Civic Intelligence

Freeman Regional Health Services

EIN 46-0232450 • 501(c)3 • Freeman, SD

Profile

The mission of freeman regional health services is to provide accessible, community-based quality care that is competent, creative and compassionate.

PO Box 370Freeman, SD 57029

www.freemanregional.com

Siviq Scores

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

Liabilities / Assets

29th percentile

0.06x

Higher debt load relative to assets than 29% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

21st percentile

0.08x

Higher debt load relative to revenue than 21% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Net Margin

60th percentile

8.5%

Higher net margin than 60% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

57th percentile

7.6%

Faster asset growth than 57% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

24th percentile

-4.9%

Faster revenue growth than 24% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Assets

Up

$25,669,697

Up $1,803,387 (+7.6%) from 2023

Liabilities

Down

$1,531,020

Down $121,918 (-7.4%) from 2023

Net Assets

Up

$24,138,677

Up $1,925,305 (+8.7%) from 2023

Revenue

Down

$19,420,111

Down $1,007,619 (-4.9%) from 2023

Expenses

Up

$17,778,870

Up $1,025,578 (+6.1%) from 2023

Net Income

Down

$1,641,241

Down $2,033,197 (-55%) from 2023

Trend Graphs

Balance Sheet Trend

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

$30M$20M$10M$0Assets 2010: $9,862,688Liabilities 2010: $3,552,211Net Assets 2010: $6,310,4772010Assets 2011: $10,467,324Liabilities 2011: $3,526,332Net Assets 2011: $6,940,9922011Assets 2012: $11,539,721Liabilities 2012: $3,564,716Net Assets 2012: $7,975,0052012Assets 2013: $12,114,375Liabilities 2013: $3,856,795Net Assets 2013: $8,257,5802013Assets 2014: $12,382,200Liabilities 2014: $3,369,179Net Assets 2014: $9,013,0212014Assets 2015: $12,898,579Liabilities 2015: $3,399,129Net Assets 2015: $9,499,4502015Assets 2016: $13,121,800Liabilities 2016: $2,994,602Net Assets 2016: $10,127,1982016Assets 2017: $13,324,845Liabilities 2017: $2,988,048Net Assets 2017: $10,336,7972017Assets 2018: $12,974,293Liabilities 2018: $2,808,876Net Assets 2018: $10,165,4172018Assets 2019: $13,046,971Liabilities 2019: $2,366,020Net Assets 2019: $10,680,9512019Assets 2020: $19,632,360Liabilities 2020: $6,147,800Net Assets 2020: $13,484,5602020Assets 2021: $20,455,361Liabilities 2021: $2,570,614Net Assets 2021: $17,884,7472021Assets 2022: $20,364,343Liabilities 2022: $1,859,675Net Assets 2022: $18,504,6682022Assets 2023: $23,866,310Liabilities 2023: $1,652,938Net Assets 2023: $22,213,3722023Assets 2024: $25,669,697Liabilities 2024: $1,531,020Net Assets 2024: $24,138,6772024

Highlighted filing

2024

Assets$25,669,697
Liabilities$1,531,020
Net Assets$24,138,677

Operations Trend

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

$30M$20M$10M$0-$10MExpenses 2010: $6,444,1582010Expenses 2011: $7,883,6502011Expenses 2012: $9,003,5282012Revenue 2013: $9,533,661Expenses 2013: $9,349,056Net Income 2013: $184,6052013Revenue 2014: $10,356,241Expenses 2014: $9,634,767Net Income 2014: $721,4742014Revenue 2015: $10,692,204Expenses 2015: $10,145,392Net Income 2015: $546,8122015Revenue 2016: $11,363,497Expenses 2016: $10,747,291Net Income 2016: $616,2062016Revenue 2017: $11,576,150Expenses 2017: $11,447,500Net Income 2017: $128,6502017Revenue 2018: $11,977,468Expenses 2018: $11,991,720Net Income 2018: -$14,2522018Revenue 2019: $11,913,475Expenses 2019: $11,532,635Net Income 2019: $380,8402019Revenue 2020: $15,051,732Expenses 2020: $12,372,776Net Income 2020: $2,678,9562020Revenue 2021: $18,441,290Expenses 2021: $14,070,608Net Income 2021: $4,370,6822021Revenue 2022: $15,163,642Expenses 2022: $14,287,578Net Income 2022: $876,0642022Revenue 2023: $20,427,730Expenses 2023: $16,753,292Net Income 2023: $3,674,4382023Revenue 2024: $19,420,111Expenses 2024: $17,778,870Net Income 2024: $1,641,2412024

