Civic Intelligence

Fall River Health Services

990 • Fiscal year 2017 • EIN 46-0450523

Jan 01, 2017 to Dec 31, 2017 • Filed on Aug 22, 2018

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

80th percentile

0.65x

Higher debt load relative to assets than 80% of similar nonprofits.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2017

Liabilities / Revenue

77th percentile

1.01x

Higher debt load relative to revenue than 77% of similar nonprofits.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2017

Net Margin

60th percentile

6.0%

Higher net margin than 60% of similar nonprofits.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2017

Top Officer Pay

71st percentile

$350,498

Higher top officer pay than 71% of similar nonprofits.

Top officer pay equals 1.7% of source-year revenue.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2017

Asset Growth

41st percentile

2.6%

Faster asset growth than 41% of similar nonprofits.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2016 to 2017

Revenue Growth

45th percentile

3.3%

Faster revenue growth than 45% of similar nonprofits.

2017 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2016 to 2017

Assets

Up

$32,135,387

Up $817,776 (+2.6%) from 2016

Net Assets

Up

$11,172,202

Up $1,248,691 (+13%) from 2016

Liabilities

Down

$20,963,185

Down $430,915 (-2.0%) from 2016

Revenue

Up

$20,680,958

Up $662,746 (+3.3%) from 2016

Expenses

Up

$19,432,267

Up $709,280 (+3.8%) from 2016

Net Income

Down

$1,248,691

Down $46,534 (-3.6%) from 2016

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

2017

Assets$32,135,387
Liabilities$20,963,185
Net Assets$11,172,202

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

2017

Revenue$20,680,958
Expenses$19,432,267
Net Income$1,248,691
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Aug 22, 2018
Return Version
2017v2.3
Gross Receipts
$20,680,958
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$18,392,520$16,957,959▼ $1,434,561
Cash and Non-Interest-Bearing Accounts$5,311,388$6,947,208▲ $1,635,820
Savings and Temporary Cash Investments$3,978,209$4,363,234▲ $385,025
Accounts Receivable$2,892,362$2,667,908▼ $224,454
Inventories for Sale or Use$224,166$280,669▲ $56,503
Prepaid Expenses and Deferred Charges$161,867$187,742▲ $25,875
Total Assets$31,317,611$32,135,387▲ $817,776
Other Assets Total$357,099$730,667▲ $373,568
Liabilities
Mortgage Notes Payable Secured by Investment Property$20,820,429$20,189,460▼ $630,969
Accounts Payable and Accrued Expenses$1,316,095$1,492,965▲ $176,870
Other Liabilities$-742,424$-719,240▲ $23,184
Total Liabilities$21,394,100$20,963,185▼ $430,915
Net Assets / Fund Balance
Unrestricted Net Assets$9,923,511$11,172,202▲ $1,248,691
Total Net Assets Fund Balance$9,923,511$11,172,202▲ $1,248,691
Total Liabilities and Net Assets / Fund Balance$31,317,611$32,135,387▲ $817,776

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$14,947,709$8,694,074$23,641,783
Equipment$850,250$3,521,742$4,371,992
Land$1,160,000-$1,160,000

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2017$2,280,777$536,757▲ $2,264$222,156$2,597,642
2016$2,047,648$512,705▲ $1,464$278,840$2,280,777
2015$1,717,577$522,212▲ $1,623$193,764$2,047,648
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
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Dr Avery SidesPhysicianFT$323,666$63,799$350,498
Dr Christopher RobbinsPhysicianFT$194,370$25,758$258,169
Dr Brian WilsonPhysicianFT$225,878$7,893$251,636
Dr Rodney LarsonPhysicianFT$181,022$9,819$188,915
Tricia UhlirCEOFT$154,219$52,344$179,731
Shelly GardnerPharmacy DirectorFT$144,990$9,819$154,809
Jesse NazeCFOFT$93,029$16,064$109,093

Board Members and Trustees

NameTitle
Rich OlstadPresident
Barb BognerMember
Barb MillerMember
Garry StrauserMember
Randall MeyersMember
Steven WyniaMember
Anna MerrillTreasurer
Rich NelsonVice Preside

Highest Paid Contractors

ContractorServicesLocationCompensation
Barry Bender MdEr Coverage11499 BRIDGER CANYON TRAIL, Spearfish, SD 57783$302,810
Dr Paul Swisher MdEr Coverage19768 HUNTER ROAD, Spearfish, SD 57783$203,580
Dr Curtis LiedtkeEr Coverage8329 BLACKBERG MT RD, Sturgis, SD 57785$168,935
Revenue and Support

