2024-11-13T08:30:42-06:00 2023-12-31 450250958 EIDE BAILLY LLP 345 N REID PL STE 400 SIOUX FALLS SD 571037034 990 2023-01-01 460232450 FREEMAN REGIONAL HEALTH SERVICES FREE 6059254000 PO BOX 370 FREEMAN SD 57029 COURTNEY UNRUH CEO 6059254000 2024-11-04 1 1 LAURIE HANSON CPA P00851848 6053391999 2024-10-30 2023 2024-10-15 13:58:12Z COURTNEY UNRUH PO BOX 370 FREEMAN SD 57029 20606677 0 X WWW.FREEMANREGIONAL.COM X 1944 SD PROVIDE ACCESSIBLE, COMMUNITY BASED QUALITY CARE THAT IS COMPETENT, CREATIVE AND COMPASSIONATE. 9 9 270 11 0 0 707638 2322260 14203011 17516020 67809 396975 185184 192475 15163642 20427730 0 0 0 0 7711628 9539195 0 0 10733 6575950 7214097 14287578 16753292 876064 3674438 20364343 23866310 1859675 1652938 18504668 22213372 THE MISSION OF FREEMAN REGIONAL HEALTH SERVICES IS TO PROVIDE ACCESSIBLE, COMMUNITY-BASED QUALITY CARE THAT IS COMPETENT, CREATIVE AND COMPASSIONATE. 0 0 15066192 17516020 FREEMAN REGIONAL HEALTH SERVICES (THE FACILITY) OPERATES A 25-BED CRITICAL ACCESS HOSPITAL, A 49-BED NURSING FACILITY, A 52-UNIT ASSISTED LIVING FACILITY, A SENIOR HOUSING FACILITY, AND PHYSICIAN CLINICS LOCATED IN FREEMAN, SD AND THE SURROUNDING AREA. THE EMERGENCY ROOM HAS LOCAL PROVIDERS ON CALL AND TELEMEDICINE CAPABILITIES WITH A REGIONAL TRAUMA CENTER. THE FACILITY HAD 752 ER VISITS. SURGERIES=113 HOSPITAL ACUTE PATIENT DAYS= 525, SWING BED DAYS= 501, NURSING HOME RESIDENT DAYS= 14,551 AND ASSISTED LIVING=11,852. 15066192 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 51 0 1 270 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 X X PHIL HUSHER 6059254000 510 EAST 8TH STREET FREEMAN SD 57029 LORI UECKER PRESIDENT 2.00 X X 0 0 0 STEVE FUHRMANN VICE PRESIDENT 2.00 X X 0 0 0 CYNTHIA MUTCHELKNAUS SECRETARY 2.00 X X 0 0 0 JASON AANENSON TREASURER 2.00 X X 0 0 0 CAMERON BECKER TRUSTEE 2.00 X 0 0 0 JAMES JULSON TRUSTEE 2.00 X 0 0 0 DAN CRICK TRUSTEE UNTIL 03/2023 2.00 X 0 0 0 GLENN ROTH TRUSTEE 2.00 X 0 0 0 CORY SCHRAG TRUSTEE UNTIL 03/2023 2.00 X 0 0 0 STEVE SCHMEICHEL TRUSTEE FROM 03/2023 2.00 X 0 0 0 SHANE VETCH TRUSTEE FROM 03/2023 2.00 X 0 0 0 COURTNEY UNRUH CEO 40.00 X 156166 0 44368 PHILLIP HUSHER CFO 40.00 X 136293 0 19184 ANTHONY MILLER THERAPY MANAGER 40.00 X 132555 0 6628 425014 0 70180 3 0 1 0 AVERA MCKENNAN HOSPITAL PO BOX 5045 SIOUX FALLS SD 57117 PHYSICIAN SERVICES 2278945 CARDINAL HEALTH 110 LLC 5303 COLLECTION CTR DR CHICAGO IL 606731245 PHARMACY DRUGS 626934 SIEMENS MEDICAL SOLUTIONS USA INC DEPT CH 14195 PALATINE IL 60055 CT MACHINE 590120 AVERA HEALTH 3900 W AVERA DR SIOUX FALLS SD 57108 FACILITY CONTRACTS/EDUCATION 335421 AVERA SACRED HEART HOSPITAL 501 SUMMIT YANKTON SD 57078 IT SUPPORT 298347 14 2108 31061 2289091 1339250 2322260 PATIENT SERVICE REVENUE 621110 16037990 16037990 PHARMACY 621400 1184194 1184194 COLLABORATIVE ARRANGEMENT 621300 163932 163932 MEALS ON WHEELS 624210 27452 27452 102452 