2023-11-14T14:05:49-06:00 2022-12-31 450250958 EIDE BAILLY LLP 345 N REID PL STE 400 SIOUX FALLS SD 571037034 990 2022-01-01 460274380 WINNER REGIONAL HEALTHCARE CENTER WINN 6058427100 745 E 8TH ST WINNER SD 57580 AMANDA SOESBE CFO 6058427100 2023-11-14 1 AMANDA SOESBE 999009999 1 LAURIE HANSON CPA P00851848 6053391999 2023-11-15 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z ROGER KINGSBURY 745 E 8TH ST WINNER SD 57580 30073939 0 X WWW.WINNERREGIONAL.ORG X 1961 SD TO IMPROVE THE QUALITY OF LIFE IN OUR REGION. 9 7 220 9 425125 0 5096922 4184768 23160517 25870238 11929 3357 -26817 15576 28242551 30073939 0 0 0 0 10529950 10773997 0 0 0 17292544 19385110 27822494 30159107 420057 -85168 30381417 30658854 18786360 19072816 11595057 11586038 X TO IMPROVE THE QUALITY OF LIFE IN OUR REGION BY PROVIDING COMPREHENSIVE HEALTHCARE IN A LOCAL, NURTURING ENVIRONMENT. THROUGH PROFESSIONALS WHO CONSIDER HEALTHCARE A CALLING, WE WILL EXCEED THE EXPECTATIONS OF THOSE WE SERVE. OUR ROLE AS A COMMITTED STEWARD TO OUR REGION WILL BE SUSTAINED THROUGH FISCAL RESPONSIBILITY, ENSURING PERSONALIZED HEALTHCARE FOR GENERATIONS TO COME. 0 0 24998110 25445113 WINNER REGIONAL HEALTHCARE CENTER, A 25-BED CRITICAL ACCESS HOSPITAL AND 60-BED LONG-TERM CARE CENTER, PROMOTES HEALTH OF THE COMMUNITY BY PROVIDING A VARIETY OF HEALTH CARE SERVICES INCLUDING ACUTE PATIENT TREATMENT, SWING BED, LONG-TERM CARE, AND NEWBORN CARE. THE FACILITY ALSO OPERATES A HOME HEALTH AGENCY, HOMEMAKER PROGRAM, A PROVIDER-BASED RURAL HEALTH CLINIC, A RETAIL PHARMACY AVAILABLE TO ANYONE IN THE PUBLIC, A COMMUNITY HEALTH PROGRAM AND PROVIDES COMMUNITY EDUCATION PROGRAMS THROUGHOUT THE SERVICE AREA. WINNER REGIONAL HEALTHCARE CENTER HAD 1,335 ACUTE PATIENT DAYS; 1,428 SWING BED PATIENT DAYS; 218 NEWBORN PATIENT DAYS; 130 BIRTHS; 12,478 RESIDENT DAYS; 1,508 HOME HEALTH VISITS; 10,106 RURAL HEALTH CLINIC VISITS; 6,665 OBSERVATION HOURS; 1,477 SPECIALTY OUTREACH VISITS; AND 292 LABOR AND DELIVERY DAYS. DURING 2022, 19 LONG-TERM CARE CENTER BEDS WERE DECERTIFIED. 24998110 1 1 0 1 0 0 0 0 1 0 1 0 0 0 1 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 50 0 1 220 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 7 0 1 0 0 0 0 0 1 0 0 0 1 1 1 1 0 1 1 0 0 X X BRIAN WILLIAMS 6058427213 745 EAST 8TH STREET WINNER SD 57580 RICK WAGNER MD DIRECTOR, CHIEF OF STAFF 30.00 X 200750 0 0 RHONDA JORGENSEN CRNA 32.00 X 168928 0 15098 MARLA HAYES PHARMACIST 40.00 X 169637 0 5301 REBECCA OLSON CNP 40.00 X 138858 0 5040 KORIE PRAVECEK CNP 40.00 X 129176 0 9431 KEN NOGUCHI MD 40.00 X 126385 0 4007 AMANDA SOESBE CFO 40.00 X 85689 0 18297 KEVIN COFFEY CEO - LEFT 11/2022 40.00 X 0 0 0 CHARISSE OLAND INTERIM CEO - JOINED 11/2022 40.00 X 0 0 0 ROGER KINGSBURY PRESIDENT 1.00 X X 0 0 0 BETSY PRAVECEK VICE PRESIDENT 1.00 X X 0 0 0 