Civic Intelligence

Chcbh Qalicb Inc

990 • Fiscal year 2016 • EIN 47-2820304

Jan 01, 2016 to Dec 31, 2016 • Filed on Nov 06, 2017

Organization ProfileN/A
350 Pine StreetRapid City, SD 57701

(605) 721-8939

Siviq Scores

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

Liabilities / Assets

91st percentile

0.98x

Higher debt load relative to assets than 91% of similar nonprofits.

2016 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2016

Liabilities / Revenue

100th percentile

406.69x

Higher debt load relative to revenue than 100% of similar nonprofits.

2016 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2016

Net Margin

83rd percentile

24%

Higher net margin than 83% of similar nonprofits.

2016 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2016

Top Officer Pay

49th percentile

$117,531

Higher top officer pay than 49% of similar nonprofits.

Top officer pay equals 593.0% of source-year revenue.

2016 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2016

Asset Growth

49th percentile

1.2%

Faster asset growth than 49% of similar nonprofits.

2016 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2015 to 2016

Revenue Growth

1st percentile

-90%

Faster revenue growth than 1% of similar nonprofits.

2016 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2015 to 2016

Balance Sheet
Liabilities / Assets91st percentile

Assets

Up

$8,207,564

Up $99,558 (+1.2%) from 2015

Net Assets

Up

$146,610

Up $4,715 (+3.3%) from 2015

Liabilities

Up

$8,060,954

Up $94,843 (+1.2%) from 2015

Revenue And Expenses
Liabilities / Revenue100th percentileNet Margin83rd percentile

Revenue

Down

$19,821

Down $180,050 (-90%) from 2015

Expenses

Down

$15,106

Down $42,870 (-74%) from 2015

Net Income

Down

$4,715

Down $137,180 (-97%) from 2015

Historical Trend

Balance Sheet Trend

Asset Growth49th percentile

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

$10M$5.0M$0Assets 2015: $8,108,006Liabilities 2015: $7,966,111Net Assets 2015: $141,8952015Assets 2016: $8,207,564Liabilities 2016: $8,060,954Net Assets 2016: $146,6102016Assets 2017: $8,387,543Liabilities 2017: $8,277,339Net Assets 2017: $110,2042017Assets 2018: $8,208,141Liabilities 2018: $8,088,731Net Assets 2018: $119,4102018Assets 2019: $8,203,772Liabilities 2019: $8,076,617Net Assets 2019: $127,1552019Assets 2020: $8,199,745Liabilities 2020: $8,062,752Net Assets 2020: $136,9932020

Highlighted filing

2016

Assets$8,207,564
Liabilities$8,060,954
Net Assets$146,610
Open 2016 Filing

Operations Trend

Revenue Growth1st percentile

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

$200K$100K$0-$100KRevenue 2015: $199,871Expenses 2015: $57,976Net Income 2015: $141,8952015Revenue 2016: $19,821Expenses 2016: $15,106Net Income 2016: $4,7152016Revenue 2017: -$36,401Expenses 2017: $5Net Income 2017: -$36,4062017Revenue 2018: $10,911Expenses 2018: $1,705Net Income 2018: $9,2062018Revenue 2019: $13,845Expenses 2019: $6,100Net Income 2019: $7,7452019Revenue 2020: $9,838Expenses 2020: $0Net Income 2020: $9,8382020

Highlighted filing

2016

Revenue$19,821
Expenses$15,106
Net Income$4,715
Open 2016 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Nov 6, 2017
Return Version
2016v3.0
Gross Receipts
$480,642
Mission and Program Overview

Mission

CHCBH QALICB is to be organized an operated exclusively for the benefit of Community Health Center of the Black Hills. Such purposes shall include, but not be limited to, the acquisition and leasing of real or personal property, or both, and subject to the restriction and limitations hereinafter set forth, the leasing of such property to Community Health Center of the Black Hills for use in furtherance of the charitable purposes of Community Health Center of the Black Hills.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$8,103,931$7,913,967▼ $189,964
Accounts Receivable$0$230,642▲ $230,642
Rtn Earn Endowment Incm Other Fnds$141,895$146,610▲ $4,715
Cash and Non-Interest-Bearing Accounts$109$62,955▲ $62,846
Savings and Temporary Cash Investments$3,966$0▼ $3,966
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$8,108,006$8,207,564▲ $99,558
Liabilities
Mortgage Notes Payable Secured by Investment Property$7,228,207$8,060,954▲ $832,747
Accounts Payable and Accrued Expenses$737,904$0▼ $737,904
Total Liabilities$7,966,111$8,060,954▲ $94,843
Net Assets / Fund Balance
Total Net Assets Fund Balance$141,895$146,610▲ $4,715
Total Liabilities and Net Assets / Fund Balance$8,108,006$8,207,564▲ $99,558

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$7,376,950$221,625$7,598,575
Land$537,017-$537,017
Compensation and Service Providers
Top Officer Pay49th percentile

