Civic Intelligence

Custer Community Health Services

EIN 46-0394172 • 501(c)3 • Custer, SD

Profile

The organization provides facilities for hospital services and assisted living in rural south dakota. The organization owns and has a management agreement with regional health network inc. (rhn) to manage and operate four facilities: custer regional hospital, custer regional medical clinic, wedgwood regional senior care and custer regional senior care.

PO Box 105Custer, SD 57730

n/A

Siviq Scores

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

Liabilities / Assets

67th percentile

0.20x

Higher debt load relative to assets than 67% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2015

Liabilities / Revenue

93rd percentile

2.23x

Higher debt load relative to revenue than 93% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2015

Net Margin

23rd percentile

-9.5%

Higher net margin than 23% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2015

Top Officer Pay

40th percentile

$0

Higher top officer pay than 40% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

501(c)3 • $1M-$5M nonprofits • Source year 2015

Asset Growth

32nd percentile

-2.2%

Faster asset growth than 32% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2014 to 2015

Revenue Growth

37th percentile

0.5%

Faster revenue growth than 37% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2014 to 2015

Balance Sheet
Liabilities / Assets67th percentile

Assets

Down

$2,316,336

Down $53,180 (-2.2%) from 2014

Liabilities

Down

$461,145

Down $33,571 (-6.8%) from 2014

Net Assets

Down

$1,855,191

Down $19,609 (-1.0%) from 2014

Operations
Liabilities / Revenue93rd percentileNet Margin23rd percentile

Revenue

Up

$207,120

Up $1,002 (+0.5%) from 2014

Expenses

Down

$226,729

Down $2,532 (-1.1%) from 2014

Net Income

Up

-$19,609

Up $3,534 (+15%) from 2014

Trend Graphs

Balance Sheet Trend

Asset Growth32nd percentile

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

$3.0M$2.0M$1.0M$0Assets 2011: $2,518,385Liabilities 2011: $564,776Net Assets 2011: $1,953,6092011Assets 2012: $2,469,788Liabilities 2012: $542,761Net Assets 2012: $1,927,0272012Assets 2013: $2,415,059Liabilities 2013: $517,116Net Assets 2013: $1,897,9432013Assets 2014: $2,369,516Liabilities 2014: $494,716Net Assets 2014: $1,874,8002014Assets 2015: $2,316,336Liabilities 2015: $461,145Net Assets 2015: $1,855,1912015

Highlighted filing

2015

Assets$2,316,336
Liabilities$461,145
Net Assets$1,855,191
Open 2015 Filing

Operations Trend

Revenue Growth37th percentile

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

$300K$200K$100K$0-$100KExpenses 2011: $231,8212011Expenses 2012: $232,2932012Revenue 2013: $201,534Expenses 2013: $230,618Net Income 2013: -$29,0842013Revenue 2014: $206,118Expenses 2014: $229,261Net Income 2014: -$23,1432014Revenue 2015: $207,120Expenses 2015: $226,729Net Income 2015: -$19,6092015

Highlighted filing

2015

Revenue$207,120
Expenses$226,729
Net Income-$19,609
Open 2015 Filing

Filings

Most recent year

2015 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$2,316,336
Liabilities
$461,145
Net assets
$1,855,191
Revenue
$207,120
Expenses
$226,729
Net income
-$19,609
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2015Detailed filing. Detailed filing data is available for this year.$2.32$0.46$1.86$0.21$0.23$0.02
2014Detailed filing. Detailed filing data is available for this year.$2.37$0.49$1.87$0.21$0.23$0.02
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.42$0.52$1.90$0.20$0.23$0.03
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.47$0.54$1.93$0.23
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.52$0.56$1.95$0.23
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2014 to Jun 30, 2015
Signed
Jan 14, 2016
Return Version
2014v6.0
Gross Receipts
$207,120
Mission and Program Overview