Revenue Composition

Contributions and Grants
$168,687
Program Service Revenue
$20,262,617
Investment Income
$19,802
Other Revenue
$229,852
All Other Contributions
$140,228
Change in Net Assets
$1,248,691

Audited Revenue Reconciliation

Revenue per Audited Statements
$20,680,958
Total Revenue per Audited Statements
$20,680,958
Total Revenue per Form 990
$20,680,958
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$11,072,651
Other Expenses$8,359,616
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$7,940,993$1,029,241-$8,970,234
Fees for Services Other$1,795,727$287,710-$2,083,437
Depreciation Depletion$1,670,455--$1,670,455
Interest$1,380,245--$1,380,245
Other Employee Benefits$912,151$192,368-$1,104,519
Payroll Taxes$544,689$88,398-$633,087
All Other Expenses$434,348$63,979-$498,327
Occupancy$414,228--$414,228
Insurance-$312,297-$312,297
Current Officers, Directors, Trustees, and Key Employees-$247,248-$247,248
Other Expenses$177,838$24,841-$177,838
Pension Plan Contributions$91,764$25,799-$117,563
Office Expenses$1,567$71,402-$72,969
Advertising$22,197$17,403-$39,600
Fees for Services Accounting-$34,363-$34,363
Conferences and Meetings$25,942$7,127-$33,069
Travel$13,532$16,460-$29,992
Fees for Services Legal-$20,755-$20,755
Total Functional Expenses$16,958,513$2,473,754$0$19,432,267

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$19,432,267
Total Expenses per Audited Statements$19,432,267
Total Expenses per Form 990$19,432,267
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$54,511
Debra NazeFamily MemberEmployee of HospitalNo$46,143
Kathy MeyersFamily MemberEmployee of HospitalNo$45,797
Barb MillerBusinessBod MemberNo-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Deferred Contractuals Ehr$47,235
Est Third Party Payor Settlements$10,000
Deferred Financing Cost$-776,475
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
2018-08-22
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Tricia Uhlir
Formed
1998
Legal Domicile
Sd
Voting Board Members
8
Independent Board Members
5
Employees
271
Volunteers
17

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 8 board members who serve in a volunteer capacity.

Form 990, Part IX, Line 11G

Med/surg purchased services 46,629 0 0 med/surg contract labor -375 0 0 ltc-skilled nursing consultin 367 0 0 ltc-skilled nursing legal fee 144 0 0 ltc-skilled nursing physician 3,017 0 0 ltc-skilled nursing purchased 25,678 0 0 ltc-skilled nursing contract 45 0 0 respiratory care purchased se 3,684 0 0 surgery purchased services 11,791 0 0 surgery contract labor 43,750 0 0 emergency purchased services 1,440 0 0 physicians contract labor 649,974 0 0 laboratory purchased services 318,941 0 0 sleep center purchased servic 37,670 0 0 med image-purchased services 150,360 0 0 med image-us contract labor 23,515 0 0 pharmacy purchased services 175,968 0 0 pharmacy software fee 3,194 0 0 pharmacy contract labor 1,775 0 0 crna's contract labor 36,425 0 0 physical therapy purchased se 253 0 0 occup therapy purchased servi 1,140 0 0 occup therapy contract labor 125,901 0 0 speech therapy contract labor 49,235 0 0 ekg purchased services 640 0 0 clinic community purchased 2,342 0 0 clinic community contract lab 80,346 0 0 health info mgt purchased ser 0 7,043 0 plant operations purchased se 1,618 0 0 housekeeping purchased servic 260 0 0 information systems data pros 0 14,393 0 information systems purchased 0 145,900 0 patient accounting purchased 0 23,159 0 administration consulting and 0 14,592 0 admin physician services 0 268 0 administration purchased serv 0 71,552 0 personnel purchased services 0 10,803 0 total 1,795,727 287,710 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, 2017 and 2016, 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, 2017 or 2016.

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IRS990/MissionDesc0THE 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.
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IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt0192368
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IRS990ScheduleC/GrantsOtherOrganizationsInd0false
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IRS990ScheduleC/SupplementalInformationDetail/ExplanationTxt07.40% OF MEMBERSHIP DUES TO THE SOUTH DAKOTA ASSOCIATION OF HEALTHCARE ORGANIZATIONS GOES TO LOBBYING ACTIVITIES.
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IRS990ScheduleD/CYEndwmtFundGrp/ContributionsAmt0536757
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IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/GrantsOrScholarshipsAmt02200
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IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/OtherExpendituresAmt0278840
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IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt01623
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IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/EndYearBalanceAmt01717577
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt01350
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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