Highlighted filing

2024

Revenue$19,420,111
Expenses$17,778,870
Net Income$1,641,241

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$25.7$1.53$24.1$19.4$17.8$1.64
2023Detailed filing. Detailed filing data is available for this year.$23.9$1.65$22.2$20.4$16.8$3.67
2022Detailed filing. Detailed filing data is available for this year.$20.4$1.86$18.5$15.2$14.3$0.88
2021Detailed filing. Detailed filing data is available for this year.$20.5$2.57$17.9$18.4$14.1$4.37
2020Detailed filing. Detailed filing data is available for this year.$19.6$6.15$13.5$15.1$12.4$2.68
2019Detailed filing. Detailed filing data is available for this year.$13.0$2.37$10.7$11.9$11.5$0.38
2018Detailed filing. Detailed filing data is available for this year.$13.0$2.81$10.2$12.0$12.0$0.01
2017Detailed filing. Detailed filing data is available for this year.$13.3$2.99$10.3$11.6$11.4$0.13
2016Detailed filing. Detailed filing data is available for this year.$13.1$2.99$10.1$11.4$10.7$0.62
2015Detailed filing. Detailed filing data is available for this year.$12.9$3.40$9.50$10.7$10.1$0.55
2014Detailed filing. Detailed filing data is available for this year.$12.4$3.37$9.01$10.4$9.63$0.72
2013Detailed filing. Detailed filing data is available for this year.$12.1$3.86$8.26$9.53$9.35$0.18
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$11.5$3.56$7.98$9.00
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.5$3.53$6.94$7.88
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$9.86$3.55$6.31$6.44
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Oct 31, 2025
Return Version
2024v5.2
Gross Receipts
$19,534,318
Mission and Program Overview

Mission

The mission of freeman regional health services is to provide accessible, community-based quality care that is competent, creative and compassionate.

Provide accessible, community based quality care that is competent, creative and compassionate.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$6,680,484$8,217,657▲ $1,537,173
Investments in Publicly Traded Securities$5,890,292$7,155,787▲ $1,265,495
Land, Buildings, and Equipment, Net$7,500,370$6,664,656▼ $835,714
Accounts Receivable$2,054,570$1,807,665▼ $246,905
Investments Other Securities$1,082,710$1,164,342▲ $81,632
Inventories for Sale or Use$169,052$177,499▲ $8,447
Prepaid Expenses and Deferred Charges$162,904$111,483▼ $51,421
Total Assets$23,866,310$25,669,697▲ $1,803,387
Other Assets Total$325,928$370,608▲ $44,680
Liabilities
Accounts Payable and Accrued Expenses$1,021,525$1,056,585▲ $35,060
Other Liabilities$471,584$366,920▼ $104,664
Tax Exempt Bond Liabilities$154,456$102,252▼ $52,204
Escrow Account Liability$3,098$2,988▼ $110
Deferred Revenue$2,275$2,275→ $0
Total Liabilities$1,652,938$1,531,020▼ $121,918
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$21,635,982$23,500,373▲ $1,864,391
Net Assets With Donor Restrictions$577,390$638,304▲ $60,914
Total Net Assets Fund Balance$22,213,372$24,138,677▲ $1,925,305
Total Liabilities and Net Assets / Fund Balance$23,866,310$25,669,697▲ $1,803,387

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$3,111,435$6,344,933$9,456,368
Equipment$2,125,603$3,553,682$5,679,285
Land$1,316,914-$1,316,914
Other Land Buildings$110,704$301,044$411,748
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Courtney UnruhCEOFT$166,889$37,252$204,141
Amber SchipperRn-$163,526$9,455$172,981
Phillip HusherCFOFT$141,836$19,011$160,847
Anthony MillerTherapy ManagerFT$137,164$6,858$144,022

Board Members and Trustees

NameTitle
Lori UeckerPresident
Steve FuhrmannVice President
Cameron BeckerTrustee
Glenn RothTrustee
James JulsonTrustee
Shane VetchTrustee
Steve SchmeichelTrustee
Cynthia MutchelknausSecretary
Jason AanensonTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Avera Mckennan HospitalPhysician ServicesPO BOX 5045, Sioux Falls, SD 57117$2,340,279
Avera HealthFacility Contracts/education3900 W AVERA DR, Sioux Falls, SD 57108$353,962
Avera Sacred Heart HospitalIt Support501 SUMMIT, Yankton, SD 57078$153,872
Avel Ecare LLCEr Virtual DoctorPO BOX 950505, St Louis, MO 63195$145,568
Eide BaillyAccounting ServicesPO BOX 5125, Sioux Falls, SD 57117$140,807
Revenue and Support

Revenue Composition

Contributions and Grants
$209,202
Program Service Revenue
$18,664,421
Investment Income
$281,899
Other Revenue
$264,589
All Other Contributions
$94,326
Change in Net Assets
$1,641,241

