Civic Intelligence

Fall River Health Services

990 • Fiscal year 2018 • EIN 46-0450523

Jan 01, 2018 to Dec 31, 2018 • Filed on Jun 03, 2019

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.

2018 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2018

Liabilities / Revenue

77th percentile

0.96x

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

2018 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2018

Net Margin

33rd percentile

0.0%

Higher net margin than 33% of similar nonprofits.

2018 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2018

Top Officer Pay

67th percentile

$324,615

Higher top officer pay than 67% of similar nonprofits.

Top officer pay equals 1.5% of source-year revenue.

2018 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2018

Asset Growth

35th percentile

-0.5%

Faster asset growth than 35% of similar nonprofits.

2018 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2017 to 2018

Revenue Growth

51st percentile

5.1%

Faster revenue growth than 51% of similar nonprofits.

2018 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2017 to 2018

Assets

Down

$31,978,393

Down $156,994 (-0.5%) from 2017

Net Assets

Up

$11,173,221

Up $1,019 (+0.0%) from 2017

Liabilities

Down

$20,805,172

Down $158,013 (-0.8%) from 2017

Revenue

Up

$21,734,443

Up $1,053,485 (+5.1%) from 2017

Expenses

Up

$21,733,424

Up $2,301,157 (+12%) from 2017

Net Income

Down

$1,019

Down $1,247,672 (-100%) from 2017

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

2018

Assets$31,978,393
Liabilities$20,805,172
Net Assets$11,173,221

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

2018

Revenue$21,734,443
Expenses$21,733,424
Net Income$1,019
Jump To
Filing Snapshot
Filing Period
Jan 1, 2018 to Dec 31, 2018
Signed
Jun 3, 2019
Return Version
2018v3.1
Gross Receipts
$21,734,443
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$16,957,959$16,490,717▼ $467,242
Cash and Non-Interest-Bearing Accounts$6,947,208$5,268,574▼ $1,678,634
Savings and Temporary Cash Investments$4,363,234$4,782,451▲ $419,217
Accounts Receivable$2,667,908$3,907,384▲ $1,239,476
Inventories for Sale or Use$280,669$312,526▲ $31,857
Prepaid Expenses and Deferred Charges$187,742$256,869▲ $69,127
Total Assets$32,135,387$31,978,393▼ $156,994
Other Assets Total$730,667$959,872▲ $229,205
Liabilities
Mortgage Notes Payable Secured by Investment Property$20,189,460$19,515,769▼ $673,691
Accounts Payable and Accrued Expenses$1,492,965$1,971,834▲ $478,869
Other Liabilities$-719,240$-682,431▲ $36,809
Total Liabilities$20,963,185$20,805,172▼ $158,013
Net Assets / Fund Balance
Unrestricted Net Assets$11,172,202$11,173,221▲ $1,019
Total Net Assets Fund Balance$11,172,202$11,173,221▲ $1,019
Total Liabilities and Net Assets / Fund Balance$32,135,387$31,978,393▼ $156,994

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$13,832,029$9,883,266$23,715,295
Equipment$1,027,814$3,794,401$4,822,215
Land$1,160,000-$1,160,000
Other Land Buildings$470,874-$470,874

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2018$2,597,642$567,302▲ $2,587$226,847$2,940,684
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
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Dr Avery SidesPhysicianFT$305,742$14,426$324,615
Dr Christopher RobbinsPhysicianFT$216,704$32,583$275,520
Dr Brian WilsonPhysicianFT$233,979$32,560$272,715
Tricia UhlirCEOFT$200,021$41,959$231,357
Shelly GardnerOutpatient SFT$150,153$17,088$167,241
Shelly GardnerOutpatient Services-$150,153$17,088$167,241
Jesse NazeCFOFT$140,509$46,469$160,745
Suzanne KoppPharmdFT$137,786$18,165$155,951

Board Members and Trustees

NameTitle
Rich OlstadPresident
Barb BognerMember
Barb MillerMember
Cheryl TheuschMember
Garry StrauserMember
Ina WinterMember
Laura TarrellMember
Sally RallMember
Anna MerrillTreasurer
Rich NelsonVice Preside

Highest Paid Contractors

ContractorServicesLocationCompensation
Barry Bender MdEr Coverage11499 BRIDGER CANYON TRAIL, Spearfish, SD 57783$306,846
Rodney Larson MdEr Coverage1210 KINGS ROAD, Rapid City, SD 57702$224,670
Dr Paul Swisher MdEr Coverage19768 HUNTER ROAD, Spearfish, SD 57783$202,400
Revenue and Support

Revenue Composition

Contributions and Grants
$60,552
Program Service Revenue
$21,387,100
Investment Income
$34,537
Other Revenue
$252,254
All Other Contributions
$35,467
Change in Net Assets
$1,019

