2026-05-11T07:47:14-05:00 2025-06-30 450250958 EIDE BAILLY LLP 345 N REID PL STE 400 SIOUX FALLS SD 571037034 990 2024-07-01 460225414 ST MICHAEL'S HOSPITAL INC STMI 6055892100 410 WEST 16TH AVENUE TYNDALL SD 570662318 ASHLI DANILKO CEO 6055892100 2026-05-08 1 1 LAURIE HANSON CPA P00851848 6053391999 2026-05-08 2024 2025-03-06 01:10:19Z ASHLI DANILKO 410 WEST 16TH AVENUE TYNDALL SD 570662318 16992282 0 0928 X WWW.AVERA.ORG/ST-MICHAELS X 1966 SD TO PROVIDE HEALTHCARE SERVICES. 7 6 102 10 346561 0 23572 24265 14472134 16252271 535392 697550 4000 6850 15035098 16980936 0 2125 0 0 6794503 7667872 0 0 0 6557037 7087590 13351540 14757587 1683558 2223349 25509450 28417497 784836 918119 24724614 27499378 X IT IS THE MISSION OF ST. MICHAEL'S HOSPITAL TO PROVIDE READILY ACCESSIBLE HEALTH CARE TO THE PEOPLE OF BON HOMME COUNTY AND THE SURROUNDING AREAS. IN KEEPING WITH THE HERITAGE OF THE CATHOLIC CHURCH, ST. MICHAEL'S WILL AIM TO PROMOTE THE PHYSICAL, MENTAL, SOCIAL AND SPIRITUAL HEALTH OF ALL ITS PATIENTS. THE HEALTH CARE CENTERS WILL CONTINUE TO OFFER QUALITY SERVICES BASED ON COMMUNITY NEEDS AND FISCAL SOLVENCY. 0 0 12033141 2125 15911142 ST. MICHAEL'S HOSPITAL, INC. (SMH) OPERATES A 25-BED CRITICAL ACCESS HOSPITAL WITH PROVIDER BASED RURAL HEALTH CLINICS LOCATED IN TYNDALL AND IN AVON. PROVIDER STAFF, NURSING PERSONNEL, LABORATORY AND RADIOLOGY PERSONNEL ARE AVAILABLE AS NEEDED 24-HOURS A DAY, 7-DAYS A WEEK. DURING THE FISCAL YEAR ENDING JUNE 30, 2025, ACUTE PATIENT DAYS WERE 401 AND SWING-BED DAYS WERE 610. 12033141 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 28 0 1 102 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 7 6 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 X X LISA RONKE 6055892158 410 W 16TH AVE TYNDALL SD 570662318 CONNIE TJEERDSMA BOARD CHAIR 1.00 X X 0 0 0 AUSTIN KOCH VICE CHAIR 1.00 X X 0 0 0 LAURIE JURRENS SECRETARY/TREASURER 1.00 X X 0 0 0 FATHER JOE FORCELLE MEMBER 1.00 X 0 0 0 DR JAMES TORSNEY MEMBER 1.00 X 0 0 0 BEN HELLMANN MEMBER 1.00 X 0 0 0 STEVEN GREEN MEMBER FROM 01/2025 1.00 X 0 0 0 ASHLI DANILKO CEO 40.00 X 191128 0 44885 LISA RONKE CFO 40.00 X 82714 0 15870 DR MELVIN WALLINGA FAMILY PRACTICE PHYSICIAN 32.00 X 241424 0 36649 JACLYN DVORACEK PHARMACY DIRECTOR 36.00 X 144786 0 39815 TARA SCHAFERS PHARMACIST 40.00 X 141228 0 25468 DR KARL DEMARCO PHYSICIAN 40.00 X 297875 0 16292 ANNE BECKER-SHORT LAB DIRECTOR 40.00 X 140432 0 6208 1239587 0 185187 11 0 1 1 AVERA SACRED HEART HOSPITAL 501 SUMMIT YANKTON SD 57078 MGMT,ST,IT,BIOMED,LAB,DIETARY AND SUPPLI 652431 AMERICAN HEALTHCARE STAFF 3051 WILLOWOOD RD EDMOND OK 73034 LOCUMS STAFFING COVERAGE 496346 AVERA HEALTH 3900 W AVERA DRIVE SIOUX FALLS SD 57108 MEDICAL SERVICES, CODING, OTHER SERVICES 484312 HAUSMANN & SONS CONSTRUCTION INC 8885 EXECUTIVE WOODS DR LINCOLN NE 68512 CONSTRUCTION SERVICES 