Civic Intelligence

Lemmon Area Medical Association

EIN 46-0401085 • 501(c)3 • Lemmon, SD

Profile

Five counties nursing home is committed to preserving and improving the quality of life for the people we serve.

405 6th Avenue WestLemmon, SD 57638

n/A

Siviq Scores

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

Liabilities / Assets

54th percentile

0.09x

Higher debt load relative to assets than 54% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Liabilities / Revenue

53rd percentile

0.09x

Higher debt load relative to revenue than 53% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Net Margin

29th percentile

-4.7%

Higher net margin than 29% of similar nonprofits.

501(c)3 • $1M-$5M 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

26th percentile

-3.6%

Faster asset growth than 26% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Revenue Growth

26th percentile

-6.0%

Faster revenue growth than 26% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets54th percentile

Assets

Down

$3,796,511

Down $142,270 (-3.6%) from 2023

Liabilities

Down

$337,944

Down $5,317 (-1.5%) from 2023

Net Assets

Down

$3,458,567

Down $136,953 (-3.8%) from 2023

Operations
Liabilities / Revenue53rd percentileNet Margin29th percentile

Revenue

Down

$3,612,059

Down $231,431 (-6.0%) from 2023

Expenses

Down

$3,782,585

Down $19,908 (-0.5%) from 2023

Net Income

Down

-$170,526

Down $211,523 (-516%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth26th percentile

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

$4.0M$3.0M$2.0M$1.0M$0Assets 2010: $2,831,211Liabilities 2010: $1,227,720Net Assets 2010: $1,603,4912010Assets 2011: $2,542,410Liabilities 2011: $1,240,396Net Assets 2011: $1,302,0142011Assets 2012: $2,460,746Liabilities 2012: $1,301,323Net Assets 2012: $1,159,4232012Assets 2013: $2,238,476Liabilities 2013: $1,359,082Net Assets 2013: $879,3942013Assets 2014: $1,945,873Liabilities 2014: $1,489,346Net Assets 2014: $456,5272014Assets 2015: $1,803,252Liabilities 2015: $1,368,655Net Assets 2015: $434,5972015Assets 2016: $1,700,465Liabilities 2016: $1,180,118Net Assets 2016: $520,3472016Assets 2017: $2,069,087Liabilities 2017: $1,163,829Net Assets 2017: $905,2582017Assets 2018: $1,991,380Liabilities 2018: $947,913Net Assets 2018: $1,043,4672018Assets 2019: $2,112,760Liabilities 2019: $937,694Net Assets 2019: $1,175,0662019Assets 2020: $2,464,602Liabilities 2020: $727,902Net Assets 2020: $1,736,7002020Assets 2021: $3,340,857Liabilities 2021: $286,134Net Assets 2021: $3,054,7232021Assets 2022: $3,794,028Liabilities 2022: $281,016Net Assets 2022: $3,513,0122022Assets 2023: $3,938,781Liabilities 2023: $343,261Net Assets 2023: $3,595,5202023Assets 2024: $3,796,511Liabilities 2024: $337,944Net Assets 2024: $3,458,5672024

Highlighted filing

2024

Assets$3,796,511
Liabilities$337,944
Net Assets$3,458,567
Open 2024 Filing

Operations Trend

Revenue Growth26th percentile

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

$6.0M$4.0M$2.0M$0-$2.0MExpenses 2010: $2,663,7532010Expenses 2011: $2,986,5542011Expenses 2012: $2,933,4402012Expenses 2013: $3,010,3742013Revenue 2014: $2,550,676Expenses 2014: $2,973,542Net Income 2014: -$422,8662014Revenue 2015: $3,268,819Expenses 2015: $3,278,457Net Income 2015: -$9,6382015Revenue 2016: $3,272,617Expenses 2016: $3,204,381Net Income 2016: $68,2362016Revenue 2017: $3,316,387Expenses 2017: $2,951,484Net Income 2017: $364,9032017Revenue 2018: $2,710,353Expenses 2018: $2,650,589Net Income 2018: $59,7642018Revenue 2019: $3,040,958Expenses 2019: $2,917,757Net Income 2019: $123,2012019Revenue 2020: $3,498,582Expenses 2020: $2,967,519Net Income 2020: $531,0632020Revenue 2021: $4,537,312Expenses 2021: $3,260,650Net Income 2021: $1,276,6622021Revenue 2022: $4,150,406Expenses 2022: $3,648,797Net Income 2022: $501,6092022Revenue 2023: $3,843,490Expenses 2023: $3,802,493Net Income 2023: $40,9972023Revenue 2024: $3,612,059Expenses 2024: $3,782,585Net Income 2024: -$170,5262024