Audited Revenue Reconciliation

Revenue per Audited Statements
$19,517,095
Revenue Not Reported on Financial Statements
$-96,984
Revenue Not Reported on Form 990
$284,064
Other Revenue Adjustments
$-96,984
Total Revenue per Audited Statements
$19,801,159
Total Revenue per Form 990
$19,420,111
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$10,160,559
Other Expenses$7,618,311
Total Fundraising Expense$1,464
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$7,453,939$341,177-$7,795,116
Fees for Services Other$3,185,890$603,394-$3,789,284
Other Employee Benefits$1,037,035$122,183-$1,159,218
Depreciation Depletion$723,752$42,285-$766,037
Office Expenses$597,483$11,472$268$609,223
Payroll Taxes$539,662$47,865-$587,527
Current Officers, Directors, Trustees, and Key Employees-$364,989-$364,989
Pension Plan Contributions$247,733$5,976-$253,709
Occupancy$235,783--$235,783
All Other Expenses$142,205$84,051$750$227,006
Fees for Services Accounting-$124,660-$124,660
Insurance$116,969$4,097-$121,066
Conferences and Meetings$28,158$13,500-$41,658
Other Expenses$8,632$29,091-$37,723
Advertising$12,773$11,428$446$24,647
Travel$10,212$5,299-$15,511
Fees for Services Legal-$6,435-$6,435
Interest$618--$618
Total Functional Expenses$15,955,724$1,821,682$1,464$17,778,870

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$17,875,854
Expenses per Audited Statements$17,778,870
Total Expenses per Form 990$17,778,870
Expenses Not Reported on Form 990$96,984
Expenses Not Reported on Financial Statements$0
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$104,868
Fundraising Direct Expenses$17,223
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Gala$95,956$80,638$5,261$75,377
Golf$26,967$24,230$1,977$22,253
Total Events$122,923$104,868$17,223$87,645
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Apartment Deposits$297,765
Operating Lease Liability$69,155

Bond Issues

BondIssuerIssuedIssue PricePurpose
ACity of Freeman2006-09-29$750,000To help finance congregate living units.

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$750,000-$647,748-

Bond Financing Compliance

No rebate due
No
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
Yes
Corrective action procedures
No
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
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

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

Freeman regional health services does not utilize committees.

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

The ceo and cfo review the form 990 in detail, it is then presented and reviewed by the board at a board meeting prior to filing.

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

Frhs requires annual compliance with and disclosure of conflicts in accordance with the written policy. Conflicts of interest or potential conflicts of interest must be reported to the compliance officer. If a conflict is deemed to exist, appropriate action is taken such as a board member may be required to abstain from discussion, deliberation, and voting on the issue at hand.

Form 990, Part VI, Section B, Line 15

Compensation is initially set by the board and/or administration following a review and assessment of the sdaho comparability study. The annual increases are subject to the approval of the board of directors.

Form 990, Part VI, Section C, Line 19

AVAILABLE UPON REQUEST

Filing and Contact Details

Filer

Filer Name
Freeman Regional Health Services
EIN
46-0232450
Phone
6059254000
Address
PO BOX 370, FREEMAN, SD 57029

Signing Officer

Name
Courtney Unruh
Title
CEO
Phone
6059254000
Signed
2025-10-31
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Courtney Unruh
Formed
1944
Legal Domicile
Sd
Voting Board Members
9
Independent Board Members
9
Employees
259
Volunteers
14

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

Collection fees: program service expenses 3,452. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,452. Purchase other clinic: program service expenses 728,164. Management and general expenses 0. Fundraising expenses 0. Total expenses 728,164. Medical professional fees: program service expenses 811,632. Management and general expenses 0. Fundraising expenses 0. Total expenses 811,632. Purchase courier: program service expenses 16,789. Management and general expenses 0. Fundraising expenses 0. Total expenses 16,789. Consulting fees: program service expenses 18,373. Management and general expenses 0. Fundraising expenses 0. Total expenses 18,373. Other purchased services: program service expenses 1,263,337. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,263,337. Maintenance contracts: program service expenses 180,831. Management and general expenses 0. Fundraising expenses 0. Total expenses 180,831. Ultrasound and mri contracts: program service expenses 163,312. Management and general expenses 0. Fundraising expenses 0. Total expenses 163,312. Pt financial svc collection fees: program service expenses 0. Management and general expenses 32,923. Fundraising expenses 0. Total expenses 32,923. Administration consulting fees: program service expenses 0. Management and general expenses 559,407. Fundraising expenses 0. Total expenses 559,407. Other purchased services: program service expenses 0. Management and general expenses 11,064. Fundraising expenses 0. Total expenses 11,064.

FORM 990, PART XI, LINE 9:

Change in interest in net assets of foundation 157,398.

Financial Statement Notes

PART IV, LINE 2B:

Freeman regional holds accounts on behalf of the long-term care residents.

PART X, LINE 2:

The facility 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 facility 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:

Change in interest in net assets of foundation 157,398.

PART XI, LINE 4B - OTHER ADJUSTMENTS:

Rental expenses reclassified -96,984.

PART XII, LINE 2D - OTHER ADJUSTMENTS:

Rental expenses reclassified 96,984.

Raw XML AppendixShowing 400 of 837 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/Form990PartVIISectionAGrp/PersonNm6GLENN ROTH
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IRS990/ScheduleBRequiredInd01

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