Civic Intelligence

Hand County Memorial Hospital

EIN 46-0356287 • 501(c)3 • Miller, SD

Profile

Hand county memorial hospital's mission is to assess, maintain, restore and improve the health of our community, as well as recognize and preserve the need for each individual's human dignity through our service.

225 W 4th StMiller, SD 57362

n/A

Siviq Scores

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

Liabilities / Assets

63rd percentile

0.24x

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

501(c)3 • $5M-$10M nonprofits • Source year 2025

Liabilities / Revenue

85th percentile

1.06x

Higher debt load relative to revenue than 85% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2025

Net Margin

19th percentile

-11%

Higher net margin than 19% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2025

Top Officer Pay

26th percentile

$45,323

Higher top officer pay than 26% of similar nonprofits.

Top officer pay equals 3.5% of source-year revenue.

501(c)3 • $5M-$10M nonprofits • Source year 2025

Asset Growth

21st percentile

-4.3%

Faster asset growth than 21% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2024 to 2025

Revenue Growth

26th percentile

-5.7%

Faster revenue growth than 26% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2024 to 2025

Balance Sheet
Liabilities / Assets63rd percentile

Assets

Up

$6,145,479

Up $1,543,005 (+34%) from 2022

Liabilities

Up

$1,768,041

Up $1,656,599 (+1487%) from 2022

Net Assets

Down

$4,377,438

Down $113,594 (-2.5%) from 2022

Operations
Liabilities / Revenue85th percentileNet Margin19th percentile

Revenue

Up

$1,271,619

Up $54,829 (+4.5%) from 2022

Expenses

Up

$1,428,924

Up $71,683 (+5.3%) from 2022

Net Income

Down

-$157,305

Down $16,854 (-12%) from 2022

Trend Graphs

Balance Sheet Trend

Asset Growth21st percentile

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

$8.0M$6.0M$4.0M$2.0M$0Assets 2011: $5,968,379Liabilities 2011: $1,492,653Net Assets 2011: $4,475,7262011Assets 2012: $5,802,830Liabilities 2012: $1,263,824Net Assets 2012: $4,539,0062012Assets 2013: $5,668,380Liabilities 2013: $1,148,208Net Assets 2013: $4,520,1722013Assets 2014: $5,096,910Liabilities 2014: $576,376Net Assets 2014: $4,520,5342014Assets 2015: $5,102,300Liabilities 2015: $586,461Net Assets 2015: $4,515,8392015Assets 2016: $5,018,926Liabilities 2016: $471,957Net Assets 2016: $4,546,9692016Assets 2017: $5,013,458Liabilities 2017: $373,085Net Assets 2017: $4,640,3732017Assets 2018: $4,845,214Liabilities 2018: $153,503Net Assets 2018: $4,691,7112018Assets 2019: $4,806,703Liabilities 2019: $159,493Net Assets 2019: $4,647,2102019Assets 2020: $4,837,367Liabilities 2020: $286,616Net Assets 2020: $4,550,7512020Assets 2021: $4,803,174Liabilities 2021: $107,665Net Assets 2021: $4,695,5092021Assets 2022: $4,602,474Liabilities 2022: $111,442Net Assets 2022: $4,491,0322022Assets 2023: $6,145,479Liabilities 2023: $1,768,041Net Assets 2023: $4,377,4382023

Highlighted filing

2023

Assets$6,145,479
Liabilities$1,768,041
Net Assets$4,377,438
Open 2023 Filing

Operations Trend

Revenue Growth26th percentile

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

$2.0M$1.5M$1.0M$500K$0-$500KExpenses 2011: $1,256,7962011Expenses 2012: $1,425,9012012Expenses 2013: $1,528,2052013Revenue 2014: $1,401,194Expenses 2014: $1,465,637Net Income 2014: -$64,4432014Revenue 2015: $1,609,692Expenses 2015: $1,597,681Net Income 2015: $12,0112015Revenue 2016: $1,504,303Expenses 2016: $1,469,547Net Income 2016: $34,7562016Revenue 2017: $1,263,526Expenses 2017: $1,148,094Net Income 2017: $115,4322017Revenue 2018: $1,160,020Expenses 2018: $1,141,298Net Income 2018: $18,7222018Revenue 2019: $1,124,344Expenses 2019: $1,185,032Net Income 2019: -$60,6882019Revenue 2020: $1,103,785Expenses 2020: $1,188,403Net Income 2020: -$84,6182020Revenue 2021: $1,355,399Expenses 2021: $1,238,494Net Income 2021: $116,9052021Revenue 2022: $1,216,790Expenses 2022: $1,357,241Net Income 2022: -$140,4512022Revenue 2023: $1,271,619Expenses 2023: $1,428,924Net Income 2023: -$157,3052023

