Civic Intelligence

Chcbh Qalicb Inc

990 • Fiscal year 2019 • EIN 47-2820304

Jan 01, 2019 to Dec 31, 2019 • Filed on Oct 13, 2020

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.

2019 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2019

Liabilities / Revenue

100th percentile

583.36x

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

2019 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2019

Net Margin

92nd percentile

56%

Higher net margin than 92% of similar nonprofits.

2019 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2019

Top Officer Pay

58th percentile

$140,749

Higher top officer pay than 58% of similar nonprofits.

Top officer pay equals 1016.6% of source-year revenue.

2019 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2019

Asset Growth

36th percentile

-0.1%

Faster asset growth than 36% of similar nonprofits.

2019 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2018 to 2019

Revenue Growth

82nd percentile

27%

Faster revenue growth than 82% of similar nonprofits.

2019 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2018 to 2019

Assets

Down

$8,203,772

Down $4,369 (-0.1%) from 2018

Net Assets

Up

$127,155

Up $7,745 (+6.5%) from 2018

Liabilities

Down

$8,076,617

Down $12,114 (-0.1%) from 2018

Revenue

Up

$13,845

Up $2,934 (+27%) from 2018

Expenses

Up

$6,100

Up $4,395 (+258%) from 2018

Net Income

Down

$7,745

Down $1,461 (-16%) from 2018

Historical Trend

Balance Sheet Trend

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

2019

Assets$8,203,772
Liabilities$8,076,617
Net Assets$127,155

Operations Trend

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

2019

Revenue$13,845
Expenses$6,100
Net Income$7,745
Jump To
Filing Snapshot
Filing Period
Jan 1, 2019 to Dec 31, 2019
Signed
Oct 13, 2020
Return Version
2019v5.1
Gross Receipts
$524,337
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.

Chcbh qalicb is to be organized and 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$7,534,038$7,344,074▼ $189,964
Accounts Receivable$534,325$697,666▲ $163,341
Cash and Non-Interest-Bearing Accounts$139,778$162,032▲ $22,254
Total Assets$8,208,141$8,203,772▼ $4,369
Liabilities
Mortgage Notes Payable Secured by Investment Property$8,043,847$8,031,733▼ $12,114
Accounts Payable and Accrued Expenses$44,884$44,884→ $0
Total Liabilities$8,088,731$8,076,617▼ $12,114
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$119,410$127,155▲ $7,745
Total Net Assets Fund Balance$119,410$127,155▲ $7,745
Total Liabilities and Net Assets / Fund Balance$8,208,141$8,203,772▼ $4,369

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$6,807,057$791,518$7,598,575
Land$537,017-$537,017
Compensation and Service Providers

Employees

NameTitleOtherTotal
Tim TrithartCEO$140,749$140,749
Jamie DahlmanFinance Director$90,397$90,397

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
$13,845
Change in Net Assets
$7,745
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$6,100
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-$6,100-$6,100
Total Functional Expenses$0$6,100$0$6,100
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 35% controlled entity
No
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
2020-10-13
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 STE 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, 2019, 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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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, 2019, 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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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/InvolvedAmt0524337
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/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt08208141
IRS990/TotalAssetsEOYAmt08203772
IRS990/TotalAssetsGrp/BOYAmt08208141
IRS990/TotalAssetsGrp/EOYAmt08203772
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt06100
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt00
IRS990/TotalFunctionalExpensesGrp/TotalAmt06100
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt08088731
IRS990/TotalLiabilitiesEOYAmt08076617
IRS990/TotalLiabilitiesGrp/BOYAmt08088731
IRS990/TotalLiabilitiesGrp/EOYAmt08076617
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0119410
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0127155
IRS990/TotalOtherCompensationAmt036464
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt013845
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt013845
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt03
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt08208141
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt08203772
IRS990/TotReportableCompRltdOrgAmt0194682
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/BuildTS02021-01-29 14:40:06Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0TIM TRITHART
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CHIEF EXECUTIVE OFFICER
ReturnHeader/BusinessOfficerGrp/PhoneNum06057218939
ReturnHeader/BusinessOfficerGrp/SignatureDt02020-10-13
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/AtSubmissionFilingDeviceId04209FC10985E69F276120298B2790CCA229C60DB
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt0208.117.102.74
ReturnHeader/FilingSecurityInformation/IPDt02020-10-14
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0MD
ReturnHeader/FilingSecurityInformation/IPTm017:09:57
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0460403496
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0CASEY PETERSON LTD
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0909 ST JOSEPH ST STE 101
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0RAPID CITY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0SD
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd057701
ReturnHeader/PreparerPersonGrp/PhoneNum06053481930
ReturnHeader/PreparerPersonGrp/PreparationDt02020-10-14
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0DEIDRE BUDAHL CPA
ReturnHeader/ReturnTs02020-10-14T17:34:00-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02019-01-01
ReturnHeader/TaxPeriodEndDt02019-12-31
ReturnHeader/TaxYr02019

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