Employees

NameTitleOtherTotal
Tim TrithartCEO$117,531$117,531
Laura JonesFormer CFO$47,513$47,513
Jamie DahlmanFinance Director$38,372$38,372

Board Members and Trustees

NameTitle
Roy DishmanPresident
Ron ReedVice President
Marnie HerrmannDirector
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$19,821
Change in Net Assets
$4,715
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$15,106
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Accounting-$15,001-$15,001
Fees for Services Other-$105-$105
Total Functional Expenses$0$15,106$0$15,106
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
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
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
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

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

“A draft copy of the form 990 was provided to management and the finance committee. Management reviewed the draft and suggested changes to the preparer. The finance committee reviewed and approved the final draft. The finance committee reported to the full board that a review and approval of the 990 had been performed.”

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

“Officers and directors are required to disclose conflicts of interest annually. Management reviews all conflict of interest statements annually to ensure all applicable persons have completed the statements and that the Organization is not engaged in activities that may cause a conflict of interest. At the beginning of each board meeting, all directors are asked to identify any conflicts with the agenda.”

Form 990, Part VI, Section C, line 19

“The organization makes its governing documents and financial statements available to the public upon request.”

Filing and Contact Details

Filer

Filer Name
Chcbh Qalicb Inc
EIN
47-2820304
Phone
6057218939
Address
350 PINE STREET, RAPID CITY, SD 57701

Signing Officer

Name
Tim Trithart
Title
Chief Executive Officer
Phone
6057218939
Signed
2017-11-06
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Tim Trithart
Formed
2015
Legal Domicile
Sd
Voting Board Members
3
Independent Board Members
3
Employees
0
Volunteers
3

Preparer

Firm
Casey Peterson Ltd
Address
909 ST JOSEPH ST SUITE 101, RAPID CITY, SD 57701
Preparer
Deidre Budahl CPA
Phone
6053481930
Supplemental Narrative

Additional Explanations

Part XII, Line 2C

“The finance committee of the board of directors is responsible for hiring an independent accountant and overseeing the audit process.”

Financial Statement Notes

Part X, Line 2:

“CHCBH QALICB, Inc. follows the provisions of Financial Accounting Standards Board (FASB) ASC 740, Income Taxes. Using that guidance, tax positions initially need to be recognized in the financial statements when it is more-likely-than-not the position will be sustained upon examination by the taxing authorities. CHCBH QALICB, Inc. is exempt from federal income taxes under section 501(c)(3) of the Internal Revenue Code and is not considered a private foundation. CHCBH QALICB, Inc. is not liable for income taxes if it operates within the confines of its exempt status. However, CHCBH QALICB, Inc. may be responsible for taxes on unrelated business activities. In the event of an examination of the income tax returns, the tax liability of CHCBH QALICB, Inc. could be changed if taxing authorities make adjustments to the tax-exempt purpose of CHCBH QALICB, Inc. or if taxing authorities determine activities are subject to unrelated business income. As of December 31, 2016, CHCBH QALICB, Inc. had no uncertain tax positions that qualify for either recognition or disclosure in the financial statements. CHCBH QALICB, Inc.'s income tax filings are subject to audit by various taxing authorities. Management continually evaluates expiring statutes of limitation, audits, proposed settlements, changes in tax law and new authoritative rulings. CHCBH QALICB, Inc. believes its estimates are appropriate based on current facts and circumstances. Interest and penalties assessed by income taxing authorities, if any, are included in interest expense.”