KIM VANNEMAN TREASURER 1.00 X X 0 0 0 CASEY HEENAN SECRETARY 1.00 X X 0 0 0 JUSTIN NELSON DIRECTOR 1.00 X 0 0 0 SARA PETERSEK DIRECTOR 1.00 X 0 0 0 DIONE ROWE DIRECTOR 1.00 X 0 0 0 SARA HAMMERBECK DIRECTOR 1.00 X 0 0 0 1019423 0 57174 12 0 1 1 FASTAFF PO BOX 911452 DENVER CO 802911452 CONTRACTED NURSING 2233869 SANFORD HEALTH PO BOX 5074 SIOUX FALLS SD 57117 MGMT FEES/SALARY REIMB/IT SUPPORT 1348887 PRIME TIME HEALTHCARE LLC PO BOX 3544 OMAHA NE 681030544 CONTRACTED NURSING 884968 FUSION MEDICAL STAFFING LLC PO BOX 30131 OMAHA NE 68103 CONTRACTED NURSING 870951 GLOBAL MEDICAL STAFFING PO BOX 733375 DALLAS TX 753973375 CONTRACT PHYSICIANS FOR ER COVERAGE 793775 23 3799162 385606 4184768 PATIENT AND RESIDENT SERVICE REVE 621110 23624451 23624451 PHARMACY REVENUE 900099 1899810 1474685 425125 PHYSICIAN OUTREACH 621110 29409 29409 316568 316568 25870238 3357 3357 15576 0 15576 15576 15576 30073939 25445113 425125 18933 X 304806 200750 104056 66469 66469 8483790 6941359 1542431 157366 129470 27896 1136173 877665 258508 625393 508333 117060 355866 355866 52267 52267 393827 61661 332166 1410 1410 10147414 9488345 659069 139647 1957 137690 450511 308540 141971 928873 414132 514741 125670 122438 3232 37914 21886 16028 429280 284713 144567 1591217 1233340 357877 257849 97093 160756 MEDICAL SUPPLIES 4055759 3956125 99634 FOOD 232137 232127 10 LICENSES, DUES & SUBSCR 61556 47478 14078 123913 4229 119684 30159107 24998110 5160997 0 373 402402 3708426 7506093 133511 256785 671295 622170 39611 2676 37938629 18766647 20066778 19171982 3842187 749467 1216445 1292595 702791 654684 30381417 30658854 2703506 4086683 736622 0 3530 6255 15342702 14834512 0 145366 18786360 19072816 X 10378611 10293443 1216446 1292595 11595057 11586038 30381417 30658854 X -85168 76149 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1410 1410 0 PART II-B, LINE 1: THE ORGANIZATION IS A MEMBER OF CERTAIN ORGANIZATIONS RELATED TO THE INDUSTRY WHICH HAVE LOBBYING EXPENSES. THE AMOUNT LISTED IS THE PERCENTAGE OF DUES THAT WERE USED FOR LOBBYING. ORGANIZATION OFFICERS AND DIRECTORS WILL ALSO FROM TIME TO TIME CONTACT LEGISLATORS CONCERNING HEALTH CARE ISSUES AND BILLS. 0 1 X 24638 24638 30211324 13085412 17125912 5781958 4930790 851168 1920709 750445 1170264 19171982 FINANCE LEASE LIABILITIES 145366 145366 X 30073939 0 30073939 0 30073939 30159107 0 30159107 0 30159107 PART IV, LINE 2B: LONG-TERM CARE RESIDENTS REQUEST THE FACILITY TO HANDLE THEIR FINANCIAL AFFAIRS. THIS IS DIRECTED BY A WRITTEN AGREEMENT BETWEEN THE FACILITY AND THE RESIDENT. SOME EXAMPLES OF FINANCIAL AFFAIRS ARE SOCIAL SECURITY CHECKS, NURSING HOME PAYMENTS, AND HAIRCUTS. PART X, LINE 2: THE 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 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. 