Civic Intelligence

Fall River Health Services

990 • Fiscal year 2014 • EIN 46-0450523

Jan 01, 2014 to Dec 31, 2014 • Filed on Aug 07, 2015

1201 Hiway 71 SouthHot Springs, SD 57747

(605) 745-3159

Siviq Scores

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

Liabilities / Assets

84th percentile

0.76x

Higher debt load relative to assets than 84% of similar nonprofits.

2014 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2014

Liabilities / Revenue

84th percentile

1.60x

Higher debt load relative to revenue than 84% of similar nonprofits.

2014 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2014

Net Margin

62nd percentile

7.9%

Higher net margin than 62% of similar nonprofits.

2014 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2014

Top Officer Pay

60th percentile

$283,830

Higher top officer pay than 60% of similar nonprofits.

Top officer pay equals 1.9% of source-year revenue.

2014 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2014

Asset Growth

86th percentile

21%

Faster asset growth than 86% of similar nonprofits.

2014 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2013 to 2014

Revenue Growth

69th percentile

11%

Faster revenue growth than 69% of similar nonprofits.

2014 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2013 to 2014

Assets

Up

$30,444,773

Up $5,183,305 (+21%) from 2013

Net Assets

Up

$7,162,573

Up $1,146,291 (+19%) from 2013

Liabilities

Up

$23,282,200

Up $4,037,014 (+21%) from 2013

Revenue

Up

$14,594,028

Up $1,428,741 (+11%) from 2013

Expenses

Up

$13,447,737

Up $1,211,026 (+9.9%) from 2013

Net Income

Up

$1,146,291

Up $217,715 (+23%) from 2013

Historical Trend

Balance Sheet Trend

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

$60M$40M$20M$0Assets 2010: $24,319,683Liabilities 2010: $19,949,423Net Assets 2010: $4,370,2602010Assets 2011: $23,818,589Liabilities 2011: $19,476,667Net Assets 2011: $4,341,9222011Assets 2012: $24,352,954Liabilities 2012: $19,265,248Net Assets 2012: $5,087,7062012Assets 2013: $25,261,468Liabilities 2013: $19,245,186Net Assets 2013: $6,016,2822013Assets 2014: $30,444,773Liabilities 2014: $23,282,200Net Assets 2014: $7,162,5732014Assets 2015: $31,432,698Liabilities 2015: $22,804,412Net Assets 2015: $8,628,2862015Assets 2016: $31,317,611Liabilities 2016: $21,394,100Net Assets 2016: $9,923,5112016Assets 2017: $32,135,387Liabilities 2017: $20,963,185Net Assets 2017: $11,172,2022017Assets 2018: $31,978,393Liabilities 2018: $20,805,172Net Assets 2018: $11,173,2212018Assets 2019: $31,896,422Liabilities 2019: $20,131,135Net Assets 2019: $11,765,2872019Assets 2020: $41,872,400Liabilities 2020: $30,170,287Net Assets 2020: $11,702,1132020Assets 2021: $41,959,122Liabilities 2021: $23,678,514Net Assets 2021: $18,280,6082021Assets 2022: $40,664,163Liabilities 2022: $18,737,529Net Assets 2022: $21,926,6342022Assets 2023: $39,718,311Liabilities 2023: $16,979,593Net Assets 2023: $22,738,7182023Assets 2024: $40,836,608Liabilities 2024: $17,070,768Net Assets 2024: $23,765,8402024

