Civic Intelligence

Eureka Community Benevolent Hospital Association

990 • Fiscal year 2012 • EIN 46-0246437

Jul 01, 2011 to Jun 30, 2012 • Filed on Jan 14, 2013

Organization ProfileSEE SCHEDULE O NARRATIVE
PO Box 51757437
Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

73rd percentile

0.43x

Higher debt load relative to assets than 73% of similar nonprofits.

2012 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2012

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on this filing.

Source year 2012

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on this filing.

Source year 2012

Top Officer Pay

Score unavailable

No value available

This filing does not contain officer compensation rows.

Source year 2012

Asset Growth

22nd percentile

-4.9%

Faster asset growth than 22% of similar nonprofits.

2012 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2011 to 2012

Revenue Growth

Score unavailable

No value available

No valid filing value is available for this score.

Balance Sheet
Liabilities / Assets73rd percentile

Assets

Down

$1,611,519

Down $83,035 (-4.9%) from 2011

Net Assets

Down

$922,913

Down $112,398 (-11%) from 2011

Liabilities

Up

$688,606

Up $29,363 (+4.5%) from 2011

Revenue And Expenses
Liabilities / RevenueScore unavailableNet MarginScore unavailable

Revenue

-

No earlier filing loaded for comparison.

Expenses

Up

$2,265,790

Up $10,978 (+0.5%) from 2011

Net Income

-

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

Asset Growth22nd percentile

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$15M$10M$5.0M$0Assets 2010: $1,818,550Liabilities 2010: $732,526Net Assets 2010: $1,086,0242010Assets 2011: $1,694,554Liabilities 2011: $659,243Net Assets 2011: $1,035,3112011Assets 2012: $1,611,519Liabilities 2012: $688,606Net Assets 2012: $922,9132012Assets 2013: $1,545,391Liabilities 2013: $708,485Net Assets 2013: $836,9062013Assets 2014: $1,466,039Liabilities 2014: $653,400Net Assets 2014: $812,6392014Assets 2015: $1,754,474Liabilities 2015: $844,492Net Assets 2015: $909,9822015Assets 2016: $2,434,336Liabilities 2016: $882,202Net Assets 2016: $1,552,1342016Assets 2017: $3,145,709Liabilities 2017: $824,121Net Assets 2017: $2,321,5882017Assets 2018: $8,525,028Liabilities 2018: $6,194,066Net Assets 2018: $2,330,9622018Assets 2019: $10,915,519Liabilities 2019: $8,464,599Net Assets 2019: $2,450,9202019Assets 2020: $12,367,085Liabilities 2020: $10,269,056Net Assets 2020: $2,098,0292020Assets 2021: $11,901,444Liabilities 2021: $7,829,651Net Assets 2021: $4,071,7932021Assets 2022: $10,959,629Liabilities 2022: $7,139,669Net Assets 2022: $3,819,9602022Assets 2023: $10,168,600Liabilities 2023: $6,898,915Net Assets 2023: $3,269,6852023

Highlighted filing

2012

Assets$1,611,519
Liabilities$688,606
Net Assets$922,913
Open 2012 Filing

Operations Trend

Revenue GrowthScore unavailable

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$8.0M$6.0M$4.0M$2.0M$0-$2.0MExpenses 2010: $2,239,9302010Expenses 2011: $2,254,8122011Expenses 2012: $2,265,7902012Expenses 2013: $2,252,3562013Revenue 2014: $2,146,563Expenses 2014: $2,213,848Net Income 2014: -$67,2852014Revenue 2015: $2,335,208Expenses 2015: $2,222,389Net Income 2015: $112,8192015Revenue 2016: $2,219,868Expenses 2016: $2,260,696Net Income 2016: -$40,8282016Revenue 2017: $3,405,638Expenses 2017: $2,919,042Net Income 2017: $486,5962017Revenue 2018: $3,589,624Expenses 2018: $3,103,194Net Income 2018: $486,4302018Revenue 2019: $3,907,662Expenses 2019: $3,733,143Net Income 2019: $174,5192019Revenue 2020: $3,983,248Expenses 2020: $4,214,908Net Income 2020: -$231,6602020Revenue 2021: $6,307,408Expenses 2021: $4,340,856Net Income 2021: $1,966,5522021Revenue 2022: $4,579,202Expenses 2022: $4,643,985Net Income 2022: -$64,7832022Revenue 2023: $4,498,402Expenses 2023: $5,099,735Net Income 2023: -$601,3332023

Highlighted filing

2012

Revenue-
Expenses$2,265,790
Net Income-
Open 2012 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2011 to Jun 30, 2012
Signed
Jan 14, 2013
Return Version
2011v1.2
Gross Receipts
$2,165,535
Mission and Program Overview

Mission

The mission of eureka community health services avera is to provide quality, accessible healthcare to the residents in our region. We recognize the elements of compassion, respect, justice, and hospitality in carrying out this mission.

