124,187
Tamara LyonCFOFT$71,576$36,764$108,340

Board Members and Trustees

NameTitle
Michael KarboChairman
Rebecca JonesVice Chairman
Dillon LambleyDirector
Doug ShepperdDirector
Doug SpitzenbergerDirector
Jason MosterdDirector
Karen MartinDirector
Brady PavelDirector (beg May 2024)
Clayton SteeleDirector (until May 2024)
Megan SmithMedical Director
Mistie DreyCEO
Rachelle NorbergSecretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Sanford HealthManagement & Other ServicesPO BOX 5074, Sioux Falls, SD 57117-5074$763,110
Winner Physical TherapyPt And Ot Services825 E 8TH ST 204, Winner, SD 57580$300,649
Sanford ClinicMd Services1305 W 18TH ST, Sioux Falls, SD 57105$134,308
S&s ConstructionConstruction Remodel221 W 6TH ST, Burke, SD 57523$116,113
Revenue and Support

Revenue Composition

Contributions and Grants
$63,347
Program Service Revenue
$8,535,363
Investment Income
$342,799
Other Revenue
$86,876
All Other Contributions
$8,914
Change in Net Assets
$873,004

Audited Revenue Reconciliation

Revenue per Audited Statements
$9,020,075
Revenue Not Reported on Financial Statements
$8,310
Revenue Not Reported on Form 990
$-6,091
Other Revenue Adjustments
$8,310
Total Revenue per Audited Statements
$9,013,984
Total Revenue per Form 990
$9,028,385
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$4,228,622
Salaries, Compensation, and Employee Benefits$3,910,220
Grants and Similar Amounts Paid$16,539
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$2,255,228$586,639-$2,841,867
Fees for Services Other$1,071,096$87,734-$1,158,830
Depreciation Depletion$420,205$140,162-$560,367
Other Employee Benefits$224,443$104,738-$329,181
Comp Disqual Persons$322,064--$322,064
Fees for Services Management-$271,462-$271,462
Payroll Taxes$181,242$49,183-$230,425
Information Technology-$155,854-$155,854
Office Expenses$68,942$58,988-$127,930
Current Officers, Directors, Trustees, and Key Employees-$108,923-$108,923
Occupancy$70,402$22,118-$92,520
Pension Plan Contributions$63,312$14,448-$77,760
Fees for Services Accounting-$66,672-$66,672
Interest$50,623$15,904-$66,527
Insurance-$61,002-$61,002
Advertising$3,116$23,570-$26,686
Conferences and Meetings$8,420$10,531-$18,951
Grants to Domestic Orgs$16,539--$16,539
Fees for Services Legal-$8,295-$8,295
Travel$2,706$1,903-$4,609
All Other Expenses-$4,395-$4,395
Other Expenses$2,500$36,281-$2,500
Total Functional Expenses$6,276,828$1,878,553$0$8,155,381

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$8,155,381
Total Expenses per Audited Statements$8,144,628
Expenses per Audited Statements$8,134,540
Expenses Not Reported on Financial Statements$20,841
Other Expense Adjustments$20,841
Expenses Not Reported on Form 990$10,088
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$10,088
Fundraising Gross Income$5,600
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Gala$43,708$5,600-$5,600
Total Events$43,708$5,600$10,088$-4,488
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Tyler VanmetreFamily Member of Megan Smith, Key EmployeeWages and BenefitsNo$147,223
Kimberly ShepperdFamily Member of Doug Shepperd, Board MemberWages and BenefitsNo$99,237
Craig DreyFamily Member of Mistie Drey, CEOWages and BenefitsNo$54,152
Amanda SteffenFamily Member of Mistie Drey, CEOWages and BenefitsNo$21,451
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Lease Liability$13,104
Third Party Payor Settlements$5,000
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 1A

The executive committee shall include five members all of whom shall be members of the board of directors, and shall include the chair, the vice chair, secretary, and the administrator. The executive committee shall have the power to transact all regular business of the corporation during the interim between meetings of the board, provided that any action taken by the executive committee shall not conflict with the articles of incorporation, the bylaws or the policies or expressed wishes of the board.

Form 990, Part VI, Section A, Line 3

Community memorial hospital has entered into a management agreement with sanford health network to provide management services for the facility. The ceo of community memorial hospital is an employee of sanford health network. Compensation and benefits for mistie drey were $173,494 and $32,765 respectively. Duties of the ceo include: supporting facility operations and adminstration, recommending budgets and managing resources accordingly, and overseeing design and delivery of quality programs, products, and services. The medical director is also an employee of sanford health network. Compensation and benefits for megan smith were $268,900 and $34,627 respecitvely. Her duties include oversight and management of the medical department. Sanford health network reviews and determines the ceo's compensation annually. Compensation ranges are determined using state salary survey results. The process and decision is documented and maintained internally by sanford's vp of administration. The board of directors of community memorial hospital, inc, approves the amount of the ceo's compensation through their acceptance of the management agreement.