1 1 X 1 X 1 X 150.000000000000 1 1 0 0 141000 141000 0.00470 3949154 2500620 1448534 0.04800 4090154 2500620 1589534 0.05270 8221706 3811940 4409766 0.14620 8221706 3811940 4409766 0.14620 12311860 6312560 5999300 0.19890 1 1892744 388013 8765241 8760501 4740 X 1 1 1 1 WINNER REGIONAL HEALTHCARE CENTER 745 E 8TH ST WINNER SD 57580 WWW.WINNERREGIONAL.ORG 51775 X X X X PROVIDER BASED RHC-WINNER REGIONAL CLINIC WINNER REGIONAL HEALTHCARE CENTER 1 0 0 1 X X X X X X X X X 22 1 1 0 1 X SEE LINE 7D NARRATIVE X X 1 22 1 SEE LINE 7D NARRATIVE 0 1 X 100.000000000000 150.000000000000 X X X X X X 1 1 X X X X 1 X SEE PART V, LINE 16J NARRATIVE X SEE PART V, LINE 16J NARRATIVE X SEE PART V, LINE 16J NARRATIVE X X X X X X 1 X 0 X X X X 1 X 0 0 WINNER REGIONAL HEALTHCARE CENTER PART V, SECTION B, LINE 5: COMMUNITY MEMBERS INVOLVED IN COLLECTING THE DATA AND PREPARING THE REPORT INCLUDED ONE REPRESENTATIVE FROM THE GOVERNING BOARD, THE EXECUTIVE DIRECTOR OF THE CHAMBER OF COMMERCE, AND THE PRESIDENT OF THE TRIPP COUNTY ECONOMIC DEVELOPMENT BOARD. THOSE INDIVIDUALS, IN ADDITION TO SURVEY RESPONDENTS, OTHER HEALTHCARE EMPLOYEES, WRHC ADMINISTRATION, AND SECONDARY DATA SOURCES HELPED REPRESENT ALL INDIVIDUALS IN THE TRIPP COUNTY COMMUNITY, GIVING THEM AN OPPORTUNITY TO PROVIDE INSIGHT ON THE AREAS NEEDING THE BIGGEST IMPROVEMENTS TO CARE. WINNER REGIONAL HEALTHCARE CENTER PART V, SECTION B, LINE 6A: WINNER REGIONAL WORKED IN PARTNERSHIP WITH SANFORD HEALTH. WINNER REGIONAL HEALTHCARE CENTER PART V, SECTION B, LINE 7D: BOUND COPIES ARE DISPLAYED IN OPEN SITTING AREAS THROUGHOUT THE FACILITY FOR READING BY ANY CUSTOMER OR EMPLOYEE. THE CHNA REPORT AND IMPLEMENTATION STRATEGY ARE AVAILABLE AT HTTPS://WINNERREGIONAL.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ WINNER REGIONAL HEALTHCARE CENTER PART V, SECTION B, LINE 11: SIGNIFICANT NEEDS IDENTIFIED IN THE 2022 CHNA REPORT INCLUDED AFFORDABLE HOUSING; EMPLOYMENT AND ECONOMIC OPPORTUNITIES; LONG-TERM CARE, NURSING HOMES, SENIOR HOUSING; ACCESS TO HEALTH CARE PROVIDERS; AND HEALTHY LIVING.THE ORGANIZATION WILL NOT ADDRESS THE FOLLOWING NEEDS:- AFFORDABLE HOUSING WILL NOT BE ADDRESSED WITH THIS CHNA AS RENTAL OPTIONS HAVE IMPROVED SOMEWHAT OVER THE PAST FEW YEARS. WRHC WILL CONTINUE TO WATCH FOR OPPORTUNITIES TO PARTNER WITH OTHER COMMUNITY ENTITIES IN THIS AREA. - EMPLOYMENT AND ECONOMIC OPPORTUNITIES WILL NOT BE ADDRESSED WITH THIS CHNA AS JOB OPPORTUNITIES, DAYCARE, PRE-SCHOOL, AND OTHER ECONOMIC ITEMS WILL REQUIRE BROAD COMMUNITY-BASED SUPPORT AND PARTNERSHIP BEYOND WHAT A LOCAL HOSPITAL CAN DO ON ITS OWN. THIS INFORMATION WILL BE SHARED WITH COMMUNITY MEMBERS. - HEALTHY LIVING WILL NOT BE ADDRESSED WITH THIS CHNA AS WRHC ALREADY HELPS PROMOTE HEALTH WITH EDUCATIONAL OPPORTUNITIES SUCH AS BETTER CHOICES BETTER HEALTH AND MATTER OF BALANCE CLASSES