2025-07-07T12:24:09-04:00 2024-12-31 470585450 DOHMAN AKERLUND & EDDY LLC PO BOX 470 AURORA NE 688180470 990 2024-01-01 460450523 FALL RIVER HEALTH SERVICES FALL 6057453159 1201 HWY 71 SOUTH HOT SPRINGS SD 57747 JESSE NAZE CFO 6057453159 2025-06-17 true true TIMOTHY J COUFAL CPA P00964304 4026946404 2025-06-17 2024 2025-03-06 01:10:19Z JESSE NAZE SAME AS C ABOVE HOT SPRINGS SD 57747 33103247 false X WWW.FRHSSD.ORG X 1998 SD 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. 10 7 278 10 0 682065 141857 29425039 31408265 469767 1151080 336224 402045 30913095 33103247 0 0 17042826 17636166 0 0 13058185 14439959 30101011 32076125 812084 1027122 39718311 40836608 16979593 17070768 22738718 23765840 X 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. false false 26321096 31408265 TO PROVIDE SHORT TERM INPATIENT AND OUTPATIENT ACUTE HOSPITAL CARE, LONG-TERM CARE, AND RURAL HEALTH CLINIC CARE TO RESIDENTS OF HOT SPRINGS, SOUTH DAKOTA AND SURROUNDING COMMUNITIES, REGARDLESS OF ABILITY TO PAY. SERVICES PROVIDED THIS YEAR INCLUDE 2,080 ACUTE AND SWINGBED DAYS, 11,454 RURAL HEALTH CLINIC VISITS, AND 18,204 LONG-TERM CARE DAYS AND NUMEROUS OUTPATIENT VISITS. 26321096 true true false true false false false false false true true false false false true true true false false false false false false false false false true true false false true true false false false false false false false false true true false false false false false false false false false true 24 0 278 true false false false false false false false false false false false false false false X 10 7 false false false false false false false true true false false false true true true true true true true false X JESSE NAZE 6057453159 1201 HIWAY 71 SOUTH HOT SPRINGS SD 57747 GEORGIA HOLMES PRESIDENT 1.00 X 0 0 0 SHELLEY HAGANS-BROWN SECRETARY 1.00 X 0 0 0 BARB MILLER VICE PRESIDE 1.00 X 0 0 0 HEIDI MCBRIDE TREASURER 1.00 X 0 0 0 GARRY STRAUSER MEMBER 1.00 X 0 0 0 RICH OLSTAD MEMBER 1.00 X 0 0 0 RICH NELSON MEMBER 1.00 X 0 0 0 LAURA TARRELL MEMBER 1.00 X 0 0 0 ZAC BADER MEMBER 1.00 X 0 0 0 DON DEVRIES MEMBER 1.00 X 0 0 0 JEREMY SCHULTES CEO 40.00 X 245909 0 43144 JESSE NAZE CFO 40.00 X 219891 0 26707 DR BRIAN WILSON PHYSICIAN 32.00 X 205412 0 21543 DR SYLVIA TROTTER PHYSICIAN 32.00 X 174253 0 11112 DR MICHAEL BOHLMAN PHYSICIAN 32.00 X 289994 0 43144 LEAH BUTHORNE APP 32.00 X 166197 0 11860 DR AMI GARRIGAN PHYSICIAN 32.00 X 349209 0 14227 1650865 171737 20 false true false HOT SPRINGS EMERGENCY SERVICES 353 FAIRMONT BLVD RAPID CITY SD 57701 ER COVERAGE 2118629 PRAIRIE PEAKS PROVIDER LLC 24996 CRESTON