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0CHCBH QALICB, Inc. follows the provisions of Financial Accounting Standards Board (FASB) ASC 740, Income Taxes. Using that guidance, tax positions initially need to be recognized in the financial statements when it is more-likely-than-not the position will be sustained upon examination by the taxing authorities. CHCBH QALICB, Inc. is exempt from federal income taxes under section 501(c)(3) of the Internal Revenue Code and is not considered a private foundation. CHCBH QALICB, Inc. is not liable for income taxes if it operates within the confines of its exempt status. However, CHCBH QALICB, Inc. may be responsible for taxes on unrelated business activities. In the event of an examination of the income tax returns, the tax liability of CHCBH QALICB, Inc. could be changed if taxing authorities make adjustments to the tax-exempt purpose of CHCBH QALICB, Inc. or if taxing authorities determine activities are subject to unrelated business income. As of December 31, 2016, CHCBH QALICB, Inc. had no uncertain tax positions that qualify for either recognition or disclosure in the financial statements. CHCBH QALICB, Inc.'s income tax filings are subject to audit by various taxing authorities. Management continually evaluates expiring statutes of limitation, audits, proposed settlements, changes in tax law and new authoritative rulings. CHCBH QALICB, Inc. believes its estimates are appropriate based on current facts and circumstances. Interest and penalties assessed by income taxing authorities, if any, are included in interest expense.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Part X, Line 2:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt07913967
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0A draft copy of the form 990 was provided to management and the finance committee. Management reviewed the draft and suggested changes to the preparer. The finance committee reviewed and approved the final draft. The finance committee reported to the full board that a review and approval of the 990 had been performed.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1Officers and directors are required to disclose conflicts of interest annually. Management reviews all conflict of interest statements annually to ensure all applicable persons have completed the statements and that the Organization is not engaged in activities that may cause a conflict of interest. At the beginning of each board meeting, all directors are asked to identify any conflicts with the agenda.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2The organization makes its governing documents and financial statements available to the public upon request.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS IS RESPONSIBLE FOR HIRING AN INDEPENDENT ACCOUNTANT AND OVERSEEING THE AUDIT PROCESS.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Section B, line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section B, line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Section C, line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3PART XII, LINE 2C
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0COMMUNITY HEALTH CENTER OF THE BLACK HILLS
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0460418932
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501C3
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0SD
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0TO PROVIDE QUALITY MEDICAL, DENTAL, AND MENTAL HEALTH CARE FOR THE COMMUNITY
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt07
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt0350 PINE STREET
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0RAPID CITY
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0SD
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd057701
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd00
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd01
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd00
IRS990ScheduleR/TransactionsRelatedOrgGrp/InvolvedAmt0480642
IRS990ScheduleR/TransactionsRelatedOrgGrp/MethodOfAmountDeterminationTxt0STRAIGHT-LINE LEASE REVENUE
IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine1Txt0COMMUNITY HEALTH CENTER OF THE BLACK HILLS
IRS990ScheduleR/TransactionsRelatedOrgGrp/TransactionTypeTxt0J
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt08108006
IRS990/TotalAssetsEOYAmt08207564
IRS990/TotalAssetsGrp/BOYAmt08108006
IRS990/TotalAssetsGrp/EOYAmt08207564
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt015106
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt00
IRS990/TotalFunctionalExpensesGrp/TotalAmt015106
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt07966111
IRS990/TotalLiabilitiesEOYAmt08060954
IRS990/TotalLiabilitiesGrp/BOYAmt07966111
IRS990/TotalLiabilitiesGrp/EOYAmt08060954
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0141895
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0146610
IRS990/TotalOtherCompensationAmt00
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt019821
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt019821
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt03
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt08108006
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt08207564
IRS990/TotReportableCompRltdOrgAmt0203416
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0350 PINE STREET
IRS990/USAddress/CityNm0RAPID CITY
IRS990/USAddress/StateAbbreviationCd0SD
IRS990/USAddress/ZIPCd057701
IRS990/VotingMembersGoverningBodyCnt03
IRS990/VotingMembersIndependentCnt03
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd01
ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0TIM TRITHART
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CHIEF EXECUTIVE OFFICER
ReturnHeader/BusinessOfficerGrp/PhoneNum06057218939
ReturnHeader/BusinessOfficerGrp/SignatureDt02017-11-06
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0CHCBH QALICB INC
ReturnHeader/Filer/BusinessNameControlTxt0CHCB
ReturnHeader/Filer/EIN0472820304
ReturnHeader/Filer/PhoneNum06057218939
ReturnHeader/Filer/USAddress/AddressLine1Txt0350 PINE STREET
ReturnHeader/Filer/USAddress/CityNm0RAPID CITY
ReturnHeader/Filer/USAddress/StateAbbreviationCd0SD
ReturnHeader/Filer/USAddress/ZIPCd057701
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0DA39A3EE5E6B4B0D3255BFEF95601890AFD80709
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId045B7F4684595822E7290ABD736E8533D4E2025B3
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt065.153.235.186
ReturnHeader/FilingSecurityInformation/IPDt02017-11-06
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0MS
ReturnHeader/FilingSecurityInformation/IPTm016:18:47
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0460403496
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0CASEY PETERSON LTD
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0909 ST JOSEPH ST SUITE 101
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0RAPID CITY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0SD
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd057701
ReturnHeader/PreparerPersonGrp/PhoneNum06053481930
ReturnHeader/PreparerPersonGrp/PreparationDt02017-11-06
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0DEIDRE BUDAHL CPA
ReturnHeader/ReturnTs02017-11-06T16:21:25-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02016-01-01
ReturnHeader/TaxPeriodEndDt02016-12-31
ReturnHeader/TaxYr02016

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2016 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$8,207,564
Liabilities
$8,060,954
Net assets
$146,610
Revenue
$19,821
Expenses
$15,106
Net income
$4,715
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.20$8.06$0.14$0.01$0.00$0.01
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$8.20$8.08$0.13$0.01$0.01$0.01
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.21$8.09$0.12$0.01$0.00$0.01
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.39$8.28$0.11$0.04$0.00$0.04
2016Detailed filing. Detailed filing data is available for this year.$8.21$8.06$0.15$0.02$0.02$0.00
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$8.11$7.97$0.14$0.20$0.06$0.14