IMPLEMENTED RECENTLY. THE FACILITY COMPLETED A NEW CHNA IN THE CURRENT TAX YEAR AND DID NOT HAVE TIME TO START ADDRESSING THE NEEDS IDENTIFIED DUE TO TIMING. HOWEVER THE FACILITY CONTINUED TO PARTNER WITH OTHER ENTITIES BASED ON THE PRIOR CHNA WITH BETTER CHOICES BETTER HEALTH AND MATTER OF BALANCE CLASSES TO CONTINUE WORKING THROUGH THE PRIOR CHNA. ADDITIONALLY, EAR, NOSE AND THROAT SERVICES WERE BROUGHT TO WRHC IN 2022. AN IMPLEMENTATION STRATEGY WAS CREATED FOR 2023-2025 REGARDING THE RECENTLY DEVELOP CHNA. THIS IMPLEMENTATION PLAN WILL ADDRESS LONG-TERM CARE, NURSING HOMES AND SENIOR HOUSING, AND ACCESS TO HEALTH CARE PROVIDERS. WINNER REGIONAL HEALTHCARE CENTER PART V, SECTION B, LINE 13B: PATIENTS WHOSE FAMILY INCOME IS OVER 100% AND BELOW 150% OF THE FPL ARE ELIGIBLE FOR UP TO A 50% DISCOUNT. WINNER REGIONAL HEALTHCARE CENTER PART V, SECTION B, LINE 13H: IN ADDITION TO UTILIZING THE FACTORS IDENTIFIED IN LINE 13, THE ORGANIZATION CONSIDERS THE INDIVIDUAL'S LIABILITIES, NET WORTH, EMPLOYMENT STATUS OR EARNING CAPACITY, OTHER FINANCIAL OBLIGATIONS, FREQUENCY OF HEALTH SERVICES AND OTHER SOURCES OF PAYMENT FOR HEALTHCARE SERVICES RENDERED.PATIENTS WHOSE FAMILY INCOME EXCEEDS 150% OF THE FPL MAY BE ELIGIBLE TO RECEIVE DISCOUNTED RATES ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE, AT THE DISCRETION OF WINNER REGIONAL HEALTHCARE. HOWEVER, THE DISCOUNTED RATES SHALL NOT BE LESS THAN THE AMOUNTS GENERALLY BILLED COMMERCIALLY INSURED PATIENTS. ONCE THE PATIENT HAS BEEN DEEMED ELIGIBLE, WINNER REGIONAL WILL APPLY THE FAP DISCOUNT TO THE PATIENT'S ACCOUNT. PRESUMPTIVE ELIGIBILITY MAY ALSO BE USED IF OTHER AVENUES FOR FINANCIAL ASSISTANCE HAVE BEEN EXHAUSTED. WINNER REGIONAL HEALTHCARE CENTER PART V, SECTION B, LINE 16J: PART V, SECTION B, LINE 16A-C: THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION, AND FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY ARE POSTED AT HTTPS://WINNERREGIONAL.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/.PART V, SECTION B, LINE 16I: PLEASE REFER TO THE NARRATIVE PROVIDED IN PART VI, LINE 3 REGARDING ADDITIONAL MEANS OF EDUCATING PATIENTS ABOUT OUR CHARITY CARE POLICY. WINNER REGIONAL HEALTHCARE CENTER 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. 1 1 - WINNER REGIONAL NURSING HOME 745 EAST 8TH STREET WINNER SD 575802631 SKILLED NURSING FACILITY PART I, LINE 3C: IN ADDITION TO UTILIZING FEDERAL POVERTY GUIDELINES, THE FOLLOWING ITEMS ARE USED TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE: PERSONAL ASSETS, LIABILITIES, INDIVIDUAL AND/OR FAMILY INCOME, NET WORTH, EMPLOYMENT STATUS OR EARNING CAPACITY, OTHER FINANCIAL OBLIGATIONS, FREQUENCY OF HEALTH SERVICES, INSURANCE STATUS, UNDERINSURANCE STATUS AND OTHER SOURCES OF PAYMENT FOR HEALTHCARE SERVICES RENDERED. THIS INFORMATION IS REVIEWED