278000 AVERA MCKENNAN 1325 S CLIFF AVE SIOUX FALLS SD 57117 MEDICAL SERVICES 233963 5 24265 24265 PATIENT SERVICE FEES 621110 12061407 12061407 RETAIL PHARMACY 456110 4127724 3781163 346561 63140 61722 1418 16252271 489942 489942 6850 0 6850 6850 6850 218954 0 11346 218954 -11346 207608 207608 16980936 15911142 346561 698968 X 2125 2125 348185 348185 163893 163893 6010550 5505167 505383 156256 120498 35758 594205 453998 140207 394783 297334 97449 62192 62192 1550443 857787 692656 13530 4115 9415 130986 21080 109906 35315 15970 19345 160479 95817 64662 33585 27529 6056 16525 15976 549 806304 538533 267771 97682 65256 32426 SUPPLIES 3696151 3645565 50586 REPAIRS AND MAINTENANCE 368184 291080 77104 EQUIPMENT 27109 24862 2247 89105 50449 38656 14757587 12033141 2724446 0 13583347 6157797 1670898 1719054 431790 420661 134755 68771 12705198 8914796 3823428 3790402 10523592 4730437 5240109 44444 11111 1090351 486000 25509450 28417497 784836 901119 17000 784836 918119 X 24703428 27478192 21186 21186 24724614 27499378 25509450 28417497 X 2223349 420874 130541 X 0 1 X 1 0 X 20963 20963 20893 70 20963 20893 20893 20893 20893 20893 20893 0.00000 1.00000 0.00000 0 0 5000 34375 39375 7497282 5104600 2392682 5156935 3810196 1346739 11606 11606 3790402 INTEREST IN NET ASSETS OF AVERA HEALTH FOUNDATION 1335706 F INVESTMENT IN AVERA POOLED FUND 3904403 F 5240109 X 17532351 420874 130541 551415 16980936 0 16980936 14757587 0 14757587 0 14757587 PART V, LINE 4: THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS IS TO PROVIDE FOR CAPITAL NEEDS THAT MAY ARISE. PART X, LINE 2: THE HOSPITAL BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE HOSPITAL WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 130,541. 1 1 X 1 X 1 X 1 1 1 0 0 108000 108000 0.00730 108000 108000 0.00730 226139 8035 218104 0.01480 34488 4500 29988 0.00200 2019893 617946 1401947 0.09500 17368 17368 0.00120 2297888 630481 1667407 0.11300 2405888 630481 1775407 0.12030 1081 1081 0.00010 74 74 0.00000 580 580 0.00000 1735 1735 0.00010 1 338391 48052 5389190 5422441 -33251 X 1 1 1 1 ST MICHAEL'S HOSPITAL INC 410 WEST 16TH AVENUE TYNDALL SD 570660027 WWW.AVERA.ORG/ST-MICHAELS 48584 X X X X 2 PROVIDER BASED RURAL HEALTH CLINIC ST MICHAEL'S HOSPITAL INC 1 0 0 1 X X X X X X X X X 24 1 0 0 1 X SEE PART V SECTION B X SEE PART V SECTION B X 1 24 1 SEE PART V SECTION B 0 1 X 100.000000000000 200.000000000000 X X X X 1 1 X X X X 1 X WWW.AVERA.ORG/LOCATIONS/PROFILE/ST-MICHAELS-HOSPITAL-AVERA/ X WWW.AVERA.ORG/LOCATIONS/PROFILE/ST-MICHAELS-HOSPITAL-AVERA/ X WWW.AVERA.ORG/LOCATIONS/PROFILE/ST-MICHAELS-HOSPITAL-AVERA/ X X X X X X 1 X 0 X X X X 1 X 0 0 ST. MICHAEL'S HOSPITAL, INC. PART V, SECTION B, LINE 5: ST. MICHAEL'S ENGAGED A GROUP OF ST. MICHAEL'S STAFF AND COMMUNITY LEADERS ON OUR COMMITTEE. THESE INDIVIDUALS INCLUDED: CHIEF EXECUTIVE