2023-11-14T15:48:47-06:00 2022-12-31 450250958 EIDE BAILLY LLP 345 N REID PL STE 400 SIOUX FALLS SD 571037034 990 2022-01-01 460232450 FREEMAN REGIONAL HEALTH SERVICES FREE 6059254000 PO BOX 370 FREEMAN SD 57029 COURTNEY UNRUH CEO 6059254000 2023-11-13 1 COURTNEY UNRUH 999009999 1 LAURIE HANSON CPA P00851848 6053391999 2023-11-13 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z COURTNEY UNRUH PO BOX 370 FREEMAN SD 57029 15529499 0 X WWW.FREEMANREGIONAL.COM X 1944 SD PROVIDE ACCESSIBLE, COMMUNITY BASED QUALITY CARE THAT IS COMPETENT, CREATIVE AND COMPASSIONATE. 9 9 205 6 8459 0 4144675 707638 13995520 14203011 133335 67809 167760 185184 18441290 15163642 0 0 0 0 7031502 7711628 0 0 1867 7039106 6575950 14070608 14287578 4370682 876064 20455361 20364343 2570614 1859675 17884747 18504668 THE MISSION OF FREEMAN REGIONAL HEALTH SERVICES IS TO PROVIDE ACCESSIBLE, COMMUNITY-BASED QUALITY CARE THAT IS COMPETENT, CREATIVE AND COMPASSIONATE. 0 0 12891166 14194552 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. HOSPITAL ACUTE PATIENT DAYS = 419, SWING BED DAYS = 560, NURSING HOME RESIDENT DAYS = 14,497. 12891166 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 0 0 0 0 0 0 0 0 0 1 40 0 1 205 1 1 1 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 COURTNEY UNRUH CEO 40.00 X 144498 0 42900 PHILLIP HUSHER CFO 40.00 X 125708 0 10083 ANTHONY MILLER THERAPY MANAGER 40.00 X 128721 0 6436 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 2.00 X 0 0 0 GLENN ROTH TRUSTEE 2.00 X 0 0 0 CORY SCHRAG TRUSTEE 2.00 X 0 0 0 398927 0 59419 3 0 1 0 AVERA MCKENNAN HOSPITAL 800 E 21ST ST SIOUX FALLS SD 57105 PHYSICIAN SERVICES 1872277 AVERA SACRED HEART HOSPITAL 501 SUMMIT YANKTON SD 57078 IT SUPPORT 355047 HOLOGIC INC 24506 NETWORK PL CHICAGO IL 606731245 RADIOLOGY SERVICES 289701 US FOOD SERVICE PO BOX 3236 OMAHA NE 681030236 FOOD SERVICES 134862 AVERA THERAPY MITCHELL PO BOX 1284 MITCHELL SD 57301 OT AND ST THERAPIES 128438 6 3322 623761 80555 707638 PATIENT SERVICE REVENUE 621110 13544822 13544822 COLLABORATIVE ARRANGEMENT 621300 572473 572473 MEALS ON WHEELS 624210 23923 23923 61793 53334 8459 14203011 66409 66409 256819 107187 149632 149632 149632 253671 252271 1400 1400 1400 18885 3322 3708 15177 15177 23066 2691 20375 20375 15163642 14194552 8459 252993 X 323190 323190 5916920 5614062 302858 207040 200687 6353 803995 751567 52428 460483 417673 42810 18265 18265 94429 94429 3724767 3527791 196976 30865 17295 12028 1542 649613 432828 216785 206913 206913 20054 18809 1245 15518 11825 3693 5926 5926 454636 454636 81849 81849 MEDICAL SUPPLIES 893587 893587 EQUIPMENT RENTAL AND MA 160170 157444 2726 EMPLOYEE RECOGNITION 16913 2975 13938 202445 95299 106821 325 14287578 12891166 1394545 1867 5114684 4934871 3164627 2810808 37500 0 166272 158770 75115 85017 14966262 9158102 5505875 5808160 5579317 5459920 19516 101274 6662 0 785793 1005523 20455361 20364343 1132120 1035581 367660 2275 251672 204217 3331 2156 404581 44927 411250 570519 2570614 1859675 X 17884747 18504668 17884747 18504668 20455361 20364343 876064 -256143 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 898820 898820 8921480 5802388 3119092 4651199 3075208 1575991 494763 280506 214257 5808160 APARTMENT DEPOSITS 406350 CAPITAL LEASE LIABILITY 164169 570519 X 15021085 -256143 -256143 15277228 -113586 -113586 15163642 14401164 113586 113586 14287578 0 14287578 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 -107,187. DIRECT FUNDRAISING EXPENSES -3,708. DIRECT GAMING EXPENSES -2,691. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES RECLASSIFIED 107,187. DIRECT FUNDRAISING EXPENSES 3,708. DIRECT GAMING EXPENSES 2,691. GOLF 22207 3322 18885 400 1427 1881 22207 3322 18885 400 1427 1881 3708 15177 23066 200 2491 0 23066 200 2491 2691 20375 SD 0 THE STATE OF SOUTH DAKOTA DOES NOT REQUIRE LICENSING FOR RAFFLES. 0 0 0 1.00000 PHIL HUSHER 510 EAST 8TH STREET FREEMAN SD 57029 0 TABITHA SCHOENWALD 1300 OVERSEE RAFFLE ACTIVITY. X 0 1 1 X 1 X 1 X 1 1 1 0 0 4000 4000 0.00030 1294816 1163868 130948 0.00920 1298816 1163868 134948 0.00950 6869440 4580930 2288510 0.16020 6869440 4580930 2288510 0.16020 8168256 5744798 2423458 0.16970 1 722464 71018 3878740 3884244 -5504 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 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. 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, 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 NEEDS WERE ADDRESSED AS OF THE END OF THE 2022 YEAR BASED ON THE RESULTS OF THE 2019 CHNA PROCESS.HEALTH AND WELLNESS:FREEMAN 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. TO THIS END, FRHS COMPLETED THE FOLLOWING:-STOP THE BLEED EDUCATION AT THE HUTTERITE COLONIES, JOB FAIR, AND SCRUB CAMP.-PROMOTED THE IMPORTANCE OF ANNUAL CHECKUPS AND WELL CHILD CHECKS.-BOOTH AT FARMER'S MARKET PROVIDED HEALTHY MEAL RECIPES AND FREE TOOTH CARE ITEMS FOR ALL POPULATIONS.-PROVIDED A CLASS ON RURAL TRAUMA FOR LOCAL HEALTHCARE WORKERS.-BRINGING FACEBOOK AWARENESS TO MEN'S HEALTH (INCLUDING COLONOSCOPY SCREENING), IMPORTANCE OF MAMMOGRAMS (UPDATED TO 3D FROM 2D), AND SUN SAFETY. COMMUNITY OUTREACH: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 IN FREEMAN AND SCHOLARSHIPS TO LOCAL STUDENTS. -FRHS HAS BEEN INVOLVED IN LOCAL SCHOOL ACTIVITIES SUCH AS "DIG PINK", AN OPPORTUNITY TO SUPPORT BREAST CANCER AWARENESS WITH THE FREEMAN HIGHSCHOOL VOLLEYBALL TEAM. -FRHS SPONSORED A FAMILY FRIENDLY ROOM AT THE SD CHISLIC FESTIVAL IN THE PRAIRIE ARBORETUM INTERPRETIVE CENTER.-BIKE RODEO THAT PROVIDED CHILDREN OPPORTUNITY TO PRACTICE/DEMONSTRATE SAFETY AND AGILITY SKILLS WHILE FREE HELMETS WERE PROVIDED. -PARTICIPATING IN LOCAL COMMUNITY PARADES.-FRHS PARTICIPATED IN COMMUNITY EVENTS SUCH AS THE HALLOWEEN PASSPORT/COMMUNITY TRICK OR TREAT SCAVENGER HUNT. DYNAMICS OF THE DIVERSE POPULATION:FREEMAN 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. OUR EFFORT INCLUDED:-FREEMAN REGIONAL HEALTH SERVICES MERGED WITH THE SALEM MENNONITE HOME ASSISTED LIVING CENTER WHICH WILL PROVIDE THE AREA WITH A FULL CONTINUUM OF CARE. THE SALEM MENNONITE HOME CURRENTLY PROVIDES ASSISTED LIVING SERVICES. FREEMAN REGIONAL PROVIDES CLINIC, HOSPITAL, AND LONG-TERM CARE SERVICES. -CONTINUE TO STRATEGICALLY PLAN FUTURE PROJECTS.ACCESS TO COMMUNITY-BASED QUALITY CARE:THE MISSION OF FRHS IS TO PROVIDE ACCESSIBLE, COMMUNITY-BASED QUALITY CARE THAT IS COMPETENT, CREATIVE, AND COMPASSIONATE. TO MEET THESE NEEDS, FRHS COMPLETED THE FOLLOWING:-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 THE ENTRANCES TO STREAMLINE PATIENT'S SPECIFIC TO THE CLINIC AND ALSO OUTREACH SERVICES. -UPDATED THE ELECTRONIC CHARTING SYSTEM TO EXPANSE, PROVIDING IMPROVED QUALITY MEASURES FOR PATIENT SAFETY. -FREEMAN REGIONAL HEALTH SERVICES SPOTLIGHTED EACH PROVIDER THROUGH 2022, SPREADING THE WORD ABOUT THE PROVIDER TEAM.