AND A DETERMINATION OF ELIGIBILITY FOR ASSISTANCE IS MADE BY THE PATIENT SERVICES REPRESENTATIVE AND THE CFO. PRESUMPTIVE ELIGIBILITY MAY ALSO BE USED IF OTHER AVENUES FOR FINANCIAL ASSISTANCE 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. LINE 7F WAS OBTAINED UTILIZING THE ACTUAL GENERAL LEDGER SYSTEM. LINES 7B AND 7G WERE DETERMINED USING THE COST REPORTS. PART I, LINE 7G: PHYSICIAN CLINIC NET REVENUE OF $2,004,629 AND COSTS OF $3,529,677 ARE INCLUDED ON LINE 7G FOR A NET COMMUNITY BENEFIT OF $1,525,048. 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 THE RESPECTIVE CLASS OF PATIENTS. PART III, LINE 3: THE ESTIMATED AMOUNT RELATED TO CHARITY CARE IS 20.5% OF IMPLICIT PRICE CONCESSIONS, WHICH IS BASED ON THE POVERTY LEVEL OF THE SERVICE AREA FOR 2022. PART III, LINE 4: FOOTNOTE FROM FINANCIAL STATEMENT: PLEASE SEE FINANCIAL STATEMENT NOTE 2 - PATIENT AND RESIDENT SERVICE REVENUE ON PAGES 16-18 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: MEDICARE ALLOWABLE COST 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: THE COLLECTION POLICY ALLOWS FOR CHARITY CARE TO BE OBTAINED DURING THE COLLECTION PROCESS IF THE PATIENT DID NOT QUALIFY DUE TO A LACK OF DOCUMENTATION IN THE PATIENT'S FILE. THE POLICY SPECIFICALLY STATES "A PATIENT WILL NOT BE DENIED CHARITY CARE CONSIDERATION BECAUSE OF A LACK OF DOCUMENTATION TO VERIFY INCOME." IF A PATIENT IS IN COMPLIANCE WITH FINANCIAL ARRANGEMENTS MADE DURING THE FINANCIAL ASSISTANCE PROCESS, THEIR ACCOUNT WILL NOT BE SENT TO COLLECTION. IF A PATIENT IS FOUND TO POTENTIALLY QUALIFY FOR FINANCIAL ASSISTANCE AND THE ACCOUNT IS IN COLLECTION, COLLECTION ACTIVITY WILL CEASE WHILE THE PATIENT COMPLETES THE APPLICABLE PAPERWORK. PART VI, LINE 2: WRHC HOLDS PUBLIC AFFAIRS MEETINGS THREE TIMES PER YEAR IN WHICH IT REQUESTS INPUT FROM PROFESSIONALS AND COMMUNITY MEMBERS REGARDING NEEDS OF THE COMMUNITY. PART VI, LINE 3: OUR PROCESS FOR NOTIFYING PATIENTS OF FINANCIAL ASSISTANCE IS TO VISIT WITH THEM WHILE THEY ARE IN THE FACILITY. OUR PATIENT FINANCIAL REPRESENTATIVE REVIEWS THE CENSUS EVERY MORNING TO DETERMINE IF A PATIENT IS PRIVATE PAY. THE REPRESENTATIVE VISITS WITH THE PATIENT TO DETERMINE WHETHER THEY HAVE INSURANCE IN ADDITION TO WHAT HAS BEEN PROVIDED TO THE HOSPITAL, AND WHETHER THEY NEED ASSISTANCE WITH APPLYING FOR MEDICAID (IF APPLICABLE). THE REPRESENTATIVE PROVIDES CHARITY CARE INFORMATION IF THE PATIENT BELIEVES THIS TYPE OF FINANCIAL ASSISTANCE MAY BE NEEDED. CHARITY CARE APPLICATIONS ARE ALSO PROVIDED UPON REQUEST AND TO PERSONS WHO HAVE NOT BEEN MAKING PAYMENTS AS SCHEDULED. PART VI, LINE 4: WINNER REGIONAL HEALTHCARE CENTER (WRHC) IS LOCATED IN WINNER, SOUTH DAKOTA WHICH IS AT THE CENTER OF TRIPP COUNTY. COMMUNITIES IN TRIPP COUNTY INCLUDE CARTER, CLEARFIELD, COLOME, HAMILL, IDEAL AND