OFFICER, DIRECTOR OF NURSING/PATIENT CARE SERVICES, PHYSICAL THERAPY MANAGER, CLINICAL COORDINATOR, SCHOOL DISTRICT ELEMENTARY PRINCIPAL, SCHOOL DISTRICT PSYCHOLOGIST, BON HOMME COUNTY COMMUNITY HEALTH NURSE, AND STATE SOCIAL SERVICES BENEFIT SPECIALIST. THIS COMMITTEE REPRESENTS MEMBERS OF OUR COMMUNITY WHO ARE SERVING LOW-INCOME, MINORITY AND MEDICALLY UNDERSERVED INDIVIDUALS. THE CHNA COORDINATOR GATHERED RECENT STATISTICS. DATA WAS COLLECTED FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION, BUREAU OF LABOR STATISTICS, U.S. CENSUS BUREAU, COUNTY HEALTH RANKINGS AND SOUTH DAKOTA DEPARTMENT OF HEALTH. WE ALSO USED OUR ORGANIZATION'S DATA RELATED TO PATIENT OUTCOMES AND VOLUMES. IN ADDITION TO THE SECONDARY DATA COLLECTION, WE ALSO COLLECTED PRIMARY DATA THROUGH THE USE OF A COMMUNITY-WIDE SURVEY AND INFORMANT INTERVIEWS. THE COMMUNITY-WIDE SURVEY WAS CREATED THROUGH SURVEYMONKEY AND A LINK WAS SHARED THROUGH OUR FACEBOOK PAGE, EMAILED TO ALL EMPLOYEES, THE ASSESSMENT COMMITTEE, KEY SERVICE PROVIDERS PROVIDING SUPPORT TO MARGINALIZED COMMUNITY MEMBERS, OUR BOARD OF DIRECTORS AND COMMUNITY MEDICAL STAFF. THE SURVEY WAS CONDUCTED JAN. 2, 2025 - JAN. 20, 2025, WITH 56 SURVEYS COLLECTED. ST. MICHAEL'S AVERA COLLECTED DATA THROUGH KEY INFORMANT INTERVIEWS AND FOCUS GROUPS. THE CONVERSATIONS TOOK PLACE JANUARY - MARCH 2025. QUESTIONS USED WERE THE SAME AS FROM THE SURVEY, WITH ADDITIONAL CONVERSATION TAKING PLACE BASED ON THEIR EXPERIENCES AND STORIES SHARED. GROUPS AND INDIVIDUALS CHOSEN TO PARTICIPATE WERE BASED ON BEING A MEMBER OF THE COMMUNITY THAT THE HOSPITAL SERVES AND PROVIDES SOME KIND OF SERVICE TO THE COMMUNITY. GROUPS CONSULTED INCLUDED TWO LOCAL SERVICE CLUBS, CHAMBER OF COMMERCE, FOOD PANTRY AND COUNTY HEALTH SERVICES. COMMUNITIES REPRESENTED BY THESE INDIVIDUALS WERE FROM BON HOMME COUNTY, TOWNS OF TYNDALL, TABOR, SPRINGFIELD, AND AVON, AS WELL AS RURAL LANDOWNERS, LOCAL BUSINESS OWNERS, AND SERVICE PROVIDERS TO LOW-INCOME AND UNDERSERVED, MINORITY POPULATIONS. ST. MICHAEL'S HOSPITAL, INC. PART V, SECTION B, LINE 11: IN THE MOST RECENT CHNA CONDUCTED THE FOLLOWING NEEDS WERE IDENTIFIED:1. PROVIDE PREVENTIVE SERVICES THROUGH HEALTH EDUCATION AND SCREENING PROGRAMS TO DECREASE THE RATE OF OBESITY AND CARDIOVASCULAR DISEASE IN OUR COMMUNITY. 2. IMPROVE ACCESS TO MENTAL HEALTH SERVICES. SMH WILL ATTEMPT TO ADDRESS BOTH PRIORITIZED NEEDS LISTED. SMH DID NOT HAVE TIME TO START ADDRESSING THE NEEDS IN THE MOST RECENT CHNA DUE TO TIMING. SMH DID HIRE A PHYSICIAN AND HAS CONTINUED WITH EFFORTS TO INCREASE EDUCATION AND PROMOTE PROGRAMS TO ADDRESS PHYSICAL ACTIVITY IN OUR SERVICE AREA FROM OUR PREVIOUS YEAR CHNA. ST. MICHAEL'S HOSPITAL, INC. PART V, SECTION B, LINE 13H: PRESUMPTIVE ELIGIBILITY IS UTILIZED AS A LAST RESORT. ST. MICHAEL'S HOSPITAL, INC. PART V, SECTION