Mission

The organization provides facilities for hospital services and assisted living in rural south dakota. The organization owns and has a management agreement with regional health network inc. (rhn) to manage and operate four facilities: custer regional hospital, custer regional medical clinic, wedgwood regional senior care and custer regional senior care.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$2,141,958$2,054,503▼ $87,455
Cash and Non-Interest-Bearing Accounts$197,286$230,843▲ $33,557
Prepaid Expenses and Deferred Charges$205$908▲ $703
Total Assets$2,369,516$2,316,336▼ $53,180
Other Assets Total$30,067$30,082▲ $15
Liabilities
Mortgage Notes Payable Secured by Investment Property$475,999$447,203▼ $28,796
Accounts Payable and Accrued Expenses$18,717$13,942▼ $4,775
Total Liabilities$494,716$461,145▼ $33,571
Net Assets / Fund Balance
Unrestricted Net Assets$1,874,800$1,855,191▼ $19,609
Total Net Assets Fund Balance$1,874,800$1,855,191▼ $19,609
Total Liabilities and Net Assets / Fund Balance$2,369,516$2,316,336▼ $53,180

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$1,953,895$1,541,437$3,495,332
Equipment$13,287$317,828$331,115
Land$84,820-$84,820
Leasehold Improvements$2,501$12,412$14,913
Other Land Buildings-$1,437$1,437
Compensation and Service Providers
Top Officer Pay40th percentile

Board Members and Trustees

NameTitle
Pat WalkerChair
David ThomBoard Member
Doris Ann MertzBoard Member
Susan SwartzBoard Member
Walker WittBoard Member
Jenny BehlingsSecretary
Ralph AdamTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$239
Other Revenue
$206,881
Change in Net Assets
$-19,609
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$226,729
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Depreciation Depletion$87,455--$87,455
Interest$25,801--$25,801
Fees for Services Accounting$850$850-$1,700
Insurance$1,612--$1,612
Other Expenses$110,000$161-$161
Total Functional Expenses$225,718$1,011$0$226,729
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
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-Board MemberLoan Interest PaidNo$11,917
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Annual disclosure for covered persons
Yes
Audit committee
Yes
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, Page 6, Part VI, Line 11B

“The form 990 is prepared by a cpa. The draft form is reviewed by the board treasurer and forwarded to all board of director members prior to filing.”

Form 990, Page 6, Part VI, Line 12C

“All board of directors members are subject to the organization's conflict of interest policy that is included in the bylaws. The organization inquires at the beginning of every board meeting whether any board member has a conflict of interest. If a conflict exists, the board member will leave the meeting unless a majority of the remaining board members requests they stay. In addition, the board member is asked to refrain from participating in any deliberations or decisions surrounding the subject matter of the conflict.”

Form 990, Page 6, Part VI, Line 15A

“This is not applicable as the organization has no paid employees.”

Form 990, Page 6, Part VI, Line 15B

“This is not applicable as the organization has no paid employees.”

Form 990, Page 6, Part VI, Line 19

“The governing documents, conflicts of interest policy, and financial statements are made available to the public upon request.”

Filing and Contact Details

Filer

Filer Name
Custer Community Health Services
EIN
46-0394172
Phone
6056732707
Address
PO BOX 105, CUSTER, SD 57730

Signing Officer

Name
Pat Walker
Title
Chairman
Phone
6056732707
Signed
2016-01-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Pat Walker
Formed
1987
Legal Domicile
Sd
Voting Board Members
7
Independent Board Members
6
Employees
0

Preparer

Firm
Ketel Thorstenson Llp
Address
PO BOX 3140, RAPID CITY, SD 57709-3140
Preparer
Jean Smith CPA
Phone
6053425630
Supplemental Narrative

Additional Explanations

FORM 990 - ORGANIZATION'S MISSION

“The organization provides facilities for hospital services and assisted living in rural south dakota. The organization owns and has a management agreement with regional health network inc. (rhn) to manage and operate four facilities: custer regional hospital, custer regional medical clinic, wedgwood regional senior care and custer regional senior care.”

