2026-05-12T08:46:27-05:00 2025-06-30 450250958 EIDE BAILLY LLP 345 N REID PL STE 400 SIOUX FALLS SD 571037034 990 2024-07-01 420890973 OSCEOLA COMMUNITY HOSPITAL INC OSCE 7127542574 600 9TH AVE N SIBLEY IA 51249 JOSEPH HEITRITTER CEO 7127542574 2026-05-11 1 1 LAURIE HANSON CPA P00851848 6053391999 2026-05-11 2024 2025-03-06 01:10:19Z OSCEOLA REGIONAL HEALTH CENTER JOSEPH HEITRITTER 600 9TH AVE N SIBLEY IA 51249 20214222 0 X HTTPS://WWW.OSCEOLARHC.ORG/ X 1960 IA TO PROVIDE HEALTHCARE TO THE CITIZENS OF OSCEOLA COUNTY AND THE SURROUNDING AREA. 9 8 146 72 0 0 470679 1661898 14877702 17481952 130713 285129 159667 381239 15638761 19810218 4149 15653 0 0 6269081 7450335 0 0 68177 8249249 9474777 14522479 16940765 1116282 2869453 22156705 26727326 5110614 5740713 17046091 20986613 X IT IS THE MISSION OF THE OSCEOLA COMMUNITY HOSPITAL TO ENHANCE AND IMPROVE THE QUALITY OF LIFE OF THE POPULATION IT SERVES, TO BE THE AREA'S PREMIER HEALTH CARE SERVICE PROVIDER, AND TO HAVE A POSITIVE IMPACT ON THE LIVES OF THE PEOPLE AND COMMUNITY IT SERVES. 1 0 11876079 15653 16504637 OSCEOLA COMMUNITY HOSPITAL PROVIDES NURSING SERVICES, LAB, RADIOLOGY, PHYSICAL THERAPY, AND OTHER RELATED HOSPITAL FUNCTIONS TO RESIDENTS OF OSCEOLA COUNTY, IOWA, AND NEARBY COUNTIES. IN ADDITION, THE HOSPITAL PROVIDES BEHAVIORAL HEALTH SERVICES TO PROMOTE MENTAL WELLNESS, OFFER DIAGNOSIS, AND TREATMENT TO PATIENTS IN OUR AREA. HEALTH SCREENINGS, SUCH AS CHOLESTEROL AND CARDIAC, ARE PROVIDED AS WELL. THE HOSPITAL WORKS HARD TO BRING OUTREACH SPECIALISTS TO THE FACILITY TO MAKE THESE SERVICES AVAILABLE TO THOSE THAT FIND IT DIFFICULT TO TRAVEL. THE FACILITY'S WELLNESS CENTER PROVIDES PROGRAMS TO THE LOCAL SCHOOL SYSTEM, NURSING HOME FACILITIES, OUTPATIENTS, AND THE COMMUNITY AT LARGE. DURING THE 12 MONTHS OF 7/01/2024-6/30/2025, THE HOSPITAL PROVIDED $25,000 OF CHARITY CARE CHARGES TO INDIVIDUALS. 1090419 1038707 OSCEOLA REGIONAL HEALTH CENTER OPERATES OSCEOLA SENIOR LIVING TO ENSURE THAT HIGH QUALITY NURSING FACILITY SERVICES ARE AVAILABLE TO COMMUNITY MEMBERS IN OSCEOLA COUNTY AND NEARBY COUNTIES. OSCEOLA SENIOR LIVING CONSISTS OF TWO FACILITIES: A SENIOR LIVING CAMPUS CONSISTING OF A 46 BED LONG-TERM CARE FACILITY LOCATED ADJACENT TO THE CAMPUS OF OSCEOLA REGIONAL HEALTH CENTER, AND A 22 UNIT SENIOR COMMUNITY THAT OFFERS ASSISTED LIVING SERVICES FOR ITS RESIDENTS, PROVIDING A COMFORTABLE, SAFE, AND INCLUSIVE COMMUNITY ENVIRONMENT PROMOTING INDEPENDENCE AND PERSONAL ELDERLY CARE FOR INDIVIDUALS WHO LIVE THERE. 12966498 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 1 0 0 1 45 0 1 146 1 0 0 0 0 0 0 0 0 0 0 X 9 8 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X ANDREA JOHNSON 7127542574 600 9TH AVENUE NORTH SIBLEY IA 51249 JOSEPH HEITRITTER CEO 40.00 0.50 X 163627 0 51299 TASHA JENNINGS PSYCHIATRIC MENTAL HEALTH 40.00 0.00 X 125106 0 53441 WENDY MARCO CNO 40.00 0.00 X 110384 0 49815 TODD HELMERS PHYSICAL THERAPIST 40.00 0.00 X 128081 0 20340 ANDREA JOHNSON CFO 40.00 0.50 X 119410 0 15842 AMBER BOSMA PRESIDENT 0.50 0.00 X X 0 0 0 GLORIA TORRES VICE PRESIDENT 0.50 0.00 X X 0 0 0 BRIAN MINO TREASURER 0.50 1.00 X X 0 0 0 BRAD JENSEN SECRETARY 0.50 0.00 X X 0 0 0 BILL BOER TRUSTEE 0.50 0.00 X 0 0 0 ABBY DE ZEEUW TRUSTEE 0.50 0.00 X 0 0 0 BRANDON KRIKKEE TRUSTEE 0.50 0.00 X 0 0 0 HOLLY WILSON TRUSTEE 0.50 1.00 X 0 0 0 CHERYL PETERS TRUSTEE 0.50 1.00 X 0 0 0 646608 0 190737 5 0 1 0 AVERA MCKENNAN 1325 S CLIFF AVE SIOUX FALLS SD 571175045 IT AND ADMIN SERVICES 1921299 MEDICAL SOLUTIONS INC 1010 N 102ND ST STE 300 OMAHA NE 68114 TEMP. NURSING SERVICE 474524 JAH ANESTHESIA LLC 9014 W WISDOM PL SIOUX FALLS SD 57106 CRNA MEDICAL PROVIDER 216809 QHR 1573 MALLORY LN STE 200 BRENTWOOD TN 37027 BILLING SERVICE 170750 GOODCARE LLC 1000 N WEST AVE STE 