B, LINE 16J: A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED IN THE EMERGENCY ROOM, RECEPTION AREA AND WAITING AREAS. STAFF DISCUSS THE AVAILABILITY OF THE FACILITY'S FINANCIAL ASSISTANCE POLICY WITH PATIENTS DURING THEIR STAY. NOTICE IS ALSO INCLUDED IN PAYMENT REMINDER LETTERS AND IN STATEMENTS. ST. MICHAEL'S HOSPITAL, INC. PART V, SECTION B, LINE 24: THE HOSPITAL FINANCIAL ASSISTANCE POLICY DOES NOT COVER ELECTIVE PROCEDURES. THE HOSPITAL MAY HAVE CHARGED FAP ELIGIBLE PATIENTS GROSS CHARGES FOR SERVICES THAT ARE NOT COVERED UNDER THE FINANCIAL ASSISTANCE POLICY. PART V. SECTION B, LINE 7A THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE AT HTTPS://WWW.AVERA.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/#MICHAEL PART V. SECTION B, LINE 10A THE IMPLEMENTATION STRATEGY IS AVAILABLE UPON REQUEST AND ATHTTPS://WWW.AVERA.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/#MICHAEL PART I, LINE 3C: IN ADDITION TO THE USE OF FPG TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE, SMH ALSO LOOKS AT THE PATIENT'S MEDICAL INDIGENCY, INSURANCE STATUS AND ELIGIBILITY FOR MEDICARE/MEDICAID. BEING IN A RURAL COMMUNITY WITH A SMALL POPULATION, SMH MAY ALSO USE KNOWN INFORMATION OF A PATIENT'S HARDSHIPS IN MAKING THE FINAL DETERMINATION. PRESUMPTIVE ELIGIBILITY IS UTILIZED AS A LAST RESORT. PART I, LINE 7: CHARITY CARE EXPENSE WAS CONVERTED TO COST ON LINE 7A BASED ON AN OVERALL COST-TO-CHARGE RATIO ADDRESSING ALL PATIENT SEGMENTS. LINES 7E, 7F, AND 7I WERE OBTAINED UTILIZING THE ACTUAL GENERAL LEDGER SYSTEM. LINE 7G WAS OBTAINED FROM THE MEDICARE COST REPORT. PART II, COMMUNITY BUILDING ACTIVITIES: SMH IS INVOLVED WITH THE AREA CHAMBER OF COMMERCE AND ROTARY CLUB. SMH WORKS TO ENHANCE THE QUALITY OF LIFE AND EMPOWER ITS PATIENTS, CARE-GIVERS AND COMMUNITY WITH THE RESOURCES THEY NEED WHEN THEY NEED THEM. SMH ALSO PROVIDES HEALTHCARE CAREER EDUCATION TO PROMOTE HEALTHCARE CAREERS AND RURAL HEALTH. PART III, LINE 2: THE AMOUNT ON LINE 2 REPRESENTS IMPLICIT PRICE CONCESSIONS. THE ORGANIZATION DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH THIS CLASS OF PATIENTS. PART III, LINE 3: THE ESTIMATED AMOUNT OF THE ORGANIZATION'S IMPLICIT PRICE CONCESSIONS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS CALCULATED BASED ON THE PERCENTAGE OF INDIVIDUALS LIVING BELOW THE POVERTY LEVEL IN 2024. THEREFORE, 14.2% OF IMPLICIT PRICE CONCESSIONS CAN REASONABLY BE CONSIDERED A COMMUNITY BENEFIT AS IT WOULD HAVE BEEN WRITTEN OFF TO CHARITY CARE. PART III, LINE 4: THE FOOTNOTE THAT DESCRIBES IMPLICIT PRICE CONCESSIONS IS ON PAGE 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENT. PART III, LINE 8: MEDICARE ALLOWABLE COST OF CARE WAS CALCULATED FROM THE MEDICARE COST REPORT FOR FISCAL YEAR ENDING 6/30/25. MANY PATIENTS IN OUR SERVICE AREA QUALIFY FOR MEDICARE. THE