2021-11-11T12:07:42-06:00 2020-12-31 450250958 EIDE BAILLY LLP 200 E 10TH ST STE 500 SIOUX FALLS SD 571046375 990 2020-01-01 460232450 FREEMAN REGIONAL HEALTH SERVICES FREE 6059254000 PO BOX 370 FREEMAN SD 57029 COURTNEY UNRUH CEO 6059254000 2021-11-09 1 COURTNEY UNRUH 999009999 LAURIE HANSON CPA P00851848 6053391999 2021-11-09 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z COURTNEY UNRUH PO BOX 370 FREEMAN SD 57029 15179652 0 X WWW.FREEMANREGIONAL.COM X 1944 SD PROVIDE ACCESSIBLE, COMMUNITY BASED QUALITY CARE THAT IS COMPETENT, CREATIVE AND COMPASSIONATE. 9 9 200 5 0 0 421965 1299846 11280803 13565259 76473 62270 134234 124357 11913475 15051732 0 0 0 0 6374691 6793432 0 0 3218 5157944 5579344 11532635 12372776 380840 2678956 13046971 19632360 2366020 6147800 10680951 13484560 THE MISSION OF FREEMAN REGIONAL HEALTH SERVICES IS TO PROVIDE ACCESSIBLE, COMMUNITY-BASED QUALITY CARE THAT IS COMPETENT, CREATIVE AND COMPASSIONATE. 0 0 10901972 13565259 FRHS IS COMPRISED OF A 49 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= 335, SWING BED DAYS=293, NURSING HOME RESIDENT DAYS= 16,768. 10901972 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 1 200 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 LORI UECKER PRESIDENT 2.00 X X 0 0 0 STEVE FUHRMANN VICE PRESIDENT 2.00 X X 0 0 0 JASON AANENSON TREASURER 2.00 X X 0 0 0 CYNTHIA MUTCHELKNAUS SECRETARY 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 NICHOLAS BRANDNER CEO UNTIL 11/2020 40.00 X 167348 0 11328 PHILLIP HUSHER CFO 40.00 X 108039 0 3273 ANTHONY MILLER THERAPY MANAGER 40.00 X 128761 0 3736 404148 0 18337 3 0 1 0 AVERA MCKENNAN HOSPITAL 800 E 21ST ST SIOUX FALLS SD 57105 PHYSICIAN SERVICES 2032726 AVERA SACRED HEART HOSPITAL 501 SUMMIT YANKTON SD 57078 IT SUPPORT 509523 G&R CONTROLS INC PO BOX 85661 SIOUX FALLS SD 57118 HVAC 116690 AVERA THERAPY MITCHELL PO BOX 1284 MITCHELL SD 57301 THERAPY SERVICES 113347 AGILITI HEALTH INC 6625 W 78TH ST STE 300 MINNEAPOLIS MN 55439 FACILITY EQUIPMENT 112008 5 15052 1251745 33049 1299846 PATIENT SERVICE REVENUE 900099 12194272 12194272 COLLABORATIVE ARRANGEMENT 900099 249039 249039 MEALS ON WHEELS 624210 24282 24282 1097666 1097666 13565259 62270 62270 236756 119429 117327 117327 117327 15521 15052 8491 7030 7030 15051732 13565259 0 186627 X 289988 289988 5346351 4855519 490832 110173 102084 8089 639924 545861 94063 406996 351524 55472 13479 13479 58803 58803 3220860 3048205 172655 33783 22407 10595 781 435147 239035 193900 2212 165005 165005 26867 26755 112 7920 7156 764 15592 15592 357002 357002 70069 70069 MEDICAL SUPPLIES 802300 802300 EQUIPMENT RENTAL AND MA 208719 207377 1342 ALL OTHER EXPENSES 163798 86081 77492 225 12372776 10901972 1467586 3218 3191787 4560168 1608356 2155515 137500 87500 131001 133818 61658 41725 16026139 10310269 5328881 5715870 2193144 6265608 3249 6133 391395 666023 13046971 19632360 980593 803511 2275 3774912 340002 296928 1515 3261 394885 769870 646750 499318 2366020 6147800 X 10680951 13484560 10680951 13484560 13046971 19632360 2678956 124653 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 830059 830059 8776911 5728928 3047983 5354927 4294890 1060037 1064242 286451 777791 5715870 APARTMENT DEPOSITS 499318 499318 X 15304305 124653 124653 15179652 -127920 -127920 15051732 12500696 127920 127920 12372776 0 12372776 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 -119,429. DIRECT FUNDRAISING EXPENSES -8,491. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES RECLASSIFIED 119,429. DIRECT FUNDRAISING EXPENSES 8,491. GALA 30573 15052 15521 423 655 5256 300 1857 30573 15052 15521 423 655 5256 300 1857 8491 7030 1 1 X 1 X 1 X 1 1 1 0 0 14000 14000 0.00110 1243602 986334 257268 0.02080 1257602 986334 271268 0.02190 5982169 4799215 1182954 0.09560 5982169 4799215 1182954 0.09560 7239771 5785549 1454222 0.11750 1 309632 29632 3338833 3322825 16008 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 19 1 0 0 1 X SEE LINE 7D X X 1 19 1 SEE LINE 7D 0 1 X 150.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X WWW.FREEMANREGIONAL.COM/SERVICES/CHARITY-CARE X WWW.FREEMANREGIONAL.COM/SERVICES/CHARITY-CARE X WWW.FREEMANREGIONAL.COM/SERVICES/CHARITY-CARE 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: PURSUANT TO THE 2019 IMPLEMENTATION STRATEGY ADOPTED BY FRHS, THE FOLLOWING NEEDS WERE ADDRESSED AS OF THE END OF THE YEAR FOR THIS 990: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:-FACILITY PROVIDED EDUCATION TO RESIDENTS ABOUT COVID-19 (I.E. SYMPTOMS, HOW TRANSMITTED ETC.). RESIDENT EDUCATION ON SCREENING DONE 2 TIMES PER DAY PER SHIFT. RESIDENT FAMILY MEMBERS ARE EDUCATED/CONTACTED VIA SOCIAL SERVICES LETTER REGARDING ACTIONS THEY CAN TAKE TO PROTECT THEMSELVES. GROUP ACTIVITIES AND COMMUNAL DINING WAS CANCELLED. -DR. KIRTON, MEDICAL DIRECTOR, PROVIDED COVID-19 EDUCATION FORUMS/SESSIONS WITH LOCAL BUSINESS AS WELL AS LOCAL FOOD SERVICE BUSINESSES IN FREEMAN AND ITS SURROUNDING COMMUNITIES TO EDUCATE ON COVID-19, SUGGEST PROCESSES, PPE PRACTICES, SOCIAL DISTANCING, AND HAND HYGIENE. -WORKED WITH LOCAL EMS ON AMBULANCE PROCESS AND THE PROCESSES OF FRHS FOR COVID-19. -PARTNERED WITH PARKSTON INCIDENT COMMAND AND SHARED EACH OTHER'S SURGE PLANS. -HELD DAILY CALLS WITH LOCAL SCHOOLS TO STAY INFORMED ON LOCAL COVID-19 CASES, PROCESSES, AND COVID-19 EDUCATION.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 COMMITS TO THE FOLLOWING ACTION STEPS:-FRHS WILL CONTINUE TO SUPPORT AND ADVOCATE TO ITS EMPLOYEES THE VALUE AND IMPORTANCE OF BEING INVOLVED WITH THEIR COMMUNITIES.-THE DIRECTOR OF NURSING IS ON THE BOARD OF THE GROWING DREAMS DAYCARE CENTER AND WORKS TO HELP SUPPORT ACTION STEPS TO HELP EXPAND THE DAYCARE.-FRHS LEADERSHIP TEAM/TRAUMA WORKS TOGETHER WITH THE CITY OF FREEMAN ON STREET SCAPING ALONG WITH PROMOTING SAFETY FOR THE RESIDENTS OF THE CITY.-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. 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 EFFORTS WILL INCLUDE:-CONTINUE TO UPDATE AND REMODEL OUR FACILITY TO MEET THE NEEDS AND PREFERENCES OF INCOMING PATIENTS AND RESIDENTS. -ENHANCE OXYGEN STORAGE-BI-POLARIZATION AIR PURIFICATION SYSTEM -INCREASING AIR FLOW IN THE HOSPITAL HALLWAYS ALONG WITH MAKING ICU A NEGATIVE PRESSURE ROOM -BUSINESS OFFICE LOBBY CONSTRUCTION FOR NURSING HOME VISITATIONS -UPDATED FURNITURE TO BE IN COMPLIANCE WITH INFECTION CONTROL PRACTICES -FACILITY LOCKDOWN/KEYPAD SYSTEM IMPLEMENTEDFREEMAN REGIONAL HEALTH SERVICES CONTINUES TO WORK WITH THE SALEM MENNONITE HOME ASSISTED LIVING CENTER ON A JOINT PROJECT TO 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. THE PLAN FOR THE FUTURE IS TO BUILD ON A NEW SITE TOGETHER TO PROVIDE EASIER ACCESS PHYSICALLY AND OFFER BROADER HEALTHCARE SERVICES FROM ONE LOCATION. TO PROVIDE 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 WILL:-CONTINUE TO RECRUIT AND EMPLOY QUALITY PROVIDERS WHO ARE COMPETENT AND COMPASSIONATE TO MEET THE HEALTH CARE NEEDS OF THOSE WITHIN OUR SERVICE AREA.