Highlighted filing

2023

Revenue$1,271,619
Expenses$1,428,924
Net Income-$157,305
Open 2023 Filing

Filings

Most recent year

2023 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$6,145,479
Liabilities
$1,768,041
Net assets
$4,377,438
Revenue
$1,271,619
Expenses
$1,428,924
Net income
-$157,305
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2023Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.15$1.77$4.38$1.27$1.43$0.16
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4.60$0.11$4.49$1.22$1.36$0.14
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4.80$0.11$4.70$1.36$1.24$0.12
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4.84$0.29$4.55$1.10$1.19$0.08
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4.81$0.16$4.65$1.12$1.19$0.06
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.85$0.15$4.69$1.16$1.14$0.02
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.01$0.37$4.64$1.26$1.15$0.12
2016Detailed filing. Detailed filing data is available for this year.$5.02$0.47$4.55$1.50$1.47$0.03
2015Detailed filing. Detailed filing data is available for this year.$5.10$0.59$4.52$1.61$1.60$0.01
2014Detailed filing. Detailed filing data is available for this year.$5.10$0.58$4.52$1.40$1.47$0.06
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.67$1.15$4.52$1.53
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.80$1.26$4.54$1.43
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.97$1.49$4.48$1.26
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2022 to Jun 30, 2023
Signed
Oct 30, 2023
Return Version
2022v5.0
Gross Receipts
$1,672,001
Mission and Program Overview

Mission

Hand county memorial hospital's mission is to assess, maintain, restore and improve the health of our community, as well as recognize and preserve the need for each individual's human dignity through our service.

To provide healthcare services to the community.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$3,059,347$2,779,837▼ $279,510
Other Notes and Loans Receivable, Net$796,570$796,570→ $0
Investments Other Securities$558,211$604,861▲ $46,650
Investments in Publicly Traded Securities$25,798$175,211▲ $149,413
Accounts Receivable$69,694$58,440▼ $11,254
Prepaid Expenses and Deferred Charges$17,369$18,841▲ $1,472
Savings and Temporary Cash Investments$66,190$18,266▼ $47,924
Inventories for Sale or Use$9,295$9,348▲ $53
Total Assets$4,602,474$6,145,479▲ $1,543,005
Other Assets Total$0$1,684,105▲ $1,684,105
Liabilities
Other Liabilities$0$1,684,105▲ $1,684,105
Accounts Payable and Accrued Expenses$111,442$83,936▼ $27,506
Total Liabilities$111,442$1,768,041▲ $1,656,599
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$4,371,603$4,243,993▼ $127,610
Net Assets With Donor Restrictions$119,429$133,445▲ $14,016
Total Net Assets Fund Balance$4,491,032$4,377,438▼ $113,594
Total Liabilities and Net Assets / Fund Balance$4,602,474$6,145,479▲ $1,543,005

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$1,927,946$2,025,544$3,953,490
Leasehold Improvements$334,312$1,121,501$1,455,813
Equipment$90,866$386,866$477,732
Land$424,230-$424,230
Other Land Buildings$2,483$68,511$70,994
Other Assets Org$1,684,105--
Other Securities$200,321--
Compensation and Service Providers
Top Officer Pay26th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Rachell FletcherBusiness ManagerPT$67,715$18,115$85,830

Board Members and Trustees

NameTitle
Nick NemecChairperson Until 12/2022
Josef FialaDirector/chairperson
Ray CaffeeVice Chairperson Until 12/2022
Cheryl FawcettDirector
Daniel CossDirector From 01/2023
Jesse JohnsonDirector From 01/2023
Dr Michelle TurnerDirector From 03/2023
Dr John HopkinsDirector Until 02/2023
Marla LichtyDirector/vice Chariperson
Matthew CampionAdministrator
Mike AnglinSecretary-treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$22,775
Program Service Revenue
$1,108,204
Investment Income
$38,486
Other Revenue
$102,154
All Other Contributions
$22,775
Change in Net Assets
$-157,305
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$947,054
Other Expenses$481,870
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$669,821--$669,821
Depreciation Depletion$174,250$596-$174,846
Other Employee Benefits$121,903--$121,903
Current Officers, Directors, Trustees, and Key Employees-$90,566-$90,566
Payroll Taxes$50,109$6,775-$56,884
Occupancy$33,671$14,419-$48,090
Office Expenses$33,792$5,461-$39,253
Insurance-$35,850-$35,850
Fees for Services Other$10,674$16,454-$27,128
Travel$9,166--$9,166
Pension Plan Contributions$7,880--$7,880
Conferences and Meetings$3,679--$3,679
Other Expenses$2,545--$2,545
Advertising$1,213--$1,213
All Other Expenses$246$519-$765
Total Functional Expenses$1,258,284$170,640$0$1,428,924
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Operating Lease Liability$1,684,105
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
No
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

“No committees have authority to act on behalf of the governing body.”