Highlighted filing

2014

Assets$30,444,773
Liabilities$23,282,200
Net Assets$7,162,573

Operations Trend

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

$40M$30M$20M$10M$0-$10MExpenses 2010: $11,870,2682010Expenses 2011: $12,701,0592011Expenses 2012: $12,403,2202012Revenue 2013: $13,165,287Expenses 2013: $12,236,711Net Income 2013: $928,5762013Revenue 2014: $14,594,028Expenses 2014: $13,447,737Net Income 2014: $1,146,2912014Revenue 2015: $18,218,294Expenses 2015: $16,752,581Net Income 2015: $1,465,7132015Revenue 2016: $20,018,212Expenses 2016: $18,722,987Net Income 2016: $1,295,2252016Revenue 2017: $20,680,958Expenses 2017: $19,432,267Net Income 2017: $1,248,6912017Revenue 2018: $21,734,443Expenses 2018: $21,733,424Net Income 2018: $1,0192018Revenue 2019: $22,695,886Expenses 2019: $22,103,820Net Income 2019: $592,0662019Revenue 2020: $24,280,290Expenses 2020: $24,343,464Net Income 2020: -$63,1742020Revenue 2021: $31,885,192Expenses 2021: $25,306,697Net Income 2021: $6,578,4952021Revenue 2022: $31,937,014Expenses 2022: $28,290,988Net Income 2022: $3,646,0262022Revenue 2023: $30,913,095Expenses 2023: $30,101,011Net Income 2023: $812,0842023Revenue 2024: $33,103,247Expenses 2024: $32,076,125Net Income 2024: $1,027,1222024

Highlighted filing

2014

Revenue$14,594,028
Expenses$13,447,737
Net Income$1,146,291
Jump To
Filing Snapshot
Filing Period
Jan 1, 2014 to Dec 31, 2014
Signed
Aug 7, 2015
Return Version
2014v5.0
Gross Receipts
$14,598,996
Mission and Program Overview

Mission

The purposes for which this corporation is organized shall be to create, maintain, and operate a hospital to provide medical care including the treatment of any physical or mental disability or condition, the cost of which may be taken as a deduction under section 213 of the internal revenue code, whether the treatment is performed on an inpatient or outpatient basis.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$16,056,420$20,988,326▲ $4,931,906
Savings and Temporary Cash Investments$3,172,902$3,312,913▲ $140,011
Accounts Receivable$2,147,782$3,310,017▲ $1,162,235
Cash and Non-Interest-Bearing Accounts$2,441,049$1,354,575▼ $1,086,474
Inventories for Sale or Use$211,776$200,962▼ $10,814
Prepaid Expenses and Deferred Charges$96,115$113,573▲ $17,458
Total Assets$25,261,468$30,444,773▲ $5,183,305
Other Assets Total$1,135,424$1,164,407▲ $28,983
Liabilities
Mortgage Notes Payable Secured by Investment Property$17,984,931$20,447,056▲ $2,462,125
Accounts Payable and Accrued Expenses$1,091,259$2,634,932▲ $1,543,673
Other Liabilities$168,996$200,212▲ $31,216
Total Liabilities$19,245,186$23,282,200▲ $4,037,014
Net Assets / Fund Balance
Unrestricted Net Assets$5,767,652$7,160,373▲ $1,392,721
Temporarily Rstr Net Assets$248,630$2,200▼ $246,430
Total Net Assets Fund Balance$6,016,282$7,162,573▲ $1,146,291
Total Liabilities and Net Assets / Fund Balance$25,261,468$30,444,773▲ $5,183,305

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$18,717,869$5,045,587$23,763,456
Equipment$1,110,457$2,238,977$3,349,434
Land$1,160,000-$1,160,000

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2014$1,614,533$605,277▲ $1,350$503,583$1,717,577
2013$1,226,639$592,858▲ $1,019$205,983$1,614,533
2012$675,284$702,233▲ $824$151,702$1,226,639
2011$357,621$433,116▲ $873$116,326$675,284
2010-$357,621--$357,621
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Dr Christopher RobbinsPhysicianFT$218,278$65,552$283,830
Dr Rodney LarsonPhysicianFT$165,215$57,501$222,716
Tricia UhlirCEOFT$132,543$10,237$142,780
Shelly GardnerPharmacistFT$122,812$6,579$129,391
Timothy RipleyRnFT$104,171$6,691$110,862
Jesse NazeCFOFT$72,390$14,002$86,392
Mary PufferLtc COOFT$884-$884

Board Members and Trustees

NameTitle
Rich OlstadPresident
Barb BognerMember
Barb MillerMember
Don DevriesMember
Georgia HolmesMember
Randall MeyersMember
Rich NelsonMember
Steven WyniaMember
Jean DonnellSecretary
Anna MerrillTreasurer
Garry StrauserVice Preside