102452 17516020 393657 393657 276540 103003 173537 173537 173537 74598 71280 3318 3318 3318 20562 2108 4664 15898 15898 3040 0 3040 3040 20427730 17516020 0 589450 X 356011 356011 7250280 6932477 317803 244116 238037 6079 1128404 1017587 110817 560384 513948 46436 6155 6155 122672 122672 3455101 3086467 368634 32089 13611 17419 1059 592898 467858 116841 8199 256919 256919 12343 10959 1384 38014 33771 4243 1473 1418 55 671105 635954 35151 130345 125209 5136 MEDICAL SUPPLIES 1244119 1244119 EQUIPMENT RENTAL AND MA 386829 384638 2191 EMPLOYEE RECOGNITION 34371 10335 24036 229664 92885 135304 1475 16753292 15066192 1676367 10733 4934871 6680484 2810808 2054570 158770 169052 85017 162904 16894423 9394053 5808160 7500370 5459920 5890292 101274 1082710 1005523 325928 20364343 23866310 1035581 1021525 2275 2275 204217 154456 2156 3098 44927 570519 471584 1859675 1652938 X 18504668 21635982 577390 18504668 22213372 20364343 23866310 3674438 34266 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 1286716 1286716 9709365 6095242 3614123 5415304 3008479 2406825 483038 290332 192706 7500370 APARTMENT DEPOSITS 354415 OPERATING LEASE LIABILITY 117169 471584 X 20569662 34266 34266 20535396 -107666 -107666 20427730 16860958 107666 107666 16753292 0 16753292 PART IV, LINE 2B: FREEMAN REGIONAL HOLDS ACCOUNTS ON BEHALF OF THE LONG-TERM CARE RESIDENTS. PART X, LINE 2: THE FACILITY 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 FACILITY 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 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES RECLASSIFIED -103,002. DIRECT FUNDRAISING EXPENSES -4,664. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES RECLASSIFIED 103,002. DIRECT FUNDRAISING EXPENSES 4,664. GOLF 22670 2108 20562 867 1900 1352 545 22670 2108 20562 867 1900 1352 545 4664 15898 1 1 X 1 X 1 X 1 1 1 0 0 103000 103000 0.00610 1599912 1485346 114566 0.00680 1702912 1485346 217566 0.01290 6141164 4527306 1613858 0.09630 6141164 4527306 1613858 0.09630 7844076 6012652 1831424 0.10920 1 374506 38200 3851579 3868761 -17182 X 1 1 1 1 FREEMAN REGIONAL HEALTH SERVICES PO BOX 370 FREEMAN SD 57029 WWW.FREEMANREGIONAL.COM 10541 X X X X PROVIDER BASED CLINIC FREEMAN REGIONAL HEALTH SERVICES 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X SEE LINE 7D X X 1 22 1 SEE LINE 7D 0 1 X 150.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X HTTPS://WWW.FREEMANREGIONAL.COM/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.FREEMANREGIONAL.COM/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.FREEMANREGIONAL.COM/FINANCIAL-ASSISTANCE/ X X X X X X 1 X 0 X X X X 1 X 0 0 FREEMAN REGIONAL HEALTH SERVICES PART V, SECTION B, LINE 5: THE FOCUS GROUPS UTILIZED FOR THE CHNA WERE COMPRISED OF INVITED COMMUNITY/SERVICE AREA RESIDENTS WHO WERE SELECTED BASED ON OBTAINING AN ADEQUATE CROSS SECTION OF AGE, GENDER AND OCCUPATION. OTHER CRITERIA