Civic Intelligence

Fall River Health Services

990 • Fiscal year 2019 • EIN 46-0450523

Jan 01, 2019 to Dec 31, 2019 • Filed on May 14, 2020

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

79th percentile

0.63x

Higher debt load relative to assets than 79% of similar nonprofits.

2019 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2019

Liabilities / Revenue

75th percentile

0.89x

Higher debt load relative to revenue than 75% of similar nonprofits.

2019 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2019

Net Margin

49th percentile

2.6%

Higher net margin than 49% of similar nonprofits.

2019 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2019

Top Officer Pay

74th percentile

$376,436

Higher top officer pay than 74% of similar nonprofits.

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

2019 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2019

Asset Growth

30th percentile

-0.3%

Faster asset growth than 30% of similar nonprofits.

2019 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2018 to 2019

Revenue Growth

52nd percentile

4.4%

Faster revenue growth than 52% of similar nonprofits.

2019 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2018 to 2019

Assets

Down

$31,896,422

Down $81,971 (-0.3%) from 2018

Net Assets

Up

$11,765,287

Up $592,066 (+5.3%) from 2018

Liabilities

Down

$20,131,135

Down $674,037 (-3.2%) from 2018

Revenue

Up

$22,695,886

Up $961,443 (+4.4%) from 2018

Expenses

Up

$22,103,820

Up $370,396 (+1.7%) from 2018

Net Income

Up

$592,066

Up $591,047 (+58003%) from 2018

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

2019

Assets$31,896,422
Liabilities$20,131,135
Net Assets$11,765,287

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

2019

Revenue$22,695,886
Expenses$22,103,820
Net Income$592,066
Jump To
Filing Snapshot
Filing Period
Jan 1, 2019 to Dec 31, 2019
Signed
May 14, 2020
Return Version
2019v5.0
Gross Receipts
$22,695,886
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$16,490,717$17,527,229▲ $1,036,512
Cash and Non-Interest-Bearing Accounts$5,268,574$5,858,170▲ $589,596
Savings and Temporary Cash Investments$4,782,451$5,129,723▲ $347,272
Accounts Receivable$3,907,384$2,621,010▼ $1,286,374
Inventories for Sale or Use$312,526$270,314▼ $42,212
Prepaid Expenses and Deferred Charges$256,869$147,239▼ $109,630
Total Assets$31,978,393$31,896,422▼ $81,971
Other Assets Total$959,872$342,737▼ $617,135
Liabilities
Mortgage Notes Payable Secured by Investment Property$19,515,769$18,950,178▼ $565,591
Accounts Payable and Accrued Expenses$1,971,834$1,795,730▼ $176,104
Other Liabilities$-682,431$-614,773▲ $67,658
Total Liabilities$20,805,172$20,131,135▼ $674,037
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$11,173,221$11,765,287▲ $592,066
Total Net Assets Fund Balance$11,173,221$11,765,287▲ $592,066
Total Liabilities and Net Assets / Fund Balance$31,978,393$31,896,422▼ $81,971

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$15,456,148$11,096,680$26,552,828
Equipment$911,081$4,112,953$5,024,034
Land$1,160,000-$1,160,000

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2019$2,940,684$530,999▲ $6,193$216,822$3,261,054
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
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Dr Avery SidesPhysicianFT$345,739$18,169$376,436
Dr Christopher RobbinsPhysicianFT$222,818$35,297$311,825
Kathryn ScorePhysicianFT$271,579$8,734$287,516
Dr Brian WilsonPhysicianFT$248,447$34,533$282,980
Tricia UhlirCEOFT$202,852$52,858$235,979
Shelly GardnerOutpatient SFT$150,116$18,328$168,444
Shelly GardnerOutpatient Services-$150,116$18,328$168,444
Jesse NazeCFOFT$146,272$75,288$167,850

Board Members and Trustees

NameTitle
Rich OlstadPresident
Barb MillerMember
Cheryl TheuschMember
Laura TarrellMember
Rich NelsonMember
Sally RallMember
Garry StrauserSecretary
Anna MerrillTreasurer
Ina WinterVice Preside