Highest Paid Contractors

ContractorServicesLocationCompensation
Barry Bender MdEr Coverage11499 BRIDGER CANYON TRAIL, Spearfish, SD 57783$218,510
Dr Paul Swisher MdEr Coverage19768 HUNTER ROAD, Spearfish, SD 57783$205,900
Dr Thomas FosterEr Coverage4411 CAMINO NUESTRO, Tucson, AZ 85745$129,150
Revenue and Support

Revenue Composition

Contributions and Grants
$107,050
Program Service Revenue
$14,169,092
Investment Income
$52,075
Other Revenue
$265,811
All Other Contributions
$97,690
Change in Net Assets
$1,146,291

Audited Revenue Reconciliation

Revenue per Audited Statements
$14,552,447
Revenue Not Reported on Financial Statements
$41,581
Other Revenue Adjustments
$41,581
Total Revenue per Audited Statements
$14,552,447
Total Revenue per Form 990
$14,594,028
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$7,068,895
Salaries, Compensation, and Employee Benefits$6,378,842
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$4,663,137$571,967-$5,235,104
Fees for Services Other$1,494,108$297,076-$1,791,184
Depreciation Depletion$1,489,462--$1,489,462
Interest$1,310,444--$1,310,444
Other Employee Benefits$411,205$91,303-$502,508
Payroll Taxes$331,056$53,301-$384,357
All Other Expenses$271,145$47,275-$318,420
Occupancy$294,566--$294,566
Insurance-$270,380-$270,380
Current Officers, Directors, Trustees, and Key Employees-$204,933-$204,933
Other Expenses$119,550$138-$119,550
Pension Plan Contributions$36,107$15,833-$51,940
Office Expenses$1,810$50,110-$51,920
Travel$27,616$10,117-$37,733
Conferences and Meetings$24,946$8,372-$33,318
Advertising$16,739$8,911-$25,650
Fees for Services Legal-$159-$159
Total Functional Expenses$11,769,218$1,678,519$0$13,447,737

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$13,447,737
Total Expenses per Audited Statements$13,447,737
Total Expenses per Form 990$13,447,737
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
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
April OlstadFamily MemberEmployee of HospitalNo$67,338
Debra NazeFamily MemberEmployee of HospitalNo$45,219
Kathy MeyersFamily MemberEmployee of HospitalNo$41,048
Barb MillerBusinessBod MemberNo-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Deferred Contractuals Ehr$200,212
Est Third Party Payor Settlements-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
Yes
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 ceo reviews and approves the completed form 990. A copy of the completed form 990 is available to the board upon request.

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

Board members will sign once a year and discuss possible conflict of interest.

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

The board uses a salary and wage survey prepared by south dakota association of healthcare organization (sdaho) and prior year's salary to determine the compensation for the ceo. The process to determine compensation is performed annually, in executive session of a board meeting. Once the compensation has been determined and agreed to by both parties, the board's president signs the wage increase form.

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

The ceo, human resources manager, and appropriate department head, if applicable, use the wage and salary survey from sdaho to determine what the compensation should be. Once the compensation has been determined and agreed to by both parties, the department heads or the ceo will sign the wage increase form.

Form 990, Page 6, Part VI, Line 19

Appropriate governing documents are made available upon request.

Filing and Contact Details

Filer

Filer Name
Fall River Health Services
EIN
46-0450523
Phone
6057453159
Address
1201 HIWAY 71 SOUTH, HOT SPRINGS, SD 57747

Signing Officer

Name
Tricia Uhlir
Title
CEO
Phone
6057453159
Signed
2015-08-07
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Tricia Uhlir
Formed
1998
Legal Domicile
Sd
Voting Board Members
11
Independent Board Members
7
Employees
200
Volunteers
20

Preparer

Firm
Dohman Akerlund & Eddy LLC
Address
PO BOX 470, AURORA, NE 68818-0470
Preparer
Timothy J Coufal
Phone
4026946404
Supplemental Narrative

Additional Explanations

FORM 990 - ORGANIZATION'S MISSION

The purposes for which this corporation is organized shall be to create, maintain, and operate a hospital to provide medical care including the treatment of any physical or mental disability or condition, the cost of which may be taken as a deduction under section 213 of the internal revenue code, whether the treatment is performed on an inpatient or outpatient basis.