Highlighted filing

2024

Revenue$3,612,059
Expenses$3,782,585
Net Income-$170,526
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$3,796,511
Liabilities
$337,944
Net assets
$3,458,567
Revenue
$3,612,059
Expenses
$3,782,585
Net income
-$170,526
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.80$0.34$3.46$3.61$3.78$0.17
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.94$0.34$3.60$3.84$3.80$0.04
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.79$0.28$3.51$4.15$3.65$0.50
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.34$0.29$3.05$4.54$3.26$1.28
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.46$0.73$1.74$3.50$2.97$0.53
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.11$0.94$1.18$3.04$2.92$0.12
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.99$0.95$1.04$2.71$2.65$0.06
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.07$1.16$0.91$3.32$2.95$0.36
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.70$1.18$0.52$3.27$3.20$0.07
2015Detailed filing. Detailed filing data is available for this year.$1.80$1.37$0.43$3.27$3.28$0.01
2014Detailed filing. Detailed filing data is available for this year.$1.95$1.49$0.46$2.55$2.97$0.42
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.24$1.36$0.88$3.01
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.46$1.30$1.16$2.93
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.54$1.24$1.30$2.99
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.83$1.23$1.60$2.66
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Jul 11, 2025
Return Version
2023v6.0
Gross Receipts
$3,612,059
Mission and Program Overview

Mission

Five counties nursing home is committed to preserving and improving the quality of life for the people we serve.

To provide health care to the residents of lemmon, south dakota

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$1,874,612$1,798,095▼ $76,517
Land, Buildings, and Equipment, Net$1,053,243$1,075,085▲ $21,842
Accounts Receivable$606,935$389,755▼ $217,180
Investments Other Securities$247,217$262,567▲ $15,350
Cash and Non-Interest-Bearing Accounts$61,912$138,668▲ $76,756
Investments in Publicly Traded Securities$49,314$49,314→ $0
Prepaid Expenses and Deferred Charges$11,747$49,226▲ $37,479
Inventories for Sale or Use$33,801$33,801→ $0
Total Assets$3,938,781$3,796,511▼ $142,270
Liabilities
Accounts Payable and Accrued Expenses$217,275$278,886▲ $61,611
Mortgage Notes Payable Secured by Investment Property$123,270$52,830▼ $70,440
Escrow Account Liability$2,716$6,228▲ $3,512
Total Liabilities$343,261$337,944▼ $5,317
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$3,309,035$3,143,494▼ $165,541
Net Assets With Donor Restrictions$286,485$315,073▲ $28,588
Total Net Assets Fund Balance$3,595,520$3,458,567▼ $136,953
Total Liabilities and Net Assets / Fund Balance$3,938,781$3,796,511▼ $142,270

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$357,607$2,080,883$2,438,490
Equipment$668,969$1,480,447$2,149,416
Other Land Buildings$43,672$100,280$143,952
Land$4,837-$4,837
Other Securities$217,843--
Closely Held Equity Interests$44,724--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2023$190,674$200▲ $28,773-$217,843
2022$168,789-▲ $23,109-$190,674
2021$236,855-▼ $29,582$36,500$168,789
2020$215,260-▲ $30,367-$236,855
2019$196,303-▲ $20,777-$215,260
Compensation and Service Providers
Top Officer PayScore unavailable

Employees

NameTitleFull / Part TimeBaseTotal
Jordan FishAdministrator (beg Dec 2023)FT$5,769$5,769

Board Members and Trustees

NameTitle
Mark EvansPresident
Tim HeilVice President
Kayla AndersonBoard Member
Susan GunnBoard Member
Travis MaierBoard Member
Kori DauwenSecretary
Lyndsey WheelerTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Aureus Nursing LLCContract StaffingPO BOX 850854, Minneapolis, MN 55485$452,455
Medical SolutionsContract Staffing1010 N 102ND STREET SUITE 300, Omaha, NE 68114$180,491
105 Services LLCBuilding Repairs14205 72ND AVE NE, Surrey, ND 58785$168,571
Dtn StaffingContract Staffing1200 COLLINS AVE, Mandan, ND 58554$134,137
Ha Thompson & SonsBuilding RepairsPO BOX 1195, Bismarck, ND 58502$117,142
Revenue and Support