WINNER. WRHC'S SERVICE AREA EXTENDS INTO GREGORY, MELLETTE, LYMAN AND TODD COUNTIES IN SOUTH DAKOTA AND INCLUDES THE CITIES OF PRESHO, MISSION, WOOD, WHITE RIVER, GREGORY, BURKE, DALLAS, HERRICK, BONESTEEL AND FAIRFAX. THE SERVICE AREA INCLUDES NORTHERN CHERRY, BROWN AND KEYA PAHA COUNTIES IN NEBRASKA AND ENCOMPASSES THE CITIES OF SPRINGVIEW, SPARKS, AINSWORTH AND VALENTINE. FARMING AND RANCHING ARE THE PRIMARY INDUSTRIES IN THIS RURAL AREA. THE POPULATION OF TRIPP COUNTY, THE PRIMARY SERVICE AREA, IS 5,569. THE AVERAGE MEDIAN INCOME IS $54,054. PERCENTAGE OF RESIDENTS BELOW THE POVERTY LEVEL IS 19.3%. OTHER HOSPITALS SERVING THE AREA INCLUDE VALENTINE HOSPITAL, BURKE COMMUNITY MEMORIAL, GREGORY HOSPITAL AND ROSEBUD HOSPITAL. ALL COUNTIES IN THE SERVICE AREA ARE FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS.THE DATA ABOVE IS FROM 2020. THE COMMUNITY DEMOGRAPHICS REMAIN STABLE. PART VI, LINE 5: THE WINNER REGIONAL GOVERNING BOARD IS A 9 MEMBER VOLUNTEER BOARD COMPRISED OF BOTH MEN AND WOMEN THAT RESIDE IN THE WINNER REGIONAL HEALTHCARE CENTER SERVICE AREA. WINNER REGIONAL HEALTHCARE CENTER EXTENDS PRIVILEGES TO PHYSICIANS IN THE IMMEDIATE AREA. WINNER REGIONAL HEALTHCARE CENTER UTILIZES SURPLUS FUNDS TO FUND BUILDING IMPROVEMENTS AND TO ENHANCE SERVICES TO PATIENTS. X 0 0 0 0 0 0 0 0 0 RICK WAGNER MD DIRECTOR, CHIEF OF STAFF 200750 0 0 0 0 0 0 0 0 0 200750 0 0 0 RHONDA JORGENSEN CRNA 168928 0 0 0 0 0 5667 0 9500 0 184095 0 0 0 MARLA HAYES PHARMACIST 169637 0 0 0 0 0 5301 0 69 0 175007 0 0 0 PART I, LINE 3 THE CEO IS COMPENSATED THROUGH A MANAGEMENT AGREEMENT WITH SANFORD HEALTH NETWORK, AN UNRELATED ORGANIZATION. SANFORD HEALTH NETWORK USES THE PROCESSES DESCRIBED IN PART I, QUESTION 3 TO DETERMINE APPROPRIATE COMPENSATION FOR THE CEO. PART II, LINE 1 DR. RICK WAGNER IS A BOARD MEMBER OF WINNER REGIONAL HEALTHCARE CENTER AND CHIEF OF STAFF AT THE WINNER REGIONAL CLINIC. HE IS AN INDEPENDENT CONTRACTOR PAID BY WINNER REGIONAL HEALTHCARE CENTER. KYLE COFFEY FAMILY MEMBER OF KEVIN COFFEY, CEO 30253 BASE WAGES AND BENEFITS 0 LORI KINGSBURY FAMILY MEMBER OF ROGER KINGSBURY, BOARD PRESIDENT 36215 INDEPENDENT CONTRACTOR PAYMENTS 0 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION HAS A MANAGEMENT AGREEMENT WITH SANFORD HEALTH NETWORK. THE CEO IS AN EMPLOYEE OF THE MANAGEMENT COMPANY. SANFORD HEALTH IS LOCATED AT 1305 W 18TH STREET, SIOUX FALLS, SD. WRHC PAID SANFORD HEALTH NETWORK FOR SERVICES PROVIDED BY KEVIN COFFEY, CEO (LEFT NOVEMBER 2022) AND CHARISSE OLAND, INTERIM CEO (STARTED NOVEMBER 2022). COMPENSATION AND BENEFITS FOR KEVIN COFFEY WERE $257,656. COMPENSATION AND BENEFITS FOR CHARISSE OLAND WERE $31,113. THE CEO IS RESPONSIBLE FOR LOCAL PLANNING AND MANAGEMENT OF ALL ACTIVITIES IN THE ORGANIZATION, INCLUDING TASKS SUCH AS MANAGING HUMAN