Form 990, Page 1, Part I, Line 6

The organization has 9 volunteers who provide front desk assistance to hospital visitors and patrons eight hours a day, monday through friday, throughout the year. The organization also has 11 board members who serve in a volunteer capacity.

Form 990, Part IX, Line 11G

Med/surg purchased services 26,215 0 0 med/surg contract labor 4,500 0 0 ltc-skilled nursing bed hold 99,702 0 0 surgery purchased services 22,245 0 0 surgery contract labor 31,033 0 0 crna's contract labor 92,820 0 0 med image-purchased services 120,890 0 0 med image-us purchased servi 26,674 0 0 med image-us contract labor 6,632 0 0 laboratory purchased services 112,694 0 0 physical therapy contract lab 77,780 0 0 physical therapy purchased se 2,325 0 0 speech therapy purchased serv 884 0 0 speech therapy contract labor 50,471 0 0 pharmacy purchased services 9,482 0 0 sleep center purchased servic 45,050 0 0 physicians consulting and mgt 7,750 0 0 physicians physician services 3 0 0 physicians purchased services 14,031 0 0 physicians contract labor 35,869 0 0 emergency purchased services 780 0 0 physicians consulting & mgt 225 0 0 physicians physician services 9,500 0 0 physicians contract labor 682,074 0 0 laundry purchased services 355 0 0 plant operations purchased se 14,124 0 0 administration consulting and 0 38,235 0 administration purchased serv 0 6,547 0 patient accounting purchased 0 3,661 0 information systems data pros 0 14,284 0 information systems purchased 0 183,707 0 personnel purchased services 0 17,666 0 health info mgt purchased ser 0 32,865 0 recreational therapy purchase 0 111 0

Financial Statement Notes

Schedule D, Page 3, Part X

Frhs follows financial accounting standards board applicable accounting standards for uncertainties in income taxes and required disclosures thereon. This guidance prescribes a minimum threshold a tax position is required to meet before being recognized on the financial statements. As of december 31, 2014 and 2013, there is no reserve for uncertain tax positions. Frhs has not recognized any interest or penalties in relation to income tax filings as of or for the years ended december 31, 2014 or 2013. Additionally, tax years 2011 to 2014 all remain open and are subject to potential examination by taxing jurisdictions.

Schedule D, Page 4, Part XI, Line 4B

Restricted contributions 49,331 net assets released from restriction -7,750

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Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$40.8$17.1$23.8$33.1$32.1$1.03
2023Detailed filing. Detailed filing data is available for this year.$39.7$17.0$22.7$30.9$30.1$0.81
2022Detailed filing. Detailed filing data is available for this year.$40.7$18.7$21.9$31.9$28.3$3.65
2021Detailed filing. Detailed filing data is available for this year.$42.0$23.7$18.3$31.9$25.3$6.58
2020Detailed filing. Detailed filing data is available for this year.$41.9$30.2$11.7$24.3$24.3$0.06
2019Detailed filing. Detailed filing data is available for this year.$31.9$20.1$11.8$22.7$22.1$0.59
2018Detailed filing. Detailed filing data is available for this year.$32.0$20.8$11.2$21.7$21.7$0.00
2017Detailed filing. Detailed filing data is available for this year.$32.1$21.0$11.2$20.7$19.4$1.25
2016Detailed filing. Detailed filing data is available for this year.$31.3$21.4$9.92$20.0$18.7$1.30
2015Detailed filing. Detailed filing data is available for this year.$31.4$22.8$8.63$18.2$16.8$1.47
2014Detailed filing. Detailed filing data is available for this year.$30.4$23.3$7.16$14.6$13.4$1.15
2013Detailed filing. Detailed filing data is available for this year.$25.3$19.2$6.02$13.2$12.2$0.93
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$24.4$19.3$5.09$12.4
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$23.8$19.5$4.34$12.7
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$24.3$19.9$4.37$11.9