Raw XML Appendix358 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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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0A HISTORIC AND CONTINUING RELATIONSHIP EXISTS BETWEEN REGIONAL HEALTH NETWORK, INC. (RHN) AND CUSTER COMMUNITY HEALTH SERVICES (THE ORGANIZATION). FOR OVER 20 YEARS, 100% OF THE ORGANIZATION'S ACTIVITY HAS BEEN TO MAINTAIN AND LEASE FACILITIES TO RHN FOR USE IN THEIR EXEMPT PURPOSE (HEALTHCARE). NO OTHER ACTIVITIES ARE CONDUCTED BY THE ORGANIZATION.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt1TWO BOARD MEMBERS OF THE ORGANIZATION SERVE ON THE BOARD OF DIRECTORS OF RHN. THUS, THE ORGANIZATION IS DEEMED TO HAVE A SIGNIFICANT VOICE IN THE OPERATIONS OF RHN, TO INCLUDE ITS INVESTMENT POLICIES AND THE USE OF ITS ASSETS AND INCOME.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt2AS 100% OF THE ORGANIZATION'S ASSETS ARE LEASED TO RHN FOR USE IN OPERATIONS, THIS DIRECTLY FURTHERS RHN'S EXEMPT PURPOSE - THE FACILITIES ARE USED TO PROVIDE HEALTHCARE.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt3IF THE ORGANIZATION DID NOT MAINTAIN AND PROVIDE THE FACILITIES, RHN WOULD HAVE TO FIND ALTERNATE FACILITIES IN WHICH TO CONDUCT ITS HEALTHCARE ACTIVITIES.
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IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc2PART IV, SECTION E, LINE 2A
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc3PART IV, SECTION E, LINE 2B
IRS990ScheduleA/OtherSupportSumAmt00
IRS990ScheduleA/SupportedOrganizationsCnt01
IRS990ScheduleA/SupportedOrganizationsTotalCnt01
IRS990ScheduleA/SupportedOrgInformationGrp/EIN0460360899
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd0false
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd03
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt0226729
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0REGIONAL HEALTH NETWORK INC
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType3FuncIntInd0X
IRS990ScheduleA/SupportSumAmt0226729
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleD/BuildingsGrp/BookValueAmt01953895
IRS990ScheduleD/BuildingsGrp/DepreciationAmt01541437
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt03495332
IRS990ScheduleD/EquipmentGrp/BookValueAmt013287
IRS990ScheduleD/EquipmentGrp/DepreciationAmt0317828
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt0331115
IRS990ScheduleD/LandGrp/BookValueAmt084820
IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt084820
IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt02501
IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt012412
IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt014913
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt01437
IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt01437
IRS990ScheduleD/TotalBookValueLandBuildingsAmt02054503
IRS990/ScheduleJRequiredInd0false
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/NameOfInterested/BusinessName/BusinessNameLine1Txt0PAT WALKER PRES FIRST INTERSTATEBK
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/RelationshipDescriptionTxt0BOARD MEMBER
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/SharingOfRevenuesInd0false
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionAmt011917
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionDesc0LOAN INTEREST PAID
IRS990ScheduleL/SupplementalInformationDetail/ExplanationTxt0PAT WALKER RETIRED AS PRESIDENT OF FIRST INTERSTATE BANK ON 12/31/11, BUT CONTINUED TO SERVE ON THE BANK'S BOARD OF DIRECTORS. ACCORDINGLY, THIS CONTINUES TO BE A REPORTABLE TRANSACTION.
IRS990ScheduleL/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE L, PART V