CONSIDERED DURING THE PROCESS WERE FINDING INDIVIDUALS THAT REPRESENTED TWO MAIN GROUPS: RETIRED SENIORS AND WORKING ADULTS, AND THE BROAD INTEREST OF OUR SERVICE AREA. THE GROUPS HAD KNOWLEDGE OF AND PROVIDED INPUT ON COMMUNITY HEALTH AND MEDICALLY UNDERSERVED OR LOW-INCOME INDIVIDUALS IN THE SERVICE AREA. THESE GROUPS WERE ALSO KEPT TO A REASONABLE NUMBER TO FACILITATE DISCUSSION. THIS PROCESS WAS FACILITATED WITH THE ASSISTANCE OF A COMMUNITY DEVELOPMENT SPECIALIST WITH THE SOUTH DAKOTA PLANNING AND DEVELOPMENT DISTRICT III. FREEMAN REGIONAL HEALTH SERVICES PART V, SECTION B, LINE 7D: WWW.FREEMANREGIONAL.COM/COMMUNITY-NEEDS FREEMAN REGIONAL HEALTH SERVICES PART V, SECTION B, LINE 11: FRHS CONDUCTED A CHNA IN 2022 AND IDENTIFIED THE FOLLOWING NEEDS: ACCESS TO HEALTH CARE SERVICES AND COMMUNITY EDUCATION, AND MENTAL HEALTH SERVICES. FRHS WILL FOCUS ON ACCESS TO HEALTH CARE SERVICES AND COMMUNITY EDUCATION. FRHS WILL NOT DIRECTLY FOCUS ON MENTAL HEALTH SERVICES BUT WILL WORK IN PARTNERSHIP WITH OTHER ORGANIZATIONS IN THIS AREA.THE FOLLOWING ACTIONS WERE TAKEN TO ADDRESS THE IDENTIFIED NEEDS IN 2023:ACCESS TO HEALTH CARE SERVICESFREEMAN REGIONAL HEALTH SERVICES RECOGNIZES THE CHANGING DYNAMICS OF THE DIVERSE POPULATION WITHIN OUR SERVICE AREA. WE REMAIN COMMITTED TO PROVIDING SERVICES AIMED DIRECTLY AT MEETING THE CHANGING NEEDS OF THE COMMUNITIES WE SERVE, INCLUDING PROVIDING THE AREA WITH A FULL CONTINUUM OF CARE THROUGH THE INDEPENDENT LIVING, ASSISTANT LIVING, NURSING HOME, 4 CLINICS AND A HOSPITAL WITH ER, AND STRATEGICALLY PLANNING FUTURE PROJECTS.-CONTINUED TO RECRUIT AND EMPLOY QUALITY PROVIDERS WHO ARE COMPETENT AND COMPASSIONATE TO MEET THE HEALTH CARE NEEDS OF THOSE WITHIN OUR SERVICE AREA.-UPDATED CT MACHINE.-PHYSICIANS, THE PHYSICIAN ASSISTANT, AND OUR CERTIFIED NURSE PRACTITIONERS MEET REGULARLY TO REVIEW THE SERVICES PROVIDED TO THE AREA AND ADJUST SERVICES AS NEEDED TO MEET THE NEEDS OF THE FREEMAN AREA RURAL COMMUNITIES, INCLUDING: -FOOT CLINIC OFFERED IN FREEMAN, MARION, BRIDGEWATER, AND MENNO. -DENTAL SERVICES OFFERED WITHIN THE NURSING HOME. -PROVIDE PRIMARY SERVICES AND OUTREACH PROVIDERS THAT ARE APPROPRIATE FOR OUR RURAL SETTING.FRHS RECOGNIZES THE INCREASING DIFFICULTY IN FINDING THE RESOURCES REQUIRED TO STAFF THE VARIOUS DEPARTMENTS OF THE HOSPITAL, CLINIC, AND NURSING HOME. TO MEET THESE NEEDS FRHS COMPLETED THE FOLLOWING: -CONTINUED TO WORK WITH LOCAL SCHOOLS, COLLEGES AND CHURCHES TO PROMOTE AN INTEREST IN HEALTHCARE CAREERS-PARTNERED WITH LAKE AREA TECH, DEPARTMENT OF LABOR, AND FREEMAN HIGH SCHOOL TO PROMOTE AN APPRENTICESHIP PROGRAM FOR STUDENTS. -PARTNERED WITH USD ON HRSA GRANT OPPORTUNITY FOR THE WORKFORCE EXPANSION PROGRAM.