FALL RIVER HEALTH SERVICES

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1998

Legal Domicile

Principal Officer

JESSE NAZE

Phone

6057453159

Tax Period

2024-01-01 to 2024-12-31

FALL RIVER HEALTH SERVICES, founded in 1998, is a mid-sized nonprofit in the Health Care sector that reported $33.1M in total revenue in fiscal year 2024. Expenses of $32.1M left a modest 3% surplus.

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.

Program Service Accomplishments

Program 1

Expenses: $26,321,096 Revenue: $31,408,265

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.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2024)

Revenue Breakdown

Contributions & Grants $141,857

Program Service Revenue $31,408,265

Investment Income $1,151,080

Other Revenue $402,045

TOTAL REVENUE $33,103,247

Expense Breakdown

Grants Paid $0

Salaries & Benefits $17,636,166

Fundraising Expenses $0

Program Expenses $26,321,096

Other Expenses $14,439,959

TOTAL EXPENSES $32,076,125

Year-over-Year Comparison

	2024	2023	Change
Revenue	$33,103,247	$30,913,095	+0.1%
Expenses	$32,076,125	$30,101,011	+0.1%
Net Income	$1,027,122	$812,084	+0.3%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✓ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

278

Volunteers

Governance Policies

✗ Conflict of Interest Policy

✗ Whistleblower Policy

✗ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✓ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$535,651

Total Directors

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
GEORGIA HOLMES	PRESIDENT	1.00	Director	$0	$0	$0
SHELLEY HAGANS-BROWN	SECRETARY	1.00	Director	$0	$0	$0
BARB MILLER	VICE PRESIDE	1.00	Director	$0	$0	$0
HEIDI MCBRIDE	TREASURER	1.00	Director	$0	$0	$0
GARRY STRAUSER	MEMBER	1.00	Director	$0	$0	$0
RICH OLSTAD	MEMBER	1.00	Director	$0	$0	$0
RICH NELSON	MEMBER	1.00	Director	$0	$0	$0
LAURA TARRELL	MEMBER	1.00	Director	$0	$0	$0
ZAC BADER	MEMBER	1.00	Director	$0	$0	$0
DON DEVRIES	MEMBER	1.00	Director	$0	$0	$0
JEREMY SCHULTES	CEO	40.00	Officer	$245,909	$43,144	$289,053
JESSE NAZE	CFO	40.00	Officer	$219,891	$26,707	$246,598
DR BRIAN WILSON	PHYSICIAN	32.00	Highest	$205,412	$21,543	$226,955
DR SYLVIA TROTTER	PHYSICIAN	32.00	Highest	$174,253	$11,112	$185,365
DR MICHAEL BOHLMAN	PHYSICIAN	32.00	Highest	$289,994	$43,144	$333,138
LEAH BUTHORNE	APP	32.00	Highest	$166,197	$11,860	$178,057
DR AMI GARRIGAN	PHYSICIAN	32.00	Highest	$349,209	$14,227	$363,436

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2024	$33,103,247	$32,076,125	$40,836,608	$1,027,122
2023	$30,913,095	$30,101,011	$39,718,311	$812,084
2022	$31,937,014	$28,290,988	$40,664,163	$3,646,026
2021	$31,885,192	$25,306,697	$41,959,122	$6,578,495
2020	$24,280,290	$24,343,464	$41,872,400	$-63,174
2019	$22,695,886	$22,103,820	$31,896,422	$592,066
2018	$21,734,443	$21,733,424	$31,978,393	$1,019