RD HERMOSA SD 57744 HOSPITALIST 555851 2 128857 13000 141857 NET PATIENT SERVICE REVENUE 621110 31021458 31021458 340B REVENUE 446110 386807 386807 31408265 912477 912477 238603 238603 238603 238603 OTHER REVENUE 900099 282016 282016 RENTAL INCOME 900099 120029 120029 402045 33103247 32048913 912477 X 465770 465770 12822765 10778127 2044638 163877 128472 35405 3199033 2488636 710397 984721 806470 178251 25317 25317 78103 78103 6237051 5252864 984187 125275 44168 81107 65518 1122 64396 528979 528979 41422 20678 20744 74848 46225 28623 553917 553917 1590385 1590385 395339 395339 PHARMACY - DRUGS 1623836 1623836 SUPPLIES 1463647 1206394 257253 MAINT AND MINOR EQUIP 445569 437155 8414 DUES AND SUBSCRIPTIONS 316105 56617 259488 874648 757051 117597 32076125 26321096 5755029 0 2361509 2972231 15428331 16941433 2955842 3221599 507846 555345 433992 423755 38084000 21402619 17881765 16681381 149026 40864 39718311 40836608 2647106 2721258 10000000 10000000 4444388 3440000 -111901 909510 16979593 17070768 X 22738718 23765840 22738718 23765840 39718311 40836608 1027122 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 1417 1417 false SCHEDULE C, PART II-B, LINE 1 4.00% OF MEMBERSHIP DUES TO THE SOUTH DAKOTA ASSOCIATION OF HEALTHCARE ORGANIZATIONS AND 39.00% OF MEMBERSHIP DUES IN THE AMERICAN HOSPITAL ASSOCIATON GOES TO LOBBYING ACTIVITIES. 3261054 345481 2191 3608726 false false 1817000 1817000 28899923 15477215 13422708 7337060 5925404 1411656 30017 30017 16681381 EST THIRD PARTY PAYOR SETTLEMENTS 822511 DEFERRED INSURANCE PROCESS 293447 DEFERRED FINANCING COST -206448 909510 X 33103247 33103247 33103247 32076125 32076125 32076125 SCHEDULE D, PAGE 3, PART X FRHS FOLLOWS FASB 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, 2024 AND 2023, THERE WAS 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, 2024 OR 2023. true true X true X true X 1.750000000000 true true false true true 75607 75607 0.00240 3709957 5160403 3785564 5160403 75607 0.00240 53258 53258 0.00170 71130 71130 0.00220 6890023 5380186 1509837 0.04710 18407 18407 0.00060 7032818 5380186 1652632 0.05150 10818382 10540589 1728239 0.05390 49500 49500 0.00150 49500 49500 0.00150 false 11467042 11263462 203580 X true true 1 1 FALL RIVER HEALTH SERVICES 1201 HIWAY 71 SOUTH HOT SPRINGS SD 57747 WWW.FRHSSD.ORG 47569 X X X OUTPATIENT PHYSICIAN CLINIC FALL RIVER HEALTH SERVICES 1 false false true X X X X X X X X 22 true false false true X WWW.FRHSSD.ORG X true 22 true WWW.FRHSSD.ORG false false true X 100.000000000000 175.000000000000 X false true X X X X true X WWW.FRHSSD.ORG X WWW.FRHSSD.ORG X WWW.FRHSSD.ORG X X X X X true X false X X X true X false false FACILITY 1, FALL RIVER HEALTH SERVICES - PART V, LINE 3E THE FOLLOWING PRIORITY HEALTH NEEDS WERE IDENTIFIED BASED ON THE SURVEY DATA COLLECTED AND DEMOGRAPHICS SPECIFIC TO FALL RIVER COUNTY: 1. ACCESSIBILITY TO LOCAL PROVIDERS, SPECIALTIES, AND SERVICES. 