FACILITY PROVIDES SERVICES TO THESE PATIENTS EVEN THOUGH MEDICARE REIMBURSEMENT IS NOT SUFFICIENT TO COVER THE COST OF PROVIDING THIS CARE. PROVIDING SERVICES TO THIS POPULATION PROMOTES ACCESS TO HEALTHCARE SERVICES WHICH ARE NEEDED IN OUR COMMUNITY, THEREBY PROVIDING A BENEFIT TO OUR COMMUNITY. PART III, LINE 9B: SMH PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. THE HOSPITAL DOES NOT PURSUE COLLECTIONS OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE. PART VI, LINE 2: IN ORDER TO DETERMINE NEEDS OF THE COMMUNITY WE SERVE, ST. MICHAEL'S HOSPITAL CONDUCTS PATIENT SURVEYS VIA TELEPHONE THROUGH HEALTHSTREAMS, AND OUR PROVIDERS HAVE MONTHLY MEETINGS FOR CLINIC AND MEDICAL STAFF AT WHICH TIME THEY DISCUSS NEEDS THAT ARE IDENTIFIED THROUGH THE SURVEYS AND THROUGH OFFICE VISITS. INPUT IS ALSO RECEIVED FROM OUR BOARD OF DIRECTORS MEETINGS AND STAFF ROUNDING MEETINGS. PART VI, LINE 3: THE SMH STAFF ASSISTS PATIENTS WHO MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE BY DISCUSSING THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, AND ASSISTING THE PATIENT WITH QUALIFICATION FOR SUCH PROGRAMS WHERE APPLICABLE. THE PROGRAMS ARE DISCUSSED DURING THEIR STAY AND AT PATIENT REQUEST. POSTERS HIGHLIGHTING VARIOUS ASSISTANCE OPTIONS ARE POSTED IN THE ADMISSION AREA. SMH STAFF ALSO DISCUSS THE AVAILABILITY OF ITS CHARITY CARE POLICY WITH PATIENTS DURING THEIR STAY. PART VI, LINE 4: ST. MICHAEL'S HOSPITAL SERVES A RURAL POPULATION IN BON HOMME COUNTY WHICH INCLUDES THE CITIES OF TYNDALL, AVON, TABOR, AND SPRINGFIELD. THERE IS ONE OTHER HOSPITAL IN BON HOMME COUNTY LOCATED IN SCOTLAND, SD. THE POPULATION ESTIMATES AS OF 7/1/2024 REPORT 7,071 PEOPLE WITH 14.2% OF THE POPULATION AT POVERTY LEVELS IN BON HOMME COUNTY. 21.7% OF BON HOMME POPULATION IS AGE 65 OR OLDER, COMPARED TO 18.8% IN THE STATE OF SOUTH DAKOTA. PART VI, LINE 5: SMH'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN BON HOMME COUNTY WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS. SMH APPLIES SURPLUS FUNDS TO IMPROVEMENTS IN PATIENT CARE AND PROVIDES READILY ACCESSIBLE HEALTH CARE TO THE PEOPLE OF BON HOMME COUNTY AND THE SURROUNDING AREA. SMH PROVIDES A VARIETY OF COMMUNITY BENEFIT HEALTH ACTIVITIES AT NO COST OR LESS THAN COST. THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, NUTRITION EDUCATION, FOOT CLINICS, CPR CLASSES, AND BLOOD PRESSURE SCREENINGS. A VARIETY OF PROGRAMS ARE PROVIDED AT NO CHARGE FOR THE CHILDREN IN OUR COMMUNITIES SUCH AS THE IMPACT CONCUSSION PROGRAM, FLU SHOT CLINICS, AND ATHLETIC SCREENINGS. SMH ALSO PROVIDES ATHLETIC PHYSICALS FOR STUDENTS AT A DISCOUNTED RATE. SMH PROVIDES A NURSE ON AN AS NEEDED BASIS FOR AMBULANCE TRANSFER AT NO COST TO THE LOCAL AMBULANCE SERVICE. APPROXIMATELY 14 CLIENTS WERE SERVED DURING THE FISCAL YEAR ENDING 6/30/2025 FOR AMBULANCE