Revenue Composition

Contributions and Grants
$34,455
Program Service Revenue
$3,449,133
Investment Income
$87,515
Other Revenue
$40,956
All Other Contributions
$14,455
Change in Net Assets
$-170,526
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$2,282,354
Salaries, Compensation, and Employee Benefits$1,500,231
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$1,333,729$151,619-$1,485,348
Other Salaries and Wages$788,076$411,095-$1,199,171
Other Employee Benefits$102,305$54,833-$157,138
Occupancy$92,667$30,889-$123,556
Payroll Taxes$60,475$34,940-$95,415
Depreciation Depletion$70,395$23,465-$93,860
Insurance$40,754$30,797-$71,551
Current Officers, Directors, Trustees, and Key Employees-$48,507-$48,507
Fees for Services Management-$48,349-$48,349
Information Technology$700$35,441-$36,141
Office Expenses-$32,908-$32,908
Fees for Services Accounting-$18,983-$18,983
Other Expenses$14,705$593-$15,298
Travel$12,099--$12,099
Total Functional Expenses$2,822,028$960,557$0$3,782,585
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
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
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

“The association does not have committees with broad authority to act on behalf of the governing board.”

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

“The administrator reviews the 990 in detail. After the administrator's 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 members has been given a copy of it and given ample time to review it.”

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

“Board members, department heads, and the administrator are covered by the policy. Any potential conflicts are directed to the secretary. The board of directors determines whether a conflict exists. If the person with the conflict is a board member, that person is required to leave the meeting during the discussion. If a conflict exists, the board member involved is required to abstain from voting.”

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

“The organization uses salary information provided by south dakota association of healthcare organizations (sdaho) to determine the appropriate level of compensation for the administrator. The administrator's compensation does not exceed the amount determined by sdaho surveys. Minutes are kept regarding the discussion, deliberation, and determination of the administrator's salary. The process for determining compensation was last undertaken in 2018.”

Form 990, Part VI, Section C, Line 19

“The conflict of interest policy, bylaws, and articles of incorporation are available to the general public upon request. The financial statements are not available to the general public.”

Filing and Contact Details

Filer

Filer Name
Lemmon Area Medical Association
EIN
46-0401085
Phone
6053743871
Address
405 6TH AVENUE WEST, LEMMON, SD 57638
Doing Business As
Five Counties Nursing Home

Signing Officer

Name
Jordan Fish
Title
Administrator
Phone
6053743871
Signed
2025-07-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jordan Fish
Formed
1952
Legal Domicile
Sd
Voting Board Members
7
Independent Board Members
7
Employees
72
Volunteers
15

Preparer

Firm
Casey Peterson Ltd
Address
909 ST JOSEPH ST STE 101, RAPID CITY, SD 57701
Preparer
Kayla Giesey CPA
Phone
6053481930
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

“Professional services: program service expenses 1,333,729. Management and general expenses 151,619. Fundraising expenses 0. Total expenses 1,485,348.”

FORM 990, PART XII, LINE 2C:

“This process has not changed from the previous year.”

Financial Statement Notes

PART IV, LINE 2B:

“The liability account reflects the amounts held by the association for nursing home residents to use for personal expenses.”

PART V, LINE 4:

“The income from the endowment fund can be used for purchases of property and equipment. The corpus of $159,823 is to be maintained in perpetuity. The endowment funds are held and administered by south dakota community foundation.”

Raw XML AppendixShowing 400 of 572 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
IRS990/AccountantCompileOrReviewInd01
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IRS990/AccountsPayableAccrExpnssGrp/EOYAmt0278886
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IRS990/AcctCompileOrReviewBasisGrp/SeparateBasisFinclStmtInd0X
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0TO PROVIDE HEALTH CARE TO THE RESIDENTS OF LEMMON, SOUTH DAKOTA
IRS990/AllOtherContributionsAmt014455
IRS990/AnnualDisclosureCoveredPrsnInd01
IRS990/AuditCommitteeInd01
IRS990/BackupWthldComplianceInd01
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IRS990/BooksInCareOfDetail/PhoneNum06053743871
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt0405 6TH AVENUE WEST
IRS990/BooksInCareOfDetail/USAddress/CityNm0LEMMON
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0SD
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IRS990/CompensationProcessOtherInd00
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IRS990/ConservationEasementsInd00
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IRS990/CreditCounselingInd01
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IRS990/Desc0LEMMON AREA MEDICAL ASSOCIATION (THE ASSOCIATION) IS A NONPROFIT ASSOCIATION WHOSE PURPOSE IS TO OPERATE FIVE COUNTIES NURSING HOME AND TO RAISE THE FUNDS NECESSARY FOR ITS OPERATION. FIVE COUNTIES NURSING HOME CONSISTS OF A 42-BED NURSING HOME. FOR THE YEAR ENDED SEPTEMBER 30, 2024, THE ASSOCIATION PROVIDED 12,159 NURSING HOME DAYS OF CARE.
IRS990/DescribedInSection501c3Ind01
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