AND FINANCIAL RESOURCES, DIRECTING STAFF, AND CONTROLLING THE OPERATIONS. FORM 990, PART VI, SECTION A, LINE 8B COMMITTEES MAKE RECOMMENDATIONS TO THE GOVERNING BODY, WHICH APPROVES ALL ACTIONS. NO COMMITTEES HAVE BROAD AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF FORM 990 WAS PROVIDED TO THE GOVERNING BODY ELECTRONICALLY PRIOR TO FILING. THE CFO REVIEWS A DRAFT OF THE FORM 990 IN DETAIL PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C COMPLIANCE IS MONITORED THROUGH THE USE OF ANNUAL QUESTIONNAIRES THAT EACH OFFICER, DIRECTOR, TRUSTEE, AND KEY EMPLOYEE MUST COMPLETE. THE FULL BOARD SHALL BE ADVISED OF DEALINGS AND CONTRACTS TO BE MADE WITH ANY BOARD MEMBER(S), PHYSICIAN(S), OR EMPLOYEE(S). THE BOARD AND THE CEO INVESTIGATE AND MAKE A DETERMINATION REGARDING ALL CONFLICTS THAT MAY ARISE. FORM 990, PART VI, SECTION B, LINE 15A CEO: SANFORD PRESENTS A COMPARATIVE SCHEDULE ON CEO SALARIES WITH MEDIAN AND HIGH/LOW SALARIES, FOR COMPARABLE POSITIONS AND AREAS OF RESPONSIBILITIES. THE CURRENT MARKET AND LONGEVITY IS ALSO INCLUDED IN THE EVALUATION OF COMPENSATION. THE SANFORD NETWORK VICE PRESIDENT PRESENTS THE COMPENSATION SUBSTANTIATION TO THE BOARD OF DIRECTORS AT A MEETING THAT EXCLUDES THE CEO. PERFORMANCE EVALUATIONS ARE COMPLETED BY EACH BOARD MEMBER, THE VICE PRESIDENT AND CEO SELF EVALUATION. ADMINISTRATIVE STAFF (CFO, DIRECTOR OF HR/MATERIALS, DIRECTOR OF SUPPORT SERVICES, HOSPITAL DON, LTC DON): THE CEO COMPARES COMPENSATION TO SDAHO SALARY SURVEY. SALARY INCREASES ARE PRESENTED TO THE BOARD OF DIRECTORS AS PART OF THE BUDGET APPROVAL PROCESS. THIS PROCESS IS UNDERTAKEN ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST FORM 990, PART IX, LINE 11G SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 428,865. MANAGEMENT AND GENERAL EXPENSES 185,758. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 614,623. OUTSIDE MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 529,104. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 529,104. REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 31,924. MANAGEMENT AND GENERAL EXPENSES 56,923. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 88,847. CONSULTING: PROGRAM SERVICE EXPENSES 18,086. MANAGEMENT AND GENERAL EXPENSES 33,773. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 51,859. OTHER: PROGRAM SERVICE EXPENSES 1,512. MANAGEMENT AND GENERAL EXPENSES 27,157. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,669. SOFTWARE MAINTENANCE: PROGRAM SERVICE EXPENSES 62,071. MANAGEMENT AND GENERAL EXPENSES 355,458. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 417,529. PURCHASED STAFFING/CONTRACT PHYSICIANS: PROGRAM SERVICE EXPENSES 8,416,783. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,416,783. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 76,149.