2. ADULT DAYCENTER 3. AGING ISSUES, SUCH AS ALZHEIMER'S, HEARING LOSS, ARTHRITIS, ETC. 4. CHILDCARE 5. ALL-ENCOMPASSING HEALTH AND WELLNESS CENTER 6. AFFORDABLE HOUSING OPTIONS 7. PUBLIC OR PRIVATE TRANSPORTATION OPTIONS, TO REDUCE TRUANCY FOR APPOINTMENTS AND TREATMENT. FACILITY 1, FALL RIVER HEALTH SERVICES - PART V, LINE 5 THE 2022 CHNA WAS CONDUCTED BY FRHS VIA THE DISTRIBUTION OF SURVEYS THROUGH FOCUS GROUPS, SURVEYS THROUGHOUT FALL RIVER COUNTY WITH COLLECTION BOXES, PHONE INTERVIEWS, AND ATTENDANCE AT LOCAL GATHERINGS. SURVEY DATA WAS COLLECTED FROM THE FOLLOWING SOURCES: SENIOR CENTERS, LOCAL BUSINESS AND ENTERPRISES, LOCAL SCHOOL PERSONNEL, LAW ENFORCEMENT AGENCIES, HEALTHCARE STAFF, AND MULTIPLE LOCAL COMMUNITY EVENTS, AS WELL AS ONLINE SURVEYS FOR ALL PUBLIC IN FALL RIVER HEALTH SERVICES SERVICE AREA. FACILITY 1, FALL RIVER HEALTH SERVICES - PART V, LINE 11 THE FOLLOWING 3-PART PLAN OF ACTION WILL BE IMPLEMENTED: 1. HOUSING 2. HEALTHY AGING 3. WELLNESS 2 FALL RIVER CLINIC 1201 HWY 71 SOUTH HOT SPRINGS SD 57747 RURAL HEALTH CLINIC SEVEN SISTERS LIVING CENTER 1201 HWY 71 SOUTH HOT SPRINGS SD 57747 LONG-TERM CARE SCHEDULE H, PART I, LINE 3C UPON APPLICATION APPROVAL, FREE CARE IS PROVIDED TO PATIENTS WHOSE INCOME FALL BELOW FEDERAL POVERTY GUIDELINES. UPON APPLICATION APPROVAL, DISCOUNTED CARE IS PROVIDED ON A SLIDING SCALE TO PATIENTS WHOSE INCOME FALL BETWEEN 100% AND 175% OF FEDERAL POVERTY GUIDELINES. IN ADDITION TO MEETING THE INCOME BASED CRITERIA ABOVE, PATIENTS MUST ALSO HAVE CASH AND CASH EQUIVALENT ASSETS OF LESS THAN 50,000 TO RECEIVE FREE OR DISCOUNTED CARE. SCHEDULE H, PART I, LINE 7 THE COSTING METHOD IS AS FOLLOWS TOTAL EXPENSES / GROSS PATIENT SERVICE REVENUE = PERCENTAGE OF COST TO CHARGES. SCHEDULE H, PART II COMMUNITY HEALTH IMPROVEMENT ADVOCACY - THE ENTITY PROMOTES AMERICAN CANCER SOCIETY'S RELAY FOR LIFE WITHIN THE COMMUNITY. ALSO PROVIDES COMMUNITY HEALTH FAIR TO IMPROVE PUBLIC HEALTH. OTHER - THE ENTITY COMPLETED A COMMUNITY NEEDS ASSESSMENT TO HELP PROTECT OR IMPROVE THE COMMUNITY'S HEALTH. SCHEDULE H, PART III, LINE 8 THE INFORMATION IS DERIVED FROM THE MEDICARE COST REPORT D, E & M WKSTS. SCHEDULE H, PART III, LINE 9B THE COLLECTION POLICY INCLUDES AN EXPLANATION OF FALL RIVER HEALTH SERVICES' CHARTIY CARE