-ATTENDED JOB FAIRS (UNIVERSITY OF SOUTH DAKOTA, MITCHELL TECH, SOUTHEAST TECH) TO HELP RECRUIT NEW NURSING GRADUATES AND ASSIST WITH UTILIZING THE RURAL HEALTH GRANT OR BUILD DAKOTA TO HELP THEM RETURN TO SCHOOL FOR FURTHER EDUCATION. -WORKED WITH THE BOARD OF NURSING ON THE NURSE INTERN PROGRAM TO ALLOW STUDENTS TO EXPERIENCE RURAL HEALTH CARE IN FREEMAN. -ADVERTISED JOB OPPORTUNITIES TO LOCAL PAPERS AND SOCIAL MEDIA, AND UTILIZED EXISTING STAFF TO PROMOTE FRHS IN THE PUBLIC. -FRHS PROMOTED SERVICES THROUGH AVERA HEALTH, LOCAL NEWSPAPERS, AND SOCIAL MEDIA, AS WELL AS WITHIN THE OUTREACH PROVIDERS THAT VISIT FRHS. -PARTNERED WITH LOCAL HIGH SCHOOL SENIORS ON THEIR SENIOR PROJECTS (MENTAL HEALTH) AND INTERNSHIPS THROUGHOUT THE YEAR IN DIFFERENT DEPARTMENTS.COMMUNITY EDUCATIONFREEMAN REGIONAL HEALTH SERVICES REMAINS COMMITTED TO PROMOTING HEALTH AND WELLNESS AND WILL CONTINUE EFFORTS ON MEETING THE NEEDS OF THE COMMUNITY. THIS INCLUDES CONTINUING TO PROMOTE COMMUNITY-BASED EDUCATION PROGRAMS WHICH FOCUS ON HEALTH-RELATED TOPICS OF INTEREST AND WHICH TARGET SPECIFIC COMMON INTEREST GROUPS AND THE COMMUNITY AS A WHOLE. -PROVIDED A DAY AT FREEMAN PUBLIC SCHOOL OF SCRUB CAMP WITH 29 STUDENTS PARTICIPATING WITH A SPECIFIC SESSION ON BEHAVIORAL HEALTH.-PARTNERED WITH FREEMAN PUBLIC SCHOOL SENIORS ON DOING AN EDUCATIONAL PRESENTATION ON HEART HEALTH TO SCHOOL CHILDREN. -PARTNERED WITH FREEMAN PUBLIC SCHOOL ON SPONSORING FRHS VOLLEYBALL AND AWARENESS FOR BREAST CANCER-PARTNERED WITH FREEMAN PUBLIC SCHOOL ON BRINGING AWARENESS TO DOMESTIC VIOLENCE DAY. -HAD A 2-DAY COURSE FOR BABYSITTING CLINIC (CHILD SAFETY AND CPR CERTIFICATIONS).-PROMOTED THE IMPORTANCE OF ANNUAL CHECKUPS AND WELL CHILD CHECKS.-HOSTED A BOOTH AT FARMER'S MARKET AND RURAL CLINIC PROVIDED FARM SAFETY EVENT.-HELD A BIKE RODEO TO PROVIDE SAFE BIKING AND EDUCATION ON HELMETS. FREEMAN REGIONAL HEALTH SERVICES PART V, SECTION B, LINE 13H: THE FACILITY MAY USE PRESUMPTIVE ELIGIBILITY IF ALL OTHER AVENUES HAVE BEEN EXHAUSTED. FREEMAN REGIONAL HEALTH SERVICES 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. 5 1 - OAKVIEW TERRACE 510 E 8TH STREET FREEMAN SD 57029 LONG TERM CARE FACILITY 2 - MENNO CLINIC 301 SOUTH HIGH STREET MENNO SD 57045 RURAL MEDICAL CLINIC 3 - MARION CLINIC 307 STATE MARION SD 57043 RURAL MEDICAL CLINIC 4 - BRIDGEWATER CLINIC 209 N MAIN BRIDGEWATER SD 57319 RURAL MEDICAL CLINIC 5 - FREEMAN REGIONAL ASSISTED LIVING 106 W 7TH ST FREEMAN SD 57029 ASSISTED LIVING PART I, LINE 3C: FREEMAN REGIONAL HEALTH SERVICES (FRHS) REQUIRES THAT THE PATIENT COMPLETE A FINANCIAL ASSISTANCE APPLICATION SHOWING HIS/HER INCOME AND EXPENSES. THE APPLICATION IS REVIEWED TO SEE WHAT FUNDS AND ASSETS THE PATIENT HAS AND WHETHER THE PATIENT HAS THE RESOURCES TO PAY HIS/HER MEDICAL BILLS. FOR SOME PATIENTS, FRHS USES DOCUMENTATION FROM OTHER GOVERNMENT BASED AGENCIES OF THE PATIENT'S FINANCIAL SITUATION AND RESOURCES AS A WAY TO HELP DETERMINE THE PATIENT'S FINANCIAL SITUATION. THE CHIEF FINANCIAL OFFICER REVIEWS ALL APPLICATIONS AND MAKES THE DETERMINATION OF ASSISTANCE OFFERED.THE FACILITY MAY USE PRESUMPTIVE ELIGIBILITY IF ALL OTHER AVENUES HAVE BEEN EXHAUSTED. 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 7B AND 7G WERE OBTAINED FROM THE MEDICAID AND MEDICARE COST REPORTS, RESPECTIVELY. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES INCLUDES CLINIC REVENUE OF $1,528,709 AND EXPENSE OF $2,213,410, FOR A NET LOSS FROM CLINIC OPERATIONS OF $684,701. 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 CONCESSION 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 2023. 10.20% CAN REASONABLY BE CONSIDERED A COMMUNITY BENEFIT AS IT WOULD HAVE BEEN WRITTEN OFF TO CHARITY CARE. PART III, LINE 4: THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES IMPLICIT PRICE CONCESSION IS LOCATED IN THE AUDITED FINANCIAL STATEMENT REPORT ON PAGES 13-14. PART III, LINE 8: MEDICARE ALLOWABLE COSTS OF CARE WAS CALCULATED FROM THE MEDICARE COST REPORT FOR FISCAL YEAR ENDING 12/31/2023. 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. PART III, LINE 9B: 30-DAY NOTICE: OUR STATEMENTS, INCLUDING THE FIRST STATEMENT, HAVE A CHARITY CARE/FINANCIAL ASSISTANCE WEB SITE LISTED AT THE BOTTOM. THE SITE PROVIDES THE FINANCIAL ASSISTANCE POLICY AND FOLLOWS THE 30-DAY NOTICE GUIDELINES. 120 DAY NOTICE: FREEMAN REGIONAL DOES NOT INITIATE ANY ECA'S UNTIL AFTER THE 4TH MONTHLY STATEMENT. 240 DAY NOTICE: IF THE APPLICATION IS COMPLETE WE MAKE A DETERMINATION BY 240 DAYS. IF THE PATIENT QUALIFIES FOR CHARITY CARE/FINANCIAL ASSISTANCE NO FURTHER COLLECTION ACTIVITY IS PERFORMED AND THE PATIENT'S ACCOUNT IS ADJUSTED. IF THE DETERMINATION IS ADVERSE ANOTHER 30-DAY NOTICE IS AGAIN GIVEN OUT. PART VI, LINE 2: ON A QUARTERLY BASIS, FREEMAN REGIONAL HEALTH SERVICES (FRHS) MEETS WITH THE MEDICAL STAFF TO DISCUSS OPERATIONS AND ANY SUGGESTIONS THEY MAY HAVE ON SERVICES PROVIDED BY FRHS AND THE NEEDS OF THE COMMUNITY. FRHS HAS A MONTHLY DEPARTMENT MANAGER MEETING WHERE THE NEEDS OF THE COMMUNITY AND OTHER ISSUES CAN BE DISCUSSED. COMMUNITY MEMBERS ARE ENCOURAGED TO COME TO THE FACILITY AT ANY TIME TO DISCUSS CONCERNS OR ISSUES WITH THE ADMINISTRATION. IN ADDITION, FRHS PREPARED A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2022. PART VI, LINE 3: FRHS HAS POSTED SIGNAGE ABOUT CHARITY CARE AND FINANCIAL ASSISTANCE PROGRAMS IN ADMISSIONS AREAS, EMERGENCY ROOMS, AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. FRHS ADDRESSES THE FINANCIAL ASSISTANCE PROGRAM AND PROVIDES INFORMATION ON HOW TO APPLY FOR ASSISTANCE AT DISCHARGE AND IN PATIENT BILLS. THE BUSINESS OFFICE AND SOCIAL WORKERS ADVISE PATIENTS ON THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, AND ASSIST THE PATIENT WITH QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE. A NOTICE RELATED TO AVAILABLE CHARITY CARE IS PRINTED AT THE BOTTOM OF ALL SERVICE STATEMENTS. PART VI, LINE 4: FRHS IS A HEALTHCARE FACILITY THAT PRIMARILY SERVES RESIDENTS IN RURAL HUTCHINSON, MCCOOK AND TURNER COUNTIES IN SOUTHEASTERN SOUTH DAKOTA. SERVICE AREA DEMOGRAPHICS HUTCHINSON MCCOOK TURNERPOPULATION (2022 DATA) 7,368 5,778 8,856HOUSEHOLDS 3,247 2,484 3,908AVERAGE HOUSEHOLD SIZE (PEOPLE) 2.47 2.50 2.44MEDIAN HOUSEHOLD INCOME $62,448 $72,063 $66,199MEDIAN AGE 42.9 39.4 41.9% OF POPULATION UNDER 18 26.1% 28.2% 24.7%% OF POPULATION 19-64 52.1% 53.6% 53.9%% OF POPULATION 65+ 21.8% 18.2% 21.4%% OF POPULATION BELOW POVERTY INCOME LEVEL 12.8% 9.2% 9.7%A MAJORITY OF THE EMPLOYERS IN THESE AREAS ARE SMALL EMPLOYERS WHO OFFER LITTLE TO NO EMPLOYEE BENEFITS. OF THE EMPLOYERS WHO DO OFFER HEALTH INSURANCE TO THEIR EMPLOYEES, DEDUCTIBLES AND CO-PAYS HAVE RISEN FROM 300-500% OVER THE PAST 10 YEARS. MANY EMPLOYERS HAVE PASSED THE INCREASE IN HEALTH INSURANCE PREMIUMS TO THEIR EMPLOYEES MAKING PAYING THE HIGHER DEDUCTIBLES AND CO-PAYS VERY DIFFICULT. PART VI, LINE 5: FRHS'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. FRHS EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PROVIDERS IN ITS COMMUNITY AND SURROUNDING AREA. FRHS REINVESTS SURPLUS FUNDS TO IMPROVEMENTS IN PATIENT CARE, INCLUDING BUT NOT LIMITED TO EXPANSION OF SERVICES OFFERED, PATIENT EDUCATION, EMPLOYEE EDUCATION, AND EQUIPMENT AND FACILITY RENOVATIONS. FRHS IS COMPRISED OF A 45 LICENSED BED NURSING HOME AND A 25 BED CRITICAL ACCESS HOSPITAL WITH A 24/7 EMERGENCY ROOM. THE EMERGENCY ROOM HAS LOCAL PROVIDERS ON CALL AND TELEMEDICINE CAPABILITIES WITH A REGIONAL TRAUMA CENTER.FREEMAN REGIONAL HEALTH SERVICES RECOGNIZES THE IMPORTANCE OF COMMUNITY OUTREACH AND THE VALUE OUR ORGANIZATION AND ITS EMPLOYEES BRING TO THE COMMUNITY. TO PROMOTE COMMUNITY OUTREACH AND VOLUNTEERISM, FRHS COMPLETED THE FOLLOWING:-FRHS CONTINUED TO SUPPORT AND ADVOCATE TO ITS EMPLOYEES THE VALUE AND IMPORTANCE OF BEING INVOLVED WITH THEIR COMMUNITIES.-THE ADMINISTRATIVE ASSISTANT SERVES ON THE BOARD OF THE GROWING DREAMS DAYCARE CENTER AND WORKS TO HELP SUPPORT ACTION STEPS TO HELP EXPAND THE DAYCARE.-THE CEO IS A CURRENT MEMBER OF THE FREEMAN COMMUNITY DEVELOPMENT CORPORATION, AN ORGANIZATION DEDICATED TO PROMOTING THE ECONOMIC VITALITY OF THE COMMUNITY AND PROMOTING THE HIGHEST QUALITY OF LIFE FOR RESIDENTS AND THOSE WHO VISIT THE FREEMAN COMMUNITY. -THE CEO IS A CURRENT MEMBER OF FREEMAN COMMUNITY FOUNDATION WHICH OFFERS GRANTS TO NON-PROFITS.-FRHS SPONSORED A FAMILY FRIENDLY ROOM AT THE SD CHISLIC FESTIVAL IN THE PRAIRIE ARBORETUM INTERPRETIVE CENTER.-PARTICIPATES IN LOCAL COMMUNITY PARADES-FRHS PARTICIPATED IN COMMUNITY EVENTS SUCH AS THE HALLOWEEN PASSPORT/COMMUNITY TRICK OR TREAT SCAVENGER HUNT. X X 0 0 0 0 0 0 0 0 0 COURTNEY UNRUH CEO 156166 0 0 0 0 0 8452 0 35917 0 200535 0 0 0 PHILLIP HUSHER CFO 136293 0 0 0 0 0 6976 0 12208 0 155477 0 0 0 A CITY OF FREEMAN 466000164 2006-09-29 750000 TO HELP FINANCE CONGREGATE LIVING UNITS. 0 0 0 A 595544 750000 750000 2006 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 1 0 0 0 0 0 0 A 0 X SALEM HOME ASSET 1 1339250 FMV 0 0 0 PART I, COLUMN (B): COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS. THE DONATION CONSISTED OF LAND, BUILDING, AND EQUIPMENT TOTALLING $1,339,250. FORM 990, PART VI, SECTION A, LINE 8B FREEMAN REGIONAL HEALTH SERVICES DOES NOT UTILIZE COMMITTEES. FORM 990, PART VI, SECTION B, LINE 11B THE CEO AND CFO REVIEW THE FORM 990 IN DETAIL, IT IS THEN PRESENTED AND REVIEWED BY THE BOARD AT A BOARD MEETING PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C FRHS REQUIRES ANNUAL COMPLIANCE WITH AND DISCLOSURE OF CONFLICTS IN ACCORDANCE WITH THE WRITTEN POLICY. CONFLICTS OF INTEREST OR POTENTIAL CONFLICTS OF INTEREST MUST BE REPORTED TO THE COMPLIANCE OFFICER. IF A CONFLICT IS DEEMED TO EXIST, APPROPRIATE ACTION IS TAKEN SUCH AS A BOARD MEMBER MAY BE REQUIRED TO ABSTAIN FROM DISCUSSION, DELIBERATION, AND VOTING ON THE ISSUE AT HAND. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION IS INITIALLY SET BY THE BOARD AND/OR ADMINISTRATION FOLLOWING A REVIEW AND ASSESSMENT OF THE SDAHO COMPARABILITY STUDY. THE ANNUAL INCREASES ARE SUBJECT TO THE APPROVAL OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST FORM 990, PART IX, LINE 11G COLLECTION FEES: PROGRAM SERVICE EXPENSES 3,484. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,484. PURCHASE OTHER CLINIC: PROGRAM SERVICE EXPENSES 655,824. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 655,824. MEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 807,012. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 807,012. PURCHASE COURIER: PROGRAM SERVICE EXPENSES 15,334. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,334. CONSULTING FEES: PROGRAM SERVICE EXPENSES 11,134. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,134. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,270,789. MANAGEMENT AND GENERAL EXPENSES 3,700. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,274,489. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 197,693. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 197,693. ULTRASOUND AND MRI CONTRACTS: PROGRAM SERVICE EXPENSES 125,197. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 125,197. PT FINANCIAL SVC COLLECTION FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 25,763. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,763. ADMINISTRATION CONSULTING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 333,287. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 333,287. FOUNDATION PURCHASE OTHER: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,684. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,684. MARKETING PURCHASE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 200. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 200.