210 SIOUX FALLS SD 57104 OCCUPATIONAL SERVICES 166956 7 1459416 17416 185066 1090590 1661898 PATIENT REVENUE 621400 17145189 17145189 ANCILLARY ACTIVITY 900099 336763 336763 17481952 40811 40811 319847 0 319847 319847 319847 642618 5704 404004 0 238614 5704 244318 244318 61392 0 61392 61392 19810218 17543344 0 604976 X 12153 12153 3500 3500 335813 335813 5485944 4549695 913194 23055 145344 112874 32306 164 1076198 810306 264714 1178 407036 297903 108700 433 37688 37688 99618 99618 3899380 2972183 919392 7805 52548 245 52303 400062 195207 204855 294696 209514 78756 6426 22359 17981 4378 13962 9962 4000 105089 105089 965431 760619 203772 1040 208796 208796 MEDICAL SUPPLIES 2255539 2235177 19626 736 REPAIR AND MAINTENANCE 376797 363523 13033 241 DUE AND SUBSCRIPTION 89639 37769 51870 653173 64002 562072 27099 16940765 12966498 3906090 68177 2629240 3474490 11048 59809 2201291 2107840 197969 199081 118987 147723 25095181 18322617 4673183 6772564 9158923 10007713 2977501 3865123 139062 78229 49501 14754 22156705 26727326 1451721 1486759 3258162 3061784 400731 1192170 5110614 5740713 X 17035486 20984304 10605 2309 17046091 20986613 22156705 26727326 X 2869453 995801 75268 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 298362 298362 16944317 12466010 4478307 7178890 5295040 1883850 673612 561567 112045 6772564 INTEREST IN AVERA HEALTH FOUNDATION 3522343 F INVESTMENT IN COUNTRY VIEW MANOR 342000 F OTHER INVESTMENTS 780 F 3865123 ESTIMATED THIRD PARTY PAYOR SETTLEMENT 759883 FINANCE LEASE LIABILITY 417225 OPERATING LEASE LIABILITY 15062 1192170 X 20037006 995801 718225 1714026 18322980 1487238 1487238 19810218 17493676 664292 664292 16829384 111381 111381 16940765 PART X, LINE 2: THE HEALTH CENTER 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 HEALTH CENTER 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. THE HEALTH CENTER AND AFFILIATE'S TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: HEARTWOOD HEIGHTS REVENUE 718,225. PART XI, LINE 4B - OTHER ADJUSTMENTS: CONTRIBUTIONS WITH DONOR RESTRICTIONS 27,822. CONTRIBUTION OF HEARTWOOD HEIGHTS 1,459,416. PART XII, LINE 2D - OTHER ADJUSTMENTS: HEARTWOOD HEIGHTS EXPENSE 664,292. PART XII, LINE 4B - OTHER ADJUSTMENTS: AUXILIARY ACTIVITY NOT RECORDED ON AUDIT 111,381. 1 1 X 1 X 1 X 1 1 0 1 1 25000 25000 0.00150 25000 25000 0.00150 85815 85815 0.00510 2453652 1912889 540763 0.03190 32230 32230 0.00190 2571697 1912889 658808 0.03890 2596697 1912889 683808 0.04040 1 213049 50109 7872971 7899146 -26175 X 1 1 1 1 OSCEOLA COMMUNITY HOSPITAL 600 NINTH AVENUE NORTH SIBLEY IA 51249 HTTPS://WWW.OSCEOLARHC.ORG/ 720109H X X X X ONE PROVIDER BASED CLINIC OSCEOLA COMMUNITY HOSPITAL 1 0 0 1 X X X X X X X X X 24 1 0 1 1 X SEE 7D X SEE PART V SECTION B X X 1 24 1 SEE PART V SECTION B 0 1 X 100.000000000000 200.000000000000 X X 1 1 X X X X 1 X HTTPS://WWW.OSCEOLARHC.ORG/PATIENTS-VISITORS/PAY-MY-BILL/ X HTTPS://WWW.OSCEOLARHC.ORG/PATIENTS-VISITORS/PAY-MY-BILL/ X HTTPS://WWW.OSCEOLARHC.ORG/PATIENTS-VISITORS/PAY-MY-BILL/ X X X X X X 1 X 0 X X X X 1 X 0 0 OSCEOLA COMMUNITY HOSPITAL PART V, SECTION B, LINE 5: THE ASSESSMENT WAS CONDUCTED BY OSCEOLA REGIONAL HEALTH CENTER AND OSCEOLA COMMUNITY HEALTH SERVICES, WHICH ALSO PROVIDED THE FINANCIAL AND IN-KIND SUPPORT FOR THE ASSESSMENT PROCESS. SINCE THE GREATEST PORTION OF THE ORGANIZATION'S PATIENTS AND CUSTOMERS RESIDE IN OSCEOLA AND LYON COUNTIES, PEOPLE FROM THOSE COMMUNITIES WERE SPECIFICALLY ASKED TO PROVIDE FEEDBACK VIA PAPER/ONLINE SURVEYS. TO ENSURE ALL AGE GROUPS AND INCOME LEVELS WERE ABLE TO PROVIDE HONEST FEEDBACK, PARTICIPANTS WERE ASKED TO TAKE THE TIME TO SUBMIT A THOUGHTFUL SURVEY. THE SURVEYS WERE SUBMITTED BY REPRESENTATIVES FROM THE MEDICAL COMMUNITY AND CIVIC ORGANIZATIONS, BUSINESS OWNERS, FARMERS, PUBLIC