Form 990, Part VI, Section A, Line 6

Community memorial hospital has one class of general membership. The general membership includes any individual, partnership, corporation or association who has contributed to the community memorial hospital building fund or clinic fund and who resides in the four-county area of gregory and tripp counties of south dakota and keya paha and boyd counties in nebraska. These memberships shall be for the life of the contributor and are not transferable. In addition, any patient of the hospital who has paid the hospital bill in full upon discharge or shortly thereafter and who resides in the previously mentioned four-county area shall be a member of this corporation for three years from the date of said payment in full. Also, all members of the ladies auxiliary to the community memorial hospital, inc., of burke, south dakota, shall be members with full voting rights. Present employees shall not be considered eligible to serve on the board of directors.

Form 990, Part VI, Section A, Line 7A

Governing board members are elected by the membership.

Form 990, Part VI, Section A, Line 7B

Approval by the members of the organization is required to: establish mission statement approve the sale of real property elect or remove the board of directors approve amendments to the articles of incorporation review the annual report and financial audit establish services to meet the needs of the community the members may delegate the above authorities by contract, as the members deem necessary and appropriate.

Form 990, Part VI, Section A, Line 8B

The executive committee did not meet in 2024.

Form 990, Part VI, Section B, Line 11B

The ceo does a detailed review of the form 990. Two board members also perform a detailed review of the 990. A copy of the 990 is distributed to all board members prior to filing of the form with the irs.

Form 990, Part VI, Section B, Line 12C

The conflict of interest disclosure is required to be completed bi-annually and responses are reviewed by the ceo. If a conflict is deemed to exist, the member(s) involved is required to abstain from discussion, deliberation, and voting on the matter causing the conflict.

Form 990, Part VI, Section C, Line 19

Financial statements are distributed at the annual membership meeting, and other items are provided upon request.

Filing and Contact Details

Filer

Filer Name
Community Memorial Hospital Inc
EIN
46-0219795
Phone
6057752621
Address
PO BOX 319, BURKE, SD 57523-0319

Signing Officer

Name
Mistie Drey
Title
CEO
Phone
6057752621
Signed
2025-07-31
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Mistie Drey
Formed
1945
Legal Domicile
Sd
Voting Board Members
9
Independent Board Members
8
Employees
69
Volunteers
9

Preparer

Firm
Eide Bailly Llp
Address
345 N REID PL STE 400, SIOUX FALLS, SD 57103-7034
Preparer
Laurie Hanson CPA
Phone
6053391999
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Contracted services: program service expenses 1,041,305. Management and general expenses 35,243. Fundraising expenses 0. Total expenses 1,076,548. Purchased services: program service expenses 29,791. Management and general expenses 52,491. Fundraising expenses 0. Total expenses 82,282.

FORM 990, PART XI, LINE 9:

Auxiliary net income -5,708.

Financial Statement Notes

PART IV, LINE 2B:

The funds being held are from community donors and are to be used to rebuild the city of burke as a result of the tornado that went through the city in august 2019.

PART X, LINE 2:

The hospital 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 hospital 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:

Expenses included in revenue on financial statements -8,151.

PART XI, LINE 4B - OTHER ADJUSTMENTS:

Fundraising expenses -10,088. Auxiliary income 18,398.

PART XII, LINE 2D - OTHER ADJUSTMENTS:

Fundraising expenses 10,088.

PART XII, LINE 4B - OTHER ADJUSTMENTS:

Expenses included in revenue on financial statements 8,151. Auxiliary expenses 12,690.

Raw XML AppendixShowing 400 of 811 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0COMMUNITY MEMORIAL HOSPITAL, INC., 16-BED ACUTE CARE HOSPITAL, PROMOTES HEALTH OF THE COMMUNITY BY PROVIDING A VARIETY OF HEALTH CARE SERVICES TO BURKE AND THE SURROUNDING RURAL COMMUNITIES. DURING 2024, COMMUNITY MEMORIAL HOSPITAL HAD 174 ADMISSIONS, 313 ACUTE PATIENT DAYS, 655 SWINGBED DAYS AND 381 VISITS TO THE EMERGENCY ROOM.COMMUNITY MEMORIAL HOSPITAL OPERATES TWO RURAL HEALTH CLINICS LOCATED IN BURKE AND BONESTEEL, SD. IN THE RURAL HEALTH CLINICS, THERE WERE 4,435 VISITS.
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IRS990/MissionDesc0EXCELLENCE IN THE PROVISION OF HEALTH CARE AND RELATED SERVICES, GOVERNED AS A NOT-FOR-PROFIT COMMUNITY ORGANIZATION, SERVING THE NEEDS OF OUR PEOPLE WITH SUPERIOR QUALITY AND VALUE.
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