Filing and Contact Details

Filer

EIN
46-0246437
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IRS990ScheduleD/Form990ScheduleDPartXIV/Explanation0Earnings on endowments are intended to provide additional real growth through new gifts and investment return.
IRS990ScheduleD/Form990ScheduleDPartXIV/Explanation1The Organization 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 Organization 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.
IRS990ScheduleD/Form990ScheduleDPartXIV/Explanation2Temporarily Restricted Change in Interest in Net Assets Avera Health Fdtn 2,732. Permanently Restricted Change in Interest in Net Assets Avera Health Fdtn 873. Total to Schedule D, Part XI, Line 8: 3,605.
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IRS990ScheduleH/ExpensesExceededBudget00
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation0Part I, Line 3c: Eureka Community Health Services Avera utilizes both an income and an asset test to evaluate eligibility for charity care. The hospital reviews a schedule of the patient's current income and expenses to determine if the patient can reasonably be expected to make payment of medical expenses. All documentation received for charity care consideration is presented to the Board for a decision.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation1Part I, Line 6a: Eureka Community Health Services is included in the community benefit report that is submitted to Avera Health by Avera St. Luke's. It is available through the website and requested mailing and is filed with the Catholic Health Association.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation2Part I, Line 7: Line 7b was determined using the ratio of patient care costs to charges calculated in worksheet 2. Line 7e and line 7i were obtained utilizing the actual general ledger system. Line 7g was obtained utilizing the Medicare cost report.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation3Part I, L7 Col(f): Bad debt expense of $11,947 was subtracted from total operating expense.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation4Part III, Line 4: a) Having a predominantly low-income elderly population, ECHSA derived the amount on line 3 of $597 based on the past experience with bad debt and charity care.b) ECHSA's bad debt system takes into account contractual allowances and/or discounts. If an account is written off to bad debts, payments received after the write off for that account are posted to the current year bad debt account as an offset against bad debt expense. c) Footnote From Financial Statement: The carrying amount of patient receivables is reduced by a valuation allowance that reflects management's estimate of amounts that will not be collected from patients and third-party payors. Management reviews patient receivables by payor class and applies percentages to determine estimated amounts that will not be collected from third parties under contractual agreements and amounts that will not be collected from patients due to bad debts. Management considers historical write off and recovery information in determining the estimated bad debt provision. Management also reviews accounts to determine if classification as charity care is appropriate.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation5Part III, Line 8: Medicare allowable cost of care was calculated from the Medicare cost report for the fiscal year ending 6/30/2012.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation6Part III, Line 9b: ECHSA has developed a series of forms to evaluate need and assets to best determine an individual's financial need. Collections are not pursued if a patient qualifies under the charity care policy.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation7Part V, Section B, Line 9: Eureka Community Health Services Avera utilizes both an income and an asset test to evaluate eligibility for charity care. The hospital reviews a schedule of the patient's current income and expenses to determine if the patient can reasonably be expected to make payment of medical expenses. All documentation received for charity care consideration is presented to the Board for a decision.The Hospital is in the process of updating and implementing policies and procedures to meet the provisions of the new 501(r) Regulations. They will be using the proposed regulations as a guideline for making changes to current policies.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation8Part V, Section B, Line 10: Eureka Community Health Services Avera utilizes both an income and an asset test to evaluate eligibility for charity care. The hospital reviews a schedule of the patient's current income and expenses to determine if the patient can reasonably be expected to make payment of medical expenses. All documentation received for charity care consideration is presented to the Board for a decision.The Hospital is in the process of updating and implementing policies and procedures to meet the provisions of the new 501(r) Regulations. They will be using the proposed regulations as a guideline for making changes to current policies.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation9Part V, Section B, Line 13g: Payment options are discussed with patients if and when they inquire about payment assistance programs. The County Poor Relief program and charity care forms are provided and discussed with patients who alert ECHSA to concerns over their ability to pay due to limited assets and income.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation10Part V, Section B, Line 18d: The Hospital is in the process of updating and implementing policies and procedures to meet the provisions of the new 501(r) Regulations. They will be using the proposed regulations as a guideline for making changes to current policies.