TRIPS. SMH PROVIDED FINANCIAL AND IN-KIND DONATIONS FOR VARIOUS COMMUNITY NEEDS SUCH AS MEETING ROOM AVAILABILITY, MEDICAL STAFF COVERAGE AT LOCAL SPORTING EVENTS, AND HEALTH EDUCATION, INCLUDING HEALTH PROFESSION EDUCATION FOR STUDENTS GOING INTO THE HEALTHCARE FIELD. SMH PROVIDES EMERGENCY SERVICES 24 HOURS A DAY, 7 DAYS A WEEK. IN ADDITION TO NURSING STAFF, A MID-LEVEL PROVIDER AND/OR PHYSICIAN ARE ALWAYS IN-HOUSE OR ON CALL TO PROVIDE CARE TO ANYONE PRESENTING WITH AN EMERGENT CONDITION REGARDLESS OF THEIR ABILITY TO PAY. FOR FISCAL YEAR ENDED 6/30/2025, THERE WERE 1,093 PATIENTS WHO RECEIVED EMERGENCY CARE AT SMH.SMH ALSO MAKES AVAILABLE E-EMERGENCY SERVICES THROUGH AN ARRANGEMENT WITH AVERA HEALTH WHEREBY EMERGENCY PHYSICIANS AND OTHER SPECIALISTS ARE AVAILABLE VIA VIDEO CONFERENCING TO ASSIST THE MEDICAL STAFF AND NURSES WITH PATIENTS PRESENTING TO THE SMH EMERGENCY ROOM. THE E-EMERGENCY SERVICES ARE PROVIDED AT NO COST TO THE PATIENT. 18 PATIENTS BENEFITED FROM THE E-EMERGENCY SERVICES DURING THE FISCAL YEAR ENDED 6/30/2025. PART VI, LINE 6: SMH IS A MANAGED FACILITY OF AVERA HEALTH. AVERA HEALTH AND THE HOSPITAL WORK COOPERATIVELY TO ENHANCE HEALTHCARE THROUGHOUT THE COMMUNITY SERVED BY SMH. SMH ALSO HAS ACCESS TO "BACK OFFICE" SUPPORT SERVICES, SUCH AS LEGAL CONSULTATION, QUALITY BENCHMARKING, CODING, COMPUTER SERVICES, CONTRACT NEGOTIATIONS, ADMINISTRATIVE CONSULTATION, GROUP PURCHASING, HUMAN RESOURCES ASSISTANCE AND MANY OTHER SERVICES. AVERA HEALTH IS ABLE TO PROVIDE THESE SERVICES TO SMH AT A COST BELOW THAT WHICH THE HOSPITAL COULD OTHERWISE ACHIEVE. IN TURN, LOCAL CAREGIVERS ARE ABLE TO DEVOTE MORE RESOURCES TO PATIENT CARE. AVERA HEALTH AND SMH DEDICATE RESOURCES TO ENDEAVORS THAT MAKE A POSITIVE DIFFERENCE TO IMPROVE THE HEALTH OF THE COMMUNITIES THEY SERVE. THESE ACTIVITIES INCLUDE LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS, ECONOMIC DEVELOPMENT, PHYSICAL IMPROVEMENTS IN THE COMMUNITY, CONTRIBUTIONS TO NON-PROFIT COMMUNITY ORGANIZATIONS, NON-PROFIT EVENT SPONSORSHIPS, DONATED MEDICAL SUPPLIES, COMMUNITY HEALTH EDUCATION AND SUPPORT GROUPS, HEALTH SCREENINGS, FLU-SHOT CLINICS, AND VARIOUS OTHER ACTIVITIES. X X X 0 0 0 0 0 0 0 0 0 DR KARL DEMARCO PHYSICIAN 297775 0 0 0 100 0 5993 0 10298 0 314166 0 0 0 DR MELVIN WALLINGA FAMILY PRACTICE PHYSICIAN 239138 0 0 0 2286 0 4985 0 31664 0 278073 0 0 0 ASHLI DANILKO CEO 190950 0 0 0 178 0 9900 0 36643 0 237671 0 0 0 JACLYN DVORACEK PHARMACY DIRECTOR 144597 0 0 0 189 0 6264 0 33551 0 184601 0 0 0 TARA SCHAFERS PHARMACIST 140814 0 0 0 414 0 4770 0 20698 0 166696 0 0 0 SCHEDULE J LINE 3 ASHLI DANILKO, CEO, IS COMPENSATED THROUGH AN ARRANGEMENT WITH AVERA SACRED HEART HOSPITAL, 501 SUMMIT STREET, YANKTON, SD 57078. CHAD JENSEN BROTHER OF CEO 81808 EMPLOYEE WAGES 0 KENDRA KRUEGER DAUGHTER OF BOARD CHAIR 82085 EMPLOYEE