PROGRAM. THE PROGRAM IS CONSIDERD A "RESOURCE OF LAST RESORT, EVERY ATTEMPT WILL BE MADE TO ASSIST THE PATIENT IN BECOMING COVERED UNDER ANY AVAILABLE ASSISTANCE PROGRAMS, STATE, LOCAL, FEDERAL OR COMMUNITY BASED". REGULAR COLLECTION EFFORTS WILL BE FOLLOWED UNTIL A DETERMINATION IS MADE FROM A COMPLETED ASSISTANCE APPLICATION THAT A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE. SCHEDULE H, PART VI, LINE 2 FRHS STRIVES TO STAY CURRENT WITH THE NEEDS OF OUR COMMUNITY BY KEEPING INVOLVED IN VARIOUS ORGANIZATIONAL GROUPS. WE ARE STREGTHENING OUR RELATIONSHIP WITH THE LOCAL SCHOOL SYSTEM, LOW INCOME, ELDERLY HOUSING AUTHORITY AND SPECIAL SERVICES. WE TAKE THEIR INPUT AND FOCUS ON THE HEALTH NEEDS THAT ARE IDENTIFIED. BY WORKING TOGETHER THE HEALTH AND WELLNESS OF OUR COMMUNITY IS IMPROVED WITH BY A COLLABORATIVE APPROACH. SCHEDULE H, PART VI, LINE 3 THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE BY POSTING THEIR CHARITY CARE POLICIES AND OTHER FEDERAL, STATE, AND LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S CHARITY CARE POLICY BY POSTING GUIDELINES IN ADMITTING AREAS, HAVING THE INFORMATION AVAILABLE ON THEIR WEBSITE, PUBLICATIONS IN NEWSPAPERS ADS AND THROUGH DISCUSSIONS WITH INDIVIDUALS SEEKING MORE INFORMATION. SCHEDULE H, PART VI, LINE 4 THE ORGANIZATIONS SERVICES A RURAL AREA IN SOUTHWESTERN SOUTH DAKOTA. THE PRIMARY SERVICE AREA IS FALL RIVER COUNTY WHICH HAS 6,973 RESIDENTS (2020 CENSUS). THE SECONDARY SERVICE AREA INCLUDE PARTS OF CUSTER AND SHANNON COUNTIES. 13.5% OF RESIDENTS IN THE PRIMARY SERVICE AREA ARE UNDER THE FEDERAL POVERTY LEVEL, WHILE HIGHER PERCENTAGE OF THE RESIDENTS IN THE SECONDARY SERVICE AREA ARE UNDER THE FEDERAL POVERTY LEVEL. THE SERVICE AREA IS DESIGNATED AS BOTH A MEDICALLY UNDERSERVED AREA AND A HEALTH PROFESSIONAL SHORTAGE AREA. SCHEDULE H, PART VI, LINE 5 A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS. THE ORGANIZATION APPLIES ANY SURPLUS FUNDS TO FACILITY IMPROVEMENTS FOR PATIENT CARE. X X false false false true false false false false false JEREMY SCHULTES CEO 245909 43144 289053 JESSE NAZE CFO 219891 26707 246598 DR BRIAN WILSON PHYSICIAN 205412 21543 226955 DR SYLVIA TROTTER PHYSICIAN 134484 39769 11112 185365 DR MICHAEL BOHLMAN PHYSICIAN 230190 59804 43144 333138 LEAH BUTHORNE APP 166197 11860 178057 DR AMI GARRIGAN PHYSICIAN 349209 14227 363436 SCHEDULE J, PAGE 1, PART I, LINE 5A EMPLOYED PROVIDERS ARE COMPENSATED A BASE SALARY PLUS INCENTIVE PLAN. THE INCENTIVE PLAN IS CALCULATED BASED ON NET COLLECTIONS OVER THEIR BASE SALARY, AND IS COMPUTED EVERY SIX MONTHS. A FALL RIVER COUNTY