HEALTH OFFICIALS, EMTS, FIREFIGHTERS, CITY AND COUNTY OFFICIALS, SIBLEY-OCHEYEDAN SCHOOL PERSONNEL AND PARENTS, MENTAL HEALTH PROVIDERS, SUBSTANCE ABUSE AND MENTAL HEALTH COUNSELORS, MINISTERIAL ASSOCIATION MEMBERS, BOARD OF TRUSTEE MEMBERS, PATIENTS, PEOPLE REPRESENTING THE UNINSURED/UNDERINSURED POPULATION AND PEOPLE REPRESENTING THOSE IN MOST NEED OF ASSISTANCE IN OUR SERVICE AREA. ALL AGE GROUPS AND INCOME LEVELS WERE REPRESENTED. A TOTAL OF 201 SURVEYS WERE COMPLETED FROM SEPTEMBER 20, 2024 TO DECEMBER 31, 2024. SPECIAL ATTENTION WAS TAKEN THROUGHOUT THE PRIMARY DATA COLLECTION PROCESS TO ENSURE THE HOSPITAL'S ASSESSMENT TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE AND EXPERTISE IN PUBLIC HEALTH. A SMALL GROUP MEETING WAS SET UP TO LET SENIORS FROM ALL OVER OSCEOLA COUNTY PROVIDE FEEDBACK. PAPER/ONLINE SURVEYS IN BOTH ENGLISH AND SPANISH WERE TAKEN TO VARIOUS LOCATIONS AND EVENTS (WIC CLINICS, FOOD BANKS, DINNER DATES, LUNCH & LEARNS, LIBRARIES, ETC.) IN THE TOWNS OF SIBLEY, MELVIN, OCHEYEDAN, ASHTON, LITTLE ROCK AND GEORGE, ALL IN IOWA. INFORMATION ABOUT THE CHNA WAS INCLUDED IN OUR ANNUAL REPORT WHICH WAS DIRECTLY MAILED TO ALL HOMES IN THE FOLLOWING TOWNS IN IOWA: ARCHER, ASHTON, GEORGE, HARRIS, LITTLE ROCK, MELVIN, OCHEYEDAN, SANBORN, SIBLEY AND LAKE PARK; AS WELL AS THE FOLLOWING TOWNS IN MINNESOTA: BIGELOW, ELLSWORTH, ROUND LAKE AND RUSHMORE. ADVERTISEMENTS AND PRESS RELEASES WITH A LINK TO THE ONLINE SURVEY RAN IN LOCAL NEWSPAPERS OF THE FOLLOWING TOWNS: SIBLEY, MELVIN, OCHEYEDAN, GEORGE AND LITTLE ROCK. ADDITIONAL SUPPORT IN DISTRIBUTION OF THE SURVEYS WAS PROVIDED BY THE SIBLEY-OCHEYEDAN SCHOOL DISTRICT, BRIGHT BEGINNINGS DAYCARE, SIBLEY CHAMBER OF COMMERCE AND OSCEOLA MINISTERIAL ASSOCIATION. OSCEOLA COMMUNITY HOSPITAL PART V, SECTION B, LINE 6B: OSCEOLA COMMUNITY HEALTH SERVICES OSCEOLA COMMUNITY HOSPITAL PART V, SECTION B, LINE 7D: HTTPS://WWW.OSCEOLARHC.ORG/PATIENTS-VISITORS/OSCEOLA-COUNTY-CHNA/ OSCEOLA COMMUNITY HOSPITAL PART V, SECTION B, LINE 11: DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS COMPLETED DURING FY25 (CALENDAR YEAR 2024), THE FOLLOWING HEALTH NEED PRIORITIES WERE IDENTIFIED: MENTAL HEALTH/BEHAVIORAL HEALTH ACCESS TO SPECIALTY CARE COMMUNITY WELLNESS/EDUCATION/PREVENTION FOOD INSECURITY - NON-HEALTHCARE AFFORDABLE HOUSING - NON-HEALTHCAREFOLLOWING ARE THE ACTIONS THAT OCH TOOK DURING THE YEAR TO ADDRESS NEEDS IDENTIFIED IN ITS FY25 CHNA:MENTAL HEALTH/BEHAVIORAL HEALTH: OSCEOLA REGIONAL HEALTH CENTER RECOGNIZES THAT MENTAL HEALTH IS AN ESSENTIAL PART OF OVERALL WELLNESS AND OUR TEAM IS COMMITTED TO PROVIDING PERSONALIZED CARE THAT MEETS INDIVIDUALS WHERE THEY ARE. BY PRIORITIZING ACCESS, EDUCATION AND EARLY INTERVENTION, OSCEOLA REGIONAL HEALTH CENTER CONTINUES TO OFFER BEHAVIORAL HEALTH SUPPORT BECAUSE CARING FOR THE MIND IS JUST AS IMPORTANT AS CARING FOR THE BODY. IN JUNE 2025, OSCEOLA REGIONAL HEALTH CENTER HIRED A SECOND PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER (PMHNP) TO MEET THE ONGOING NEEDS OF THE COMMUNITY. THE PMHNP PROMOTES MENTAL WELLNESS BY OFFERING COMMUNITY EDUCATION AT EVENTS AT A LOCAL BUSINESS TO EDUCATE THE PUBLIC ON THE IMPORTANCE OF MENTAL HEALTH IN OUR COMMUNITY. OUR BEHAVIORAL HEALTH TEAM HAS HOSTED FREE LUNCH AND LEARN EVENTS SPECIFICALLY ABOUT MENTAL HEALTH (INCLUDING TOPICS: DESTIGMATIZING MENTAL HEALTH, ADDICTION, SUICIDE PREVENTION AND MORE). THEY ALSO PROVIDED ARTICLES TO OUR ONLINE BLOG AND TO THE LOCAL NEWSPAPERS OFFERING INSIGHTS TO ONES MENTAL HEALTH AND HOW TO GET SUPPORT. OUR PMHNP WAS ABLE TO CONTINUE TO PROVIDE BEHAVIORAL HEALTH SERVICES THROUGH OUTREACH OPPORTUNITIES AT AREA SCHOOLS AND NURSING HOMES. IN ADDITION TO OUR OWN BEHAVIORAL HEALTH STAFF, OSCEOLA REGIONAL HEALTH CENTER CONTINUES TO PARTNER WITH INTERCONNECTIONS THERAPY TO HAVE A FULL-TIME MENTAL HEALTH COUNSELOR WHO PROVIDES INDIVIDUAL, FAMILY, AND COUPLES THERAPY/COUNSELING.PROVIDING ACCESS TO HIGH-QUALITY SPECIALIZED SERVICES IS ONE OF OUR TOP PRIORITIES. WE WILL CONTINUE TO STRIVE TOWARD EXPANDING AND IMPROVING ACCESS TO SPECIALTY CARE IN OSCEOLA COUNTY. CURRENTLY, OUR TEAMS HAVE FURTHERED THEIR EDUCATION, TRAINING AND CERTIFICATIONS TO ENSURE WE CAN SAFELY AND EFFECTIVELY INTRODUCE NEW SERVICES RIGHT HERE IN SIBLEY. OUR PHYSICAL THERAPY DEPARTMENT BEGAN OFFERING A FULL RANGE OF PEDIATRIC THERAPY SERVICES AND ALSO BEGAN OFFERING NEUROLOGICAL REHABILITATION SERVICES UTILIZING THE LSVT BIG AND LSVT LOUD TREATMENT PROGRAMS DURING THE CURRENT FISCAL YEAR. OSCEOLA REGIONAL HEALTH CENTER IS COMMITTED TO FOSTERING COMMUNITY HEALTH THROUGH PREVENTION, EDUCATION AND WELLNESS INITIATIVES. BY COLLABORATING WITH LOCAL ORGANIZATIONS, SCHOOLS AND REGIONAL PARTNERS, THE HOSPITAL AND PUBLIC HEALTH PROMOTES HEALTHIER LIFESTYLES, REDUCES CHRONIC DISEASE RISK AND ENHANCES OVERALL WELLBEING. OSCEOLA REGIONAL HEALTH CENTER AND AVERA MEDICAL GROUP SIBLEY CONTINUE TO WORK TOGETHER TO HOST COMMUNITY 5K RUN/ WALKS TO PROMOTE PHYSICAL ACTIVITY ACROSS ALL AGES, ALONG WITH BRINGING AWARENESS TO THE COMMUNITY OF CERTAIN DISEASES (E.G. PINK PUMPKIN 5K RUN/WALK/BIKE IN OCTOBER PROMOTES BREAST CANCER AWARENESS). LUNCH AND LEARN PROGRAMS WERE OFFERED TO PROVIDE NO-COST HEALTH EDUCATION, ACCESSIBLE IN-PERSON AND VIA LIVESTREAM, EDUCATING THE PUBLIC ON DIVERSE HEALTH TOPICS. OSCEOLA COMMUNITY HEALTH SERVICES OFFERS IMMUNIZATIONS, MATERNAL AND CHILD HEALTH SERVICES, FOOT CARE CLINICS, COMMUNITY EDUCATION AND HOMEMAKER SUPPORT PROGRAMS TO ADVANCE PREVENTION AND PROMOTE HEALTH. OSCEOLA REGIONAL HEALTH CENTER ALSO HAD AN OPPORTUNITY TO PARTNER WITH HIGH SCHOOL BIOLOGY AND HEALTH SCIENCE CLASSES TO PROVIDE EXPERIENTIAL LEARNING OPPORTUNITIES WITHIN THE HOSPITAL'S WELLNESS CENTER, EMPHASIZING DISEASE PREVENTION AND POPULATION HEALTH.NON-HEALTHCARE FOOD INSECURITY: FOOD INSECURITY CONTINUES TO BE A SIGNIFICANT PUBLIC HEALTH CONCERN IN OSCEOLA COUNTY AND SURROUNDING COMMUNITIES, IMPACTING FAMILIES, SENIORS AND INDIVIDUALS WITH LIMITED INCOME. LIMITED ACCESS TO AFFORDABLE, NUTRITIOUS FOOD CONTRIBUTES TO CHRONIC HEALTH CONDITIONS SUCH AS OBESITY, DIABETES AND HEART DISEASE, WHILE ALSO AFFECTING CHILD DEVELOPMENT, EDUCATIONAL OUTCOMES AND OVERALL COMMUNITY WELL-BEING. RURAL BARRIERS (INCLUDING TRANSPORTATION CHALLENGES, LACK OF GROCERY OPTIONS AND RELIANCE ON FOOD PANTRIES) FURTHER COMPOUND THE PROBLEM. OSCEOLA REGIONAL HEALTH CENTER WILL FOSTER A FOCUS ON INCREASING AWARENESS ON FOOD RESOURCES AND PARTNERSHIPS TO INCREASE FOOD COLLECTION TO DECREASE FOOD INSECURITIES THROUGHOUT THE SERVICE AREA. OSCEOLA REGIONAL HEALTH CENTER ORGANIZES INTERNAL FOOD DRIVES, WITH ALL COLLECTED DONATIONS DIRECTED TO FOOD BANKS SERVING OSCEOLA COUNTY. NON-HEALTHCARE HOUSING: WHILE NOT A DIRECT HEALTH SERVICE PROVIDED AT OSCEOLA REGIONAL HEALTH CENTER, HOUSING CONTINUES TO BE A SIGNIFICANT NEED RELATED TO POPULATION HEALTH AND COMMUNITY VITALITY. ENSURING SUSTAINABLE HOUSING SUPPORTS THE OVERALL WELL-BEING OF OSCEOLA COUNTY RESIDENTS AND STRENGTHENS THE CONTINUUM OF CARE. IN PARTNERSHIP WITH THE SIBLEY HOUSING AND DEVELOPMENT CORPORATION, LOCAL LEADERS AND COMMUNITY PARTNERS, A COMPREHENSIVE PLAN IS UNDERWAY TO IDENTIFY OPPORTUNITIES THAT ADDRESS GAPS IN AFFORDABLE HOUSING WITHIN THE COMMUNITIES. OSCEOLA REGIONAL HEALTH CENTER IS ENGAGED IN THE SIBLEY HOUSING AND DEVELOPMENT CORPORATION TO OVERSEE HOUSING AND COMMUNITY DEVELOPMENT EFFORTS. IN APRIL OF 2025, OSCEOLA REGIONAL HEALTH CENTER FINALIZED THE ACQUISITION OF A LOCAL NURSING HOME. THIS EFFORT AIMS TO KEEP THE FACILITY OPERATIONAL, ENSURING ELDERLY RESIDENTS HAVE A PLACE TO RELOCATE WHILE PREVENTING DISRUPTION OF CARE. WHILE ALL IDENTIFIED NEEDS ARE IMPORTANT, OSCEOLA REGIONAL HEALTH CENTER WILL NOT ADDRESS THE FOLLOWING NEEDS AS PART OF ITS IMPLEMENTATION STRATEGY:-ACCESS TO DENTAL CARE: OSCEOLA COUNTY IS IN NEED OF DENTAL CARE OPTIONS. OSCEOLA REGIONAL HEALTH CENTER HAS BEEN COMMITTED TO AND WILL CONTINUE TO SEEK OUT OPPORTUNITIES TO HELP PROVIDE DENTAL CARE TO OUR AREA.-TRANSPORTATION: OSCEOLA REGIONAL HEALTH CENTER RECOGNIZES THE COMMUNITY EXPRESS BUS AS A VALUABLE RESOURCE IN ADDRESSING TRANSPORTATION BARRIERS, PARTICULARLY FOR INDIVIDUALS NEEDING ACCESS TO MEDICAL APPOINTMENTS. OSCEOLA REGIONAL HEALTH CENTER SUPPORTS THIS SERVICE AS PART OF ITS COMMITMENT TO IMPROVING ACCESS TO CARE AND FOOD INSECURITY HEALTH NEEDS. THE COMMUNITY EXPRESS BUS OPERATES AS A NON-PROFIT ENTITY, RELYING PRIMARILY ON DONATIONS FROM LOCAL ORGANIZATIONS AND INDIVIDUALS TO REMAIN SUSTAINABLE. WHILE THE BUS PLAYS A MEANINGFUL ROLE IN SUPPORTING COMMUNITY HEALTH, OSCEOLA REGIONAL HEALTH CENTER HAS ELECTED NOT TO PRIORITIZE THIS TOPIC WITHIN THE CURRENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CYCLE. NONETHELESS, THE OSCEOLA REGIONAL HEALTH CENTER REMAINS COMMITTED TO ONGOING SUPPORT FOR THE PROGRAM AS PART OF ITS BROADER MISSION TO REDUCE NON-MEDICAL BARRIERS TO CARE. OSCEOLA COMMUNITY HOSPITAL PART V, SECTION B, LINE 13H: THE HOSPITAL WILL PRESUMPTIVELY DETERMINE THAT AN INDIVIDUAL QUALIFIES FOR 100% FINANCIAL ASSISTANCE IF THE HOSPITAL OR ITS AGENT OBTAINS EVIDENCE OF ANY OF THE FOLLOWING SITUATIONS. IF A PERSON IS PRESUMPTIVELY DETERMINED TO QUALIFY, THE HOSPITAL WILL SEND A WRITTEN NOTICE INFORMING THE INDIVIDUAL THAT THEIR LIABILITY HAS BEEN FORGIVEN AND NO FURTHER PAYMENTS ARE DUE.- HOMELESSNESS OR RECEIVED CARE FROM A HOMELESS CLINIC;- NO INCOME;- PARTICIPATE IN THE WOMEN'S, INFANT'S, AND CHILDREN'S PROGRAM ("WIC");- ELIGIBLE FOR FOOD STAMPS;- PARTICIPATE IN A SUBSIDIZED SCHOOL LUNCH PROGRAM;- ELIGIBLE FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS THAT ARE UNFUNDED, SUCH AS MEDICAID SPEND-DOWN;- FAMILY OR FRIENDS OF THE INDIVIDUAL PROVIDE INFORMATION ESTABLISHING THE INDIVIDUAL'S INABILITY TO PAY;- LOW-INCOME/SUBSIDIZED HOUSING IS PROVIDED AS A VALID ADDRESS;- PATIENT IS DECEASED WITH NO KNOWN ESTATE; OR- PATIENT/GRANTOR IS INCARCERATED, HAS NO ASSETS, AND IS NOT ELIGIBLE FOR PAROLE WITHIN THE NEXT 18 MONTHS. PART V, SECTION B, LINE 10A THE IMPLEMENTATION STRATEGY IS AVAILABLE AT: HTTPS://WWW.OSCEOLARHC.ORG/PATIENTS-VISITORS/OSCEOLA-COUNTY-CHNA/ PART V, SECTION B, LINE 7B THE COMMUNITY HEALTH NEEDS ASSESSMENT (AS WELL AS THE IMPLEMENTATION STRATEGY) CAN ALSO BE FOUND AT: HTTPS://WWW.AVERA.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/ 1 1 - OSCEOLA SENIOR LIVING LLC 600 NINTH AVENUE NORTH SIBLEY IA 51249 LONG-TERM CARE FACILITY, NURSING FACILITY PART I, LINE 3C: IN ADDITION TO USING FPG TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE, THE FACILITY USES AN ASSET TEST AND MAY PROVIDE PRESUMPTIVE ELIGIBILITY IF WARRANTED. PART I, LINE 6A: THE HOSPITAL'S COMMUNITY BENEFIT REPORT IS INCLUDED IN A REPORT PREPARED BY THE IOWA HOSPITAL ASSOCIATION, RATHER THAN IN A SEPARATE REPORT PREPARED BY THE ORGANIZATION. THIS REPORT IS MADE AVAILABLE BY THE IOWA HOSPITAL ASSOCIATION TO THE PUBLIC THROUGH THEIR WEBSITE.HTTPS://WWW.IHAONLINE.ORG/INFORMATION/ECONOMIC-IMPACT-COMMUNITY-BENEFITS/FIND-REPORTS/ 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. ACTUAL COSTS FROM THE GENERAL LEDGER WERE USED FOR LINE 7E AND 7I.LINE 7G WAS DETERMINED USING THE MEDICARE COST REPORT. PART III, LINE 2: THE AMOUNT ON LINE 2 REPRESENTS IMPLICIT PRICE CONCESSIONS. THE ORGANIZATION DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSION 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, 23.52% 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 13 AND 14 OF THE ATTACHED AUDIT REPORT. PART III, LINE 8: MEDICARE ALLOWABLE COST OF CARE WAS CALCULATED FROM THE MEDICARE COST REPORT FOR FISCAL YEAR ENDING 6/30/25. MEDICAL SERVICES ARE PROVIDED TO PATIENTS WITH MEDICARE COVERAGE REGARDLESS OF WHETHER OR NOT A SURPLUS OR DEFICIT IS REALIZED. PROVIDING MEDICARE SERVICES PROMOTES ACCESS TO HEALTHCARE SERVICES WHICH ARE VITALLY NEEDED BY OUR COMMUNITY. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES.HOSPITAL SERVICES REIMBURSED ON A FEE SCHEDULE ARE NOT INCLUDED IN THE MEDICARE CALCULATION PER THE 990 INSTRUCTIONS. HAD THIS BEEN REPORTED THE HOSPITAL WOULD HAVE HAD A GREATER LOSS FROM MEDICARE SERVICES OF $182,760.MEDICARE FEE SCHEDULE REVENUE: $184,196MEDICARE ESTIMATED COSTS OF CARE RELATING TO PAYMENTS $(366,956)NET (SHORTAGE) $(182,760) PART III, LINE 9B: ACCOUNTS THAT MEET THE CRITERIA FOR THE FINANCIAL ASSISTANCE POLICY WILL BE WRITTEN OFF IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE POLICY. ACCOUNTS THAT DO NOT MEET THE CRITERIA FOR FINANCIAL ASSISTANCE WILL PROCEED THROUGH THE COLLECTION PROCESS. IF, DURING THE COLLECTION PROCESS, IT IS DETERMINED THAT AN ACCOUNT IN COLLECTION BELONGS TO A PATIENT WHO IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THE ACCOUNT WILL BE REMOVED FROM COLLECTION AND RETURNED TO THE HOSPITAL FOR RESOLUTION. PART VI, LINE 2: THE HOSPITAL ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY THROUGH FORMAL PROCESSES THAT INCLUDE MEETINGS, SURVEY AND COMMUNITY INPUT PRIOR TO UNDERTAKING ANY LARGE PROJECTS. THROUGHOUT THE YEAR, COMMUNITY NEEDS ARE ASSESSED INFORMALLY AT VARIOUS COMMUNITY MEETINGS AND THROUGH PATIENT SURVEYS. THE ORGANIZATION ALSO ASSISTS THE HOME HEALTH DEPARTMENT/PUBLIC HEALTH WITH A COMMUNITY NEEDS ASSESSMENT AND INFORMATION FROM THE CHNA IS UTILIZED TO HELP PLAN SERVICES THE ORGANIZATION OFFERS. PART VI, LINE 3: DURING THE COURSE OF PRE-REGISTRATION A MODE OF PAYMENT IS RECORDED ON THE ADMISSION FORM. IF INSURANCE IS INDICATED, BENEFITS ARE REQUESTED FROM THE INSURANCE COMPANY. IF IT IS NOTED THAT THE ACCOUNT HAS A LARGE DEDUCTIBLE OR IS SELF-PAY, THE INFORMATION IS FORWARDED TO THE COLLECTION STAFF AND SOCIAL SERVICES. OPTIONS FOR HANDLING PAYMENT OF THE ACCOUNT ARE THEN DISCUSSED WITH THE PATIENT OR THE RESPONSIBLE PARTY. IF THE PATIENT OR RESPONSIBLE PARTY IS NOT AVAILABLE AT THE TIME THE INFORMATION IS RECEIVED BY THE BUSINESS OFFICE OR SOCIAL SERVICE STAFF, EFFORTS TO CONTACT THEM INCLUDE PHONE AND WRITTEN CORRESPONDENCE. IF THE PARTY DOES NOT RESPOND, THE ACCOUNT IS HANDED OVER TO THE COLLECTION AREA. THIS PROCESS OFTEN REQUIRES A COMBINATION OF BUSINESS OFFICE AND SOCIAL SERVICE STAFF WORKING TOGETHER.OPTIONS FOR ANY SELF-PAY OBLIGATIONS INCLUDE PAYMENT IN FULL, PAYMENT PLANS, VARIOUS ASSISTANCE PROGRAMS, AND THE FINANCIAL ASSISTANCE OFFERED BY OSCEOLA COMMUNITY HOSPITAL'S CHARITY CARE. INFORMATION REGARDING THESE OPTIONS IS MADE AVAILABLE AT THIS TIME.DURING THE DISCUSSIONS, INFORMATION IS REQUESTED TO ASSESS AND APPROVE FINANCIAL STATUS IF PAYMENTS, PROGRAM APPLICATION, OR CHARITY ARE INDICATED. ASSISTANCE IS OFFERED FOR COMPLETION OF APPLICATIONS AND INSTRUCTIONS ARE GIVEN FOR COMPLETION OF FINANCIAL ASSESSMENTS. PARTICULAR ACCOUNTS MAY ALSO BE BROUGHT TO THE ATTENTION OF THE BUSINESS OFFICE OR SOCIAL SERVICES BY THE COLLECTIONS STAFF, PATIENTS THEMSELVES, OR RELATIVES OF PATIENTS. THIS USUALLY OCCURS WHEN THE CIRCUMSTANCES OF THE PATIENT CHANGES AFTER A TIME PERIOD HAS PASSED. WHEN NOTIFICATION IS RECEIVED, THESE CASES ARE REASSESSED. PART VI, LINE 4: SIBLEY IS LOCATED IN OSCEOLA COUNTY IOWA. SIBLEY HAS A POPULATION OF 2,749. IT IS ALSO THE COUNTY SEAT OF OSCEOLA COUNTY. SIBLEY IS CURRENTLY DECLINING AT A RATE OF 0.69% ANNUALLY AND ITS POPULATION HAS DECREASED BY 3.98% SINCE THE MOST RECENT CENSUS. THE MEDIAN HOUSEHOLD INCOME IN SIBLEY IS $55,070 WITH A POVERTY RATE OF 23.52%. THE MEDIAN AGE IN SIBLEY IS 37.1 YEARS. PART VI, LINE 5: OSCEOLA COMMUNITY HOSPITAL IS FOCUSED ON SERVING THE NEEDS OF THE COMMUNITY. THE GOVERNING BODY OF THE HOSPITAL IS MADE UP ENTIRELY OF VOLUNTEERS FROM THE COMMUNITY. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO QUALIFIED PHYSICIANS IN ITS COMMUNITY. EXCESS FUNDS ARE USED FOR THE IMPROVEMENT OF PATIENT CARE AND FACILITIES. THE HOSPITAL IS CONTRACTED WITH SEVERAL HIGHER LEARNING HEALTH CARE RELATED INSTITUTIONS TO BE A CLINICAL SITE FOR VARIOUS HEALTH CARE FIELDS. THE FACILITY IS OPEN TO ANYONE WHO WANTS TO LEARN ABOUT CAREERS IN THE HEALTH CARE INDUSTRY THROUGH THE CLINICAL PROGRAM AND THROUGH A HIGH SCHOOL SHADOWING PROGRAM. THE HOSPITAL OPERATES AN EMERGENCY ROOM THAT IS AVAILABLE TO ALL REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL ADMINISTRATION IS VERY RECEPTIVE TO INPUT FROM THE COMMUNITY. OSCEOLA COMMUNITY HOSPITAL DEDICATES RESOURCES TO ENDEAVORS THAT MAKE A POSITIVE DIFFERENCE TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. THESE ACTIVITIES INCLUDE LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS, ECONOMIC DEVELOPMENT, PHYSICAL IMPROVEMENTS IN THE COMMUNITY, CONTRIBUTIONS TO NONPROFIT COMMUNITY ORGANIZATIONS, NONPROFIT EVENT SPONSORSHIPS, DONATED MEDICAL SUPPLIES, COMMUNITY HEALTH EDUCATION AND SUPPORT GROUPS, HEALTH SCREENINGS, FLU SHOT CLINICS, BLOOD DRIVES, COMMUNITY HEALTH EDUCATION AND VARIOUS OTHER ACTIVITIES. WE ALSO HAVE A FITNESS CENTER SO PATIENTS AND THE COMMUNITY CAN MAINTAIN A HEALTHY LIFESTYLE. PART VI, LINE 6: OSCEOLA COMMUNITY HOSPITAL IS A MANAGED FACILITY OF AVERA HEALTH. AVERA HEALTH AND OSCEOLA COMMUNITY HOSPITAL WORK COOPERATIVELY TO ENHANCE HEALTHCARE THROUGHOUT THE COMMUNITY SERVED BY THE HOSPITAL. OSCEOLA COMMUNITY HOSPITAL ALSO HAS ACCESS TO "BACK OFFICE" SUPPORT SERVICES, SUCH AS LEGAL CONSULTATION, QUALITY BENCHMARKING, CODING, COMPUTER SERVICES, CONTRACT NEGOTIATIONS, ADMINISTRATIVE CONSULTATION, GROUP PURCHASING, HUMAN RESOURCE ASSISTANCE AND MANY OTHER SERVICES. AVERA HEALTH IS ABLE TO PROVIDE THESE SERVICES TO THE HOSPITAL AT A COST BELOW THAT WHICH OSCEOLA COMMUNITY HOSPITAL COULD OTHERWISE ACHIEVE. IN TURN, LOCAL CAREGIVERS ARE ABLE TO DEVOTE MORE RESOURCES TO PATIENT AND RESIDENT CARE. AVERA HEALTH AND OSCEOLA COMMUNITY HOSPITAL 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 NONPROFIT COMMUNITY ORGANIZATIONS, NONPROFIT EVENT SPONSORSHIPS, DONATED MEDICAL SUPPLIES, COMMUNITY HEALTH EDUCATION AND SUPPORT GROUPS, HEALTH SCREENINGS, FLU-SHOT CLINICS, COMMUNITY HEALTH EDUCATION AND VARIOUS OTHER ACTIVITIES. X 1 1 X X X 0 0 0 0 0 0 0 0 0 JOSEPH HEITRITTER CEO 157516 0 5000 0 1111 0 5209 0 46802 0 215638 0 0 0 TASHA JENNINGS PSYCHIATRIC MENTAL HEALTH 101708 0 3750 0 19648 0 4150 0 50113 0 179369 0 0 0 WENDY MARCO CNO 110354 0 0 0 30 0 3615 0 47022 0 161021 0 0 0 PART I, LINE 1A ORHC PAID THE FAMILY MEMBERSHIP DUES TO THE SIBLEY MUNICIPAL GOLF COURSE FOR THE CEO. THE BENEFIT WAS INCLUDED IN TAXABLE INCOME ON CEO'S W-2. A CITY OF SIBLEYIA 426005203 2016-02-24 4776000 TO REFINANCE SERIES 2001 AND 2007 BONDS 0 0 0 A 1662874 4776000 95520 4680101 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 1 0 0 0 1 A 1 X 1 12000 ESTIMATED VALUE X 1 1029533 BOOK VALUE X EQUIPMENT 1 49057 BOOK VALUE 0 0 0 0 PART I, COLUMN (B): COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED. FORM 990, PART III, LINE 2 IN APRIL, 2025 THE ORGANIZATION BEGAN OFFERING LONG-TERM CARE SERVICES THROUGH ITS SUBSIDIARY, OSCEOLA SENIOR LIVING, LLC. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS OF THE ORGANIZATION. THE PRESIDENT SHALL SERVE AS THE CHAIR OF THE COMMITTEE. THE EXECUTIVE COMMITTEE SHALL HAVE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE ORGANIZATION DURING THE INTERIM BETWEEN THE MEETINGS OF THE BOARD OF TRUSTEES, PROVIDED THAT ANY ACTION WHICH IT MAY TAKE SHALL NOT CONFLICT WITH THE POLICIES AND EXPRESSED WISHES OF THE BOARD OF TRUSTEES, AND THAT IT SHALL REFER ALL MATTERS OF MAJOR IMPORTANCE TO THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 6 REGULAR MEMBERS ARE THOSE PERSONS, CORPORATIONS, ASSOCIATIONS OR PARTNERSHIPS WHO HAVE CONTRIBUTED AND PAID INTO THE CORPORATION A MINIMUM OF $100 OR MORE TO FURTHER THE OBJECTIVES OF THE CORPORATION. MEMBERSHIP SHALL BE LIFELONG AND NONTRANSFERABLE. EACH MEMBER WHOSE NAME IS ENDORSED ON THE MEMBERSHIP CERTIFICATES SHALL BE QUALIFIED TO ORIGINATE AND TAKE PART IN THE DISCUSSION OF ANY SUBJECT THAT MAY PROPERLY COME BEFORE THE ANNUAL MEETING OF THE CORPORATION, TO VOTE ON SUCH SUBJECTS, AND TO HOLD ANY OFFICE TO WHICH THE MEMBER MAY TO ELECTED OR APPOINTED. NO EMPLOYEE OR EMPLOYEE'S SPOUSE OF THE CORPORATION MAY BE ELECTED TO THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7A TRUSTEES ARE ELECTED TO THE BOARD OF TRUSTEES FROM THE MEMBERS AT THE ANNUAL MEETING OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED IN DETAIL BY MANAGEMENT OF THE HOSPITAL. A COPY OF THE 990 WILL BE PROVIDED TO BOARD MEMBERS PRIOR TO FILING IT WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR/TRUSTEE, PRINCIPAL OFFICER, AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS SHALL ANNUALLY SIGN A CONFLICT OF INTEREST STATEMENT. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF A FINANCIAL INTEREST AND ALL MATERIAL FACTS TO THE DIRECTORS/TRUSTEES AND MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER THE INTERESTED PERSON LEAVES THE MEETING, THE REMAINING BOARD OR COMMITTEE MEMBERS WILL DISCUSS AND VOTE UPON WHETHER A CONFLICT OF INTEREST EXISTS. ALSO, IF THE BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE A DIRECTOR, TRUSTEE, OR MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM SUCH PERSON OF THE BASIS FOR SUCH BELIEF AND AFFORD THE PERSON AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION SHALL BE TAKEN IF NECESSARY. FORM 990, PART VI, SECTION B, LINE 15 A COMPENSATION SPECIALIST REVIEWS THE COMPENSATION WITH THE BOARD OF TRUSTEES ANNUALLY. THE SPECIALIST REVIEWS MARKET VALUE AND PRESENTS A RECOMMENDATION TO THE BOARD OF TRUSTEES. THE BOARD MAKES THEIR DECISION ON THE INFORMATION PRESENTED. THE COMPENSATION REVIEW PROCESS IS COMPLETED ANNUALLY FOR ALL OFFICERS AND TOP MANAGEMENT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. THE FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST AND THE FORM 990 IS AVAILABLE AT THE ANNUAL MEETING AND UPON REQUEST. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,525,859. MANAGEMENT AND GENERAL EXPENSES 919,392. FUNDRAISING EXPENSES 7,805. TOTAL EXPENSES 2,453,056. MEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,446,324. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,446,324. FORM 990, PART XI, LINE 9: NET ASSETS RELEASED FROM RESTRICTIONS -36,118. AUXILIARY ACTIVITY NOT RECORDED ON AUDIT 111,386. OSCEOLA SENIOR LIVING LLC 100 CEDAR LANE SIBLEY IA 51249 331631440 NURSING HOME, CARE CENTER IA 1038707 1432303 OSCEOLA COMMUNITY HOSPITAL INC HEARTWOOD HEIGHTS 409 9TH AVE NORTH SIBLEY IA 51246 421495686 INDEPENDENT;ASSISTED LIVING IA 501(C)(3) PF OSCEOLA COMMUNITY HOSPITAL 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 HEARTWOOD HEIGHTS Q 114624 ACTUAL COST HEARTWOOD HEIGHTS B 12459416 BOOK VALUE HEARTWOOD HEIGHTS O 311798 ACTUAL COST FORM 990, SCHEDULE R, PART II HEARTWOOD HEIGHTS DISSOLVED APRIL, 2025.