WAGES 0 FORM 990, PART VI, SECTION A, LINE 8B THE BOARD OF DIRECTOR COMMITTEES ARE ADVISORY IN NATURE ONLY AND DO NOT HAVE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE CEO AND CFO REVIEW THE 990. THE 990 IS THEN PROVIDED TO EACH BOARD MEMBER FOR THEIR REVIEW PRIOR TO THE ACTUAL FILING OF THE 990. FORM 990, PART VI, SECTION B, LINE 12C ST. MICHAEL'S HOSPITAL CONFLICT OF INTEREST POLICY COVERS ANY DIRECTOR/TRUSTEE, OFFICER, MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS, MEMBER OF MANAGEMENT WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, CEO AND CFO AS WELL AS THEIR FAMILY MEMBERS. SMH REQUIRES ANY DIRECTOR/TRUSTEE, BOARD COMMITTEE MEMBER, OFFICER AND MEMBER OF MANAGEMENT TO DISCLOSE THE EXISTENCE OF A FINANCIAL INTEREST, OTHER ACTUAL OR POSSIBLE CONFLICT OF INTEREST AND ALL MATERIAL FACTS ANNUALLY BY COMPLETING A DISCLOSURE STATEMENT; AND IF A CONFLICT OF INTEREST ARISES AFTER THE COMPLETION OF THE ANNUAL DISCLOSURE, AT THE TIME THE NEW CONFLICT ARISES. THE BOARD OF DIRECTORS MAKES THE DETERMINATION AS TO WHETHER A CONFLICT OF INTEREST EXISTS. THE BOARD OF DIRECTORS ADDRESSES CONFLICT OF INTERESTS VIA A FORMALIZED PROCEDURE. THIS PROCEDURE MAY INCLUDE A PRESENTATION BY THE INTERESTED PERSON, BUT EXCLUDES THE INTERESTED PERSON FROM FURTHER DISCUSSION OR VOTING ON THE TRANSACTION OR ARRANGEMENT THAT MAY CONSTITUTE A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS ALSO INCLUDE A STANDING AGENDA ITEM AT THE BEGINNING OF EACH MEETING WHICH REQUIRES THE DISCLOSURE OF POTENTIAL CONFLICT OF INTEREST FOR ANY ITEMS INCLUDED ON THE AGENDA. FORM 990, PART VI, SECTION B, LINE 15 AVERA SACRED HEART HEALTH SERVICES AND SMH'S BOARD OF DIRECTORS USE COMPARABILITY DATA TO DETERMINE APPROPRIATE COMPENSATION OF THE CEO BASED ON EXPERIENCE AND PERFORMANCE. THE COMPENSATION AMOUNT IS APPROVED ANNUALLY BY THE BOARD OF DIRECTORS. THE CEO DETERMINES THE COMPENSATION FOR OTHER MEMBERS OF MANAGEMENT INCLUDING THE CFO BASED ON AN ANNUAL PERFORMANCE APPRAISAL AND USE OF COMPARABILITY DATA. FORM 990, PART VI, SECTION C, LINE 19 THE FACILITY MAKES THE CONFLICT OF INTEREST POLICY AND BYLAWS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONSULTING FEES: PROGRAM SERVICE EXPENSES 20,703. MANAGEMENT AND GENERAL EXPENSES 905. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,608. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 833,947. MANAGEMENT AND GENERAL EXPENSES 457,954. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,291,901. COLLECTION FEE: PROGRAM SERVICE EXPENSES 3,137. MANAGEMENT AND GENERAL EXPENSES 10,392. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,529. MANAGEMENT FEE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 223,405. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 223,405. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 130,541.