SOUTH DAKOTA SERIES 2020A BONDS 466000197 306234AH8 2020-10-28 10000000 REFUNDING OF MORTGAGE NOTES GUARANTEED UNDER HUD'S SECTION 242/241 PROGRAMS. false false false A 10000000 10000000 2020 false false true true A false false false false false false false A false false false false false false false false false A false PURPOSE OF ISSUE DESCRIPTION FALL RIVER COUNTY, SOUTH DAKOTA REFUNDING OF MORTGAGE NOTES GUARANTEED UNDER HUD'S SECTION 242/241 PROGRAMS. APRIL OLSTAD FAMILY MEMBER 117603 EMPLOYEE OF HOSPITAL false DEBRA NAZE FAMILY MEMBER 70217 EMPLOYEE OF HOSPITAL false LAURA TARRELL BUSINESS BOD MEMBER false BARB MILLER BUSINESS BOD MEMBER false RICH OLSTAD BUSINESS BOD MEMBER false 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 10 BOARD MEMBERS WHO SERVE IN A VOLUNTEER CAPACITY. FORM 990, PAGE 6, PART VI, LINE 11B THE CFO 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. FORM 990, PART IX, LINE 11G MED/SURG SOFTWARE FEE 221 0 0 MED/SURG PHYSICIAN SERVICES 12,652 0 0 MED/SURG PURCHASED SERVICES 18,667 0 0 MED/SURG CONTRACT LABOR 649,795 0 0 LTC-SKILLED NURSING SOFTWARE 221 0 0 LTC-SKILLED NURSING PHYSICIAN 412 0 0 LTC-SKILLED NURSING PURCHASED 26,024 0 0 LTC-SKILLED NURSING CONTRACT 855,168 0 0 RESPIRATORY CARE PURCHASED SE 170 0 0 SURGERY SOFTWARE FEE 31 0 0 SURGERY PHYSICIAN SERVICES 213 0 0 SURGERY CONTRACT LABOR 30,793 0 0 EMERGENCY SOFTWARE FEE 12 0 0 EMERGENCY PURCHASED SERVICES 93,032 0 0 PHYSICIANS CONTRACT LABOR 2,108,189 0 0 LABORATORY CONSULTING 200 0 0 LABORATORY SOFTWARE FEE 76 0 0 LABORATORY PURCHASED SERVICES 239,547 0 0 CARDIAC REHAB PURCHASED SERV 3,520 0 0 SLEEP CENTER PURCHASED SERVIC 31,460 0 0 MED IMAGE-PURCHASED SERVICES 180,608 0 0 MED IMAGE-CONTRACT LABOR 46,184 0 0 PHARMACY CONSULTING 6,000 0 0 PHARMACY PURCHASED SERVICES 159,744 0 0 PHARMACY SOFTWARE FEE 684 0 0 PHARMACY CONTRACT LABOR 25,049 0 0 CRNA'S CONTRACT LABOR 11,200 0 0 PHYSICAL THERAPY CONTRACT LAB 6,849 0 0 PHYSICAL THERAPY PURCHASED SE 176,891 0 0 OCCUP THERAPY PURCHASED SERVI 55,173 0 0 RECREATIONAL THERAPY PURCHASE 180 0 0 CLINIC COMMUNITY SOFTWARE FEE 252 0 0 CLINIC COMMUNITY PURCHASED 74,327 0 0 CLINIC COMMUNITY CONTRACT LAB 390,732 0 0 CLINIC COMMUNITY PATIENT 682 0 0 HEALTH INFO MGT PURCHASED SER 0 421,218 0 DIETARY PURCHASED SERVICES 1,349 0 0 PLANT OPERATIONS PURCHASED SE 45,176 0 0 PLANT OPERATIONS CONTRACT LAB 131 0 0 LAUNDRY PURCHASED SERVICES 1,250 0 0 INFORMATION SYSTEMS PURCHASED 0 155,545 0 PATIENT ACCOUNTING PURCHASED 0 271,903 0 ADMINISTRATION PHYSICIAN SERV 0 116,919 0 PERSONNEL PURCHASED SERVICES 0 18,602 0 TOTAL 5,252,864 984,187 0