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

“The administrator and business manager review the 990 in detail. After their review, the 990 is provided to each board member. The administrator presents the 990 to the board of directors at the meeting held prior to its filing. The 990 is not filed until each board member has been given a copy of it and given ample time to review it.”

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

“Annual disclosure of potential conflicts of interest is required by all officers, directors, trustees and key employees. The entire board is involved in making a determination of whether a conflict exists as well as review of actual conflicts that arise. If an officer, director, or trustee feels that there is a conflict of interest, that person(s) shall dismiss herself/himself from discussion and voting on that agenda item.”

Form 990, Part VI, Section B, Line 15A

“The board of directors approved an administrator agreement for the services of matthew campion. The agreement is with avera mckennan, sioux falls, sd. Avera mckennan is providing these services at no charge to the organization.”

Form 990, Part VI, Section C, Line 19

“Documents are made available upon request in the administrator's office.”

Filing and Contact Details

Filer

Filer Name
Hand County Memorial Hospital
EIN
46-0356287
Phone
6058530364
Address
225 W 4TH ST, MILLER, SD 57362

Signing Officer

Name
Matthew Campion
Title
Administrator
Phone
6058530364
Signed
2023-10-30
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Matthew Campion
Formed
1948
Legal Domicile
Sd
Voting Board Members
7
Independent Board Members
7
Employees
51
Volunteers
10

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 XI, LINE 9:

“Change in avera foundation interest 20,182.”

Financial Statement Notes

PART X, LINE 2:

“The 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 were incurred.”

Raw XML AppendixShowing 400 of 529 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.

Path#Value
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IRS990/Desc0HAND COUNTY MEMORIAL HOSPITAL INC. CONSISTS OF FOUR SEPARATE DEPARTMENTS: ASSISTED LIVING, HAND COUNTY AMBULANCE SERVICE, DIETARY AND TWO WELLNESS FACILITIES. OUR ASSISTED LIVING IS 24 BEDS, AND WE HAVE 7,000-7,600 RESIDENT DAYS DEPENDING ON OCCUPANCY. MOST OF THE RESIDENTS ARE FROM THE HAND COUNTY AREA. TOENAIL CARE FOR THE ELDERLY IN HAND AND HYDE COUNTY IS TAKEN CARE OF THROUGH OUR ASSISTED LIVING FACILITY. HAND COUNTY AMBULANCE: WE RECEIVED 222 AMBULANCE CALLS IN THE YEAR ENDING JUNE 30, 2023. CALLS CONSIST OF EMERGENCY, GROUND TRANSFER TO OTHER FACILITIES, STANDBY AT STRUCTURE FIRES, FOOTBALL GAMES, RODEOS, COMMUNITY EVENTS, AND COMMUNITY EDUCATION. WE HAVE 30 EMT'S AND TWO AMBULANCES IN OUR FLEET. OUR DIETARY DEPARTMENT PROVIDED 22,287 MEALS FOR OUR ASSISTED LIVING RESIDENTS. THEY ALSO ARE CONTRACTED BY AVERA HAND COUNTY HOSPITAL AND CLINIC FOR MEALS (3,391 MEALS) FOR ALL PATIENTS AT THE HOSPITAL. DIETARY ALSO PROVIDED 7,444 MEALS FOR OUR MEALS ON WHEELS PROGRAM IN MILLER. THE LAST ENTITY IS THE WELLNESS FACILITIES WE OPERATE IN MILLER AND HIGHMORE. WE PROVIDE TWO 24-HOUR WELLNESS FACILITIES FOR THE RESIDENTS OF HAND AND HYDE COUNTIES TO MAINTAIN A HEALTHY LIFESTYLE. HCMH INC. IS A COMMUNITY BASED ORGANIZATION THAT PROVIDES HEALTH SERVICES, EDUCATION, AND PROMOTES A HEALTHY LIFESTYLE FOR THE RESIDENTS OF HAND AND HYDE COUNTIES.
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