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION PROVIDES FACILITIES FOR HOSPITAL SERVICES AND ASSISTED LIVING IN RURAL SOUTH DAKOTA. THE ORGANIZATION OWNS AND HAS A MANAGEMENT AGREEMENT WITH REGIONAL HEALTH NETWORK INC. (RHN) TO MANAGE AND OPERATE FOUR FACILITIES: CUSTER REGIONAL HOSPITAL, CUSTER REGIONAL MEDICAL CLINIC, WEDGWOOD REGIONAL SENIOR CARE AND CUSTER REGIONAL SENIOR CARE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE FORM 990 IS PREPARED BY A CPA. THE DRAFT FORM IS REVIEWED BY THE BOARD TREASURER AND FORWARDED TO ALL BOARD OF DIRECTOR MEMBERS PRIOR TO FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2ALL BOARD OF DIRECTORS MEMBERS ARE SUBJECT TO THE ORGANIZATION'S CONFLICT OF INTEREST POLICY THAT IS INCLUDED IN THE BYLAWS. THE ORGANIZATION INQUIRES AT THE BEGINNING OF EVERY BOARD MEETING WHETHER ANY BOARD MEMBER HAS A CONFLICT OF INTEREST. IF A CONFLICT EXISTS, THE BOARD MEMBER WILL LEAVE THE MEETING UNLESS A MAJORITY OF THE REMAINING BOARD MEMBERS REQUESTS THEY STAY. IN ADDITION, THE BOARD MEMBER IS ASKED TO REFRAIN FROM PARTICIPATING IN ANY DELIBERATIONS OR DECISIONS SURROUNDING THE SUBJECT MATTER OF THE CONFLICT.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THIS IS NOT APPLICABLE AS THE ORGANIZATION HAS NO PAID EMPLOYEES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THIS IS NOT APPLICABLE AS THE ORGANIZATION HAS NO PAID EMPLOYEES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990 - ORGANIZATION'S MISSION
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 15A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PAGE 6, PART VI, LINE 15B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PAGE 6, PART VI, LINE 19
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt02369516
IRS990/TotalAssetsEOYAmt02316336
IRS990/TotalAssetsGrp/BOYAmt02369516
IRS990/TotalAssetsGrp/EOYAmt02316336
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt01011
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0225718
IRS990/TotalFunctionalExpensesGrp/TotalAmt0226729
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0494716
IRS990/TotalLiabilitiesEOYAmt0461145
IRS990/TotalLiabilitiesGrp/BOYAmt0494716
IRS990/TotalLiabilitiesGrp/EOYAmt0461145
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt01874800
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt01855191
IRS990/TotalProgramServiceExpensesAmt0225718
IRS990/TotalRevenueGrp/ExclusionAmt0239
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0206881
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0207120
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt02369516
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt02316336
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UnrestrictedNetAssetsGrp/BOYAmt01874800
IRS990/UnrestrictedNetAssetsGrp/EOYAmt01855191
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0PO BOX 105
IRS990/USAddress/CityNm0CUSTER
IRS990/USAddress/StateAbbreviationCd0SD
IRS990/USAddress/ZIPCd057730
IRS990/VotingMembersGoverningBodyCnt07
IRS990/VotingMembersIndependentCnt06
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02016-04-25 22:37:26Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0PAT WALKER
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CHAIRMAN
ReturnHeader/BusinessOfficerGrp/PhoneNum06056732707
ReturnHeader/BusinessOfficerGrp/SignatureDt02016-01-14
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0CUSTER COMMUNITY HEALTH SERVICES
ReturnHeader/Filer/BusinessNameControlTxt0CUST
ReturnHeader/Filer/EIN0460394172
ReturnHeader/Filer/PhoneNum06056732707
ReturnHeader/Filer/USAddress/AddressLine1Txt0PO BOX 105
ReturnHeader/Filer/USAddress/CityNm0CUSTER
ReturnHeader/Filer/USAddress/StateAbbreviationCd0SD
ReturnHeader/Filer/USAddress/ZIPCd057730
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0460257538
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0KETEL THORSTENSON LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0PO BOX 3140
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0RAPID CITY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0SD
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0577093140
ReturnHeader/PreparerPersonGrp/PhoneNum06053425630
ReturnHeader/PreparerPersonGrp/PreparationDt02016-01-14
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0JEAN SMITH CPA
ReturnHeader/ReturnTs02016-01-14T14:55:47-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02014-07-01
ReturnHeader/TaxPeriodEndDt02015-06-30
ReturnHeader/TaxYr02014

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