Highest Paid Contractors

ContractorServicesLocationCompensation
Bender Barry MdEr Coverage11499 BRIDGER CANYON TRAIL, Spearfish, SD 57783$338,246
Larson Rodney DeanEr Coverage1210 KINGS ROAD, Rapid City, SD 57702$235,840
Swisher Paul LEr Coverage19768 HUNTER ROAD, Spearfish, SD 57783$221,720
Revenue and Support

Revenue Composition

Contributions and Grants
$179,643
Program Service Revenue
$22,155,534
Investment Income
$63,604
Other Revenue
$297,105
All Other Contributions
$154,558
Change in Net Assets
$592,066

Audited Revenue Reconciliation

Revenue per Audited Statements
$22,695,886
Total Revenue per Audited Statements
$22,695,886
Total Revenue per Form 990
$22,695,886
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$12,976,422
Other Expenses$9,127,398
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$8,721,337$1,087,994-$9,809,331
Fees for Services Other$2,039,234$604,685-$2,643,919
Other Employee Benefits$1,664,183$316,137-$1,980,320
Depreciation Depletion$1,597,482--$1,597,482
Interest$1,297,097--$1,297,097
All Other Expenses$609,448$103,423-$712,871
Payroll Taxes$603,921$99,431-$703,352
Occupancy$462,752--$462,752
Current Officers, Directors, Trustees, and Key Employees-$349,124-$349,124
Insurance-$258,464-$258,464
Other Expenses$223,531$29,353-$223,531
Pension Plan Contributions$103,297$30,998-$134,295
Office Expenses$1,696$71,852-$73,548
Advertising$19,528$36,774-$56,302
Conferences and Meetings$36,937$6,922-$43,859
Fees for Services Accounting-$36,830-$36,830
Travel$20,749$11,868-$32,617
Fees for Services Legal-$6,829-$6,829
Total Functional Expenses$19,012,964$3,090,856$0$22,103,820

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$22,103,820
Total Expenses per Audited Statements$22,103,820
Total Expenses per Form 990$22,103,820
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$72,219
Debra NazeFamily MemberEmployee of HospitalNo$54,929
Barb MillerBusinessBod MemberNo-
Laura TarrellBusinessBod MemberNo-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Est Third Party Payor Settlements$20,000
Deferred Contractuals Ehr$8,693
Deferred Financing Cost$-643,466
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
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
2020-05-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Tricia Uhlir
Formed
1998
Legal Domicile
Sd
Voting Board Members
9
Independent Board Members
6
Employees
289
Volunteers
16

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 9 board members who serve in a volunteer capacity.

Form 990, Part IX, Line 11G

Med/surg physician services 9,500 0 0 med/surg purchased services 18,764 0 0 med/surg contract labor 263 0 0 ltc-skilled nursing physician 6,693 0 0 ltc-skilled nursing purchased 18,642 0 0 ltc-patient acct purchased se 2,261 0 0 surgery purchased services 11,488 0 0 surgery contract labor 44,650 0 0 emergency purchased services 38,041 0 0 physicians contract labor 810,525 0 0 laboratory purchased services 352,909 0 0 sleep center purchased servic 49,320 0 0 psych contract labor 520 0 0 med image-purchased services 124,555 0 0 med image-us contract labor 26,000 0 0 pharmacy purchased services 244,260 0 0 pharmacy contract labor 25,650 0 0 crna's contract labor 28,000 0 0 physical therapy purchased se 92 0 0 occup therapy contract labor 23,150 0 0 speech therapy contract labor 58,120 0 0 recreational therapy purchase 360 0 0 clinic community purchased 1,820 0 0 clinic community contract lab 119,192 0 0 health info mgt purchased ser 0 221,333 0 dietary purchased services 179 0 0 plant operations purchased se 23,160 0 0 housekeeping purchased servic 1,120 0 0 information systems data pros 0 18,140 0 information systems purchased 0 212,862 0 patient accounting purchased 0 94,282 0 administration purchased serv 0 31,965 0 admin data processing 0 6,075 0 personnel purchased services 0 20,028 0 total 2,039,234 604,685 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, 2019 and 2018, 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, 2019 or 2018.

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IRS990ScheduleC/SupplementalInformationDetail/ExplanationTxt023.059% 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. 23.32% OF THE AMERICAN HOSPITAL ASSOCIATION MEMBERSHIP DUES GOES TO LOBBYING ACTIVITIES.
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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