-IN ADDITION TO THE THREE PHYSICIANS, ONE PHYSICIAN ASSISTANT, ONE CERTIFIED NURSE PRACTITIONER, THE FACILITY ALSO HIRED ANOTHER CERTIFIED NURSE PRACTITIONER TO PROVIDE A CONTINUUM OF CARE IN THE HOSPITAL. THESE PROVIDERS MEET REGULARLY TO REVIEW THE SERVICES THEY PROVIDE TO THE AREAS AND ADJUST SERVICES AS NEEDED TO MEET THE NEEDS OF THE FREEMAN AREA RURAL COMMUNITIES. -OFFERED FREE BLOOD PRESSURE SCREENINGS AND BLOOD SUGAR CHECKS IN RURAL CLINICS.-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.STAFFING RESOURCES: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 (WORKED WITH THE MOUNT MARTY COLLEGE ON HAVING STUDENT'S COMPLETE HOURS AT THE HOSPITAL ON THEIR RURAL HEALTH ROTATION). -PARTNERING WITH LAKE AREA TECH, DEPARTMENT OF LABOR, AND FREEMAN HIGH SCHOOL TO PROMOTE AN APPRENTICESHIP PROGRAM FOR STUDENTS. -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, SOCIAL MEDIA, AND UTILIZE 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. 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. 4 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 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 $1,722,256 AND EXPENSE OF $2,693,763, FOR A NET LOSS FROM CLINIC OPERATIONS OF $971,507. 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 ESTIMATE 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. 9.83% 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 12-13. PART III, LINE 8: MEDICARE ALLOWABLE COSTS OF CARE WAS CALCULATED FROM THE MEDICARE COST REPORT FOR FISCAL YEAR ENDING 12/31/2022. 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 AVERSE 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. X X 0 0 0 0 0 0 0 0 0 COURTNEY UNRUH CEO 144498 0 0 0 0 0 7855 0 35045 0 187398 0 0 0 A CITY OF FREEMAN 466000164 2006-09-29 750000 TO HELP FINANCE CONGREGATE LIVING UNITS. 0 0 0 A 545783 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 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 2,801. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,801. PURCHASE OTHER CLINIC: PROGRAM SERVICE EXPENSES 810,196. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 810,196. MEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 824,552. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 824,552. PURCHASE COURIER: PROGRAM SERVICE EXPENSES 14,186. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,186. CONSULTING FEES: PROGRAM SERVICE EXPENSES 17,457. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,457. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,617,824. MANAGEMENT AND GENERAL EXPENSES 5,550. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,623,374. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 110,961. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 110,961. ULTRASOUND AND MRI CONTRACTS: PROGRAM SERVICE EXPENSES 129,814. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 129,814. PT FINANCIAL SVC COLLECTION FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 25,055. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,055. ADMINISTRATION CONSULTING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 166,179. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 166,179. FOUNDATION PURCHASE OTHER: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 31. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31. MARKETING PURCHASE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 161. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 161.