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation11Part V, Section B, Line 20: All patients are charged gross charges initially. If it is later determined that a patient is eligible under the financial assistance policy, a corrected bill is sent to show the appropriate reduction in charges. The hospital is working on updating and implementing its policy to comply with the IRC 501(r) guidance issued in 2012, and plans to use the Prospective Method to determine maximum amounts that can be charged to FAP-eligible individuals.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation12Part V, Section B, Line 21: All patients are charged gross charges initially. If it is later determined that a patient is eligible under the financial assistance policy, a corrected bill is sent to show the appropriate reduction in charges. The hospital is working on updating and implementing its policy to comply with the IRC 501(r) guidance issued in 2012, and plans to use the Prospective Method to determine maximum amounts that can be charged to FAP-eligible individuals.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation13Part VI, Line 2: Eureka Community Health Services Avera conducts patient satisfaction surveys which can lead to information regarding needed services. In addition, interactive questions are asked about services and results are reported back to the Officers and Board.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation14Part VI, Line 3: Payment options are discussed with patients if and when they inquire about payment assistance programs. ECHSA provides patients with charity care forms and discusses the County Poor Relief program with patients who alert ECHSA to concerns over their ability to pay due to limited assets and income.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation15Part VI, Line 4: ECHSA is located in the town of Eureka, South Dakota, which is in McPherson County. Eureka is a community of 1,100 people who are primarily Caucasian and of German-Russian descent. The primary business for the region is agriculture with some manufacturing. McPherson County ranks number nine in the nation for percentage of elderly population; therefore, it has a very high elderly population.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation16Part VI, Line 5: The facility is governed by a seven member voluntary Board of Trustees comprised of people living within the service area. These members have no business or family ties to the organization. ECHSA extends medical staff privileges to qualified physicians in the service area and currently has two physicians on staff. All funds generated by the facility are reinvested into the facility through the continued provision of healthcare services. ECHSA is a Critical Access Hospital and is open to all people regardless of ability to pay.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation17Part VI, Line 6: ECHSA is a managed facility of Avera Health. Avera Health and ECHSA work cooperatively to enhance healthcare throughout the community served by the Hospital. As a managed facility, ECHSA is able to participate in Avera e-CARE services. These services include Avera e-ICU, e-Emergency, e-Pharmacy and e-Consult. These services allow rural patients to be cared for at their local hospitals, provide rural hospitals access to immediate specialty care and support, and help reduce health care costs and travel.ECHSA also has access to "back office" support services, such as legal consultation, quality benchmarking, coding, computer services, contract negotiations, administrative consultation, group purchasing, human resource assistance and many other services. Avera Health is able to provide these services to ECHSA at a cost below that which the Hospital could otherwise achieve. In turn, local caregivers are able to devote more resources to patient and resident care. Avera Health and ECHSA dedicate resources to endeavors that make a positive difference to improve the health of the communities they serve. These activities include leadership development and training for community members, economic development, physical improvements in the community, contributions to nonprofit community organizations, nonprofit event sponsorships, donated medical supplies, community health education and support groups, health screenings, flu-shot clinics, community health education and various other activities.
IRS990ScheduleH/Form990ScheduleHPartVI/Identifier0Eureka Community Health Services Avera

Document Assets

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Filings

Displayed year

2012 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$1,611,519
Liabilities
$688,606
Net assets
$922,913
Revenue
-
Expenses
$2,265,790
Net income
-
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2023Summary only. Only limited summary data is available for this year.$10.2$6.90$3.27$4.50$5.10$0.60
2022Summary only. Only limited summary data is available for this year.$11.0$7.14$3.82$4.58$4.64$0.06
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$11.9$7.83$4.07$6.31$4.34$1.97
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$12.4$10.3$2.10$3.98$4.21$0.23
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.9$8.46$2.45$3.91$3.73$0.17
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.53$6.19$2.33$3.59$3.10$0.49
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.15$0.82$2.32$3.41$2.92$0.49
2016Detailed filing. Detailed filing data is available for this year.$2.43$0.88$1.55$2.22$2.26$0.04
2015Detailed filing. Detailed filing data is available for this year.$1.75$0.84$0.91$2.34$2.22$0.11
2014Detailed filing. Detailed filing data is available for this year.$1.47$0.65$0.81$2.15$2.21$0.07
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.55$0.71$0.84$2.25
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.61$0.69$0.92$2.27
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.69$0.66$1.04$2.25
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.82$0.73$1.09$2.24