Audited Revenue Reconciliation

Revenue per Audited Statements
$21,734,443
Total Revenue per Audited Statements
$21,734,443
Total Revenue per Form 990
$21,734,443
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$12,235,440
Other Expenses$9,497,984
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$8,470,415$1,080,729-$9,551,144
Fees for Services Other$1,983,897$951,962-$2,935,859
Depreciation Depletion$1,532,384--$1,532,384
Other Employee Benefits$1,281,004$240,972-$1,521,976
Interest$1,337,523--$1,337,523
Payroll Taxes$597,277$99,078-$696,355
All Other Expenses$534,115$122,576-$656,691
Occupancy$433,428--$433,428
Current Officers, Directors, Trustees, and Key Employees-$340,530-$340,530
Insurance-$313,335-$313,335
Other Expenses$197,781$156,857-$197,781
Pension Plan Contributions$91,981$33,454-$125,435
Office Expenses$3,443$75,693-$79,136
Travel$34,992$21,174-$56,166
Conferences and Meetings$24,354$16,154-$40,508
Advertising$17,507$21,921-$39,428
Fees for Services Accounting-$37,156-$37,156
Fees for Services Legal-$7,857-$7,857
Total Functional Expenses$18,161,445$3,571,979$0$21,733,424

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$21,733,424
Total Expenses per Audited Statements$21,733,424
Total Expenses per Form 990$21,733,424
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$67,073
Debra NazeFamily MemberEmployee of HospitalNo$50,557
Barb MillerBusinessBod MemberNo-
Laura TarrellBusinessBod MemberNo-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Deferred Contractuals Ehr$21,551
Est Third Party Payor Settlements$5,000
Deferred Financing Cost$-708,982
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
2019-06-03
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Tricia Uhlir
Formed
1998
Legal Domicile
Sd
Voting Board Members
10
Independent Board Members
7
Employees
289
Volunteers
17

Preparer

Firm
Dohman Akerlund & Eddy LLC
Address
PO BOX 470, AURORA, NE 68818-0470
Preparer
Timothy J Coufal CPA
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 7 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 10 board members who serve in a volunteer capacity.

Form 990, Part IX, Line 11G

Med/surg purchased services 66,664 0 0 med/surg contract labor 5,158 0 0 ltc-skilled nursing physician 6,639 0 0 ltc-skilled nursing purchased 16,848 0 0 ltc-skilled nursing contract 115 0 0 respiratory care purchased se 2,316 0 0 surgery purchased services 13,147 0 0 surgery contract labor 43,700 0 0 emergency purchased services 602 0 0 physicians contract labor 833,177 0 0 laboratory purchased services 299,852 0 0 ekg purchased services 3,889 0 0 sleep center purchased servic 48,140 0 0 med image-purchased services 123,010 0 0 med image-us purchased servi 26,933 0 0 pharmacy purchased services 324,482 0 0 pharmacy contract labor 2,940 0 0 crna's contract labor 27,300 0 0 physical therapy purchased se 276 0 0 occup therapy purchased servi 93 0 0 occup therapy contract labor 21,871 0 0 speech therapy contract labor 49,460 0 0 recreational therapy purchase 260 0 0 clinic community contract lab 62,847 0 0 health info mgt purchased ser 0 661,468 0 dietary purchased services 1,200 0 0 plant operations purchased se 1,635 0 0 housekeeping purchased servic 1,343 0 0 information systems data pros 0 16,040 0 information systems purchased 0 139,134 0 patient accounting purchased 0 22,086 0 administration consulting and 0 3,002 0 administration physician serv 0 1,000 0 admin physician services 0 88 0 administration purchased serv 0 95,132 0 personnel purchased services 0 14,012 0 total 1,983,897 951,962 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, 2018 and 2017, 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, 2018 or 2017.

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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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IRS990ScheduleC/PublicationsOrBroadcastInd0false
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IRS990ScheduleC/SupplementalInformationDetail/ExplanationTxt010.87% OF MEMBERSHIP DUES TO THE SOUTH DAKOTA ASSOCIATION OF HEALTHCARE ORGANIZATIONS GOES TO LOBBYING ACTIVITIES. 2.80% OF LEADING AGE MEMBERSHIP DUES GOES TO LOBBYING ACTIVITIES. 22.73% OF THE AMERICAN HOSPITAL ASSOCIATION MEMBERSHIP DUES GOES TO LOBBYING ACTIVITIES.
IRS990ScheduleC/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE C, PART II-B, LINE 1
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IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt02264
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/OtherExpendituresAmt0222156
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/BeginningYearBalanceAmt02047648

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