-FREEMAN REGIONAL HEALTH SERVICES HAS RECRUITED AND SUCCESSFULLY ENGAGED TWO PHYSICIANS WITH START DATES OF OCTOBER 2019 AND AUGUST 2020. IN ADDITION, WE HAVE CONTINUED TO EMPLOY TWO PHYSICIANS, ONE PHYSICIAN ASSISTANT, AND FOUR CERTIFIED NURSE PRACTITIONERS TO SERVE THE GREATER FREEMAN AREA AND OUR SATELLITE CLINIC LOCATIONS. THESE PROVIDERS MEET MONTHLY TO REVIEW THE SERVICES THEY PROVIDE TO THE AREAS. THE GOAL OF THE MEETINGS ARE TO ADJUST SERVICES TO MEET THE NEEDS OF THE FREEMAN AREA RURAL COMMUNITIES. -PROVIDE PRIMARY SERVICES THAT ARE APPROPRIATE FOR OUR RURAL SETTING. -EPIFIX FOR WOUND CARE -OI TRIGGER FINGER AND CARPAL TUNNEL -OUTREACH PROVIDERS -FOOT CLINIC -COLONOSCOPIESFRHS 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 WILL:-CONTINUE TO WORK WITH LOCAL SCHOOLS AND CHURCHES TO PROMOTE AN INTEREST IN HEALTHCARE CAREERS. -FRHS HOSTS AN ANNUAL SCRUBS CAMP IN EACH FEBRUARY TO STIMULATE STUDENTS' INTEREST IN THE HEALTH CARE FIELD. UNFORTUNATELY, THE CAMP WAS CANCELLED IN 2020 DUE TO COVID-19-PRESENT TO COLLEGES AND TECHNICAL INSTITUTIONS ON CERTAIN HEALTH FIELDS TO HELP ASSIST STUDENTS UNDERSTAND WHAT TYPES OF HEALTHCARE CAREERS CAN BE EXPLORED. -ATTEND JOB FAIRS 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. -PARTICIPATED IN CAREER FAIRS FOR NURSING AT MITCHELL TECHNICAL INSTITUTE (MAY 2020)-WORK WITH THE BOARD OF NURSING ON THE NURSE INTERN PROGRAM TO ALLOW STUDENTS TO EXPERIENCE RURAL HEALTH CARE IN FREEMAN. -ADVERTISE JOB OPPORTUNITIES TO LOCAL PAPERS, SOCIAL MEDIA, AND UTILIZE EXISTING STAFF TO PROMOTE FRHS IN THE PUBLIC. -FRHS PROMOTES SERVICES THROUGH AVERA HEALTH, LOCAL NEWSPAPERS, AND SOCIAL MEDIA, AS WELL AS WITHIN THE OUTREACH PROVIDERS THAT VISIT FRHS. 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 $1,723,815 AND EXPENSE OF $2,534,982, FOR A NET LOSS FROM CLINIC OPERATIONS OF $811,167. 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. 9.57% 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 AND BAD DEBT IS LOCATED IN THE AUDITED FINANCIAL STATEMENT REPORT ON PAGES 13-15. PART III, LINE 8: MEDICARE ALLOWABLE COSTS OF CARE WAS CALCULATED FROM THE MEDICARE COST REPORT FOR FISCAL YEAR ENDING 12/31/2020. 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 DETERMINATION IS AVERSE A 30-DAY NOTICE IS AGAIN GIVEN OUT. PART VI, LINE 2: ANNUALLY, ON THE 4TH MONDAY OF FEBRUARY, FREEMAN REGIONAL HEALTH SERVICES (FRHS) HAS A COMMUNITY MEETING THAT IS ADVERTISED IN THE LOCAL NEWSPAPERS INVITING THE COMMUNITY TO ATTEND AND PROVIDE INPUT REGARDING ITS NEEDS AND IDEAS ON HOW FRHS CAN IMPROVE ITS SERVICES. ON A QUARTERLY BASIS, 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 2019. PLEASE SEE PART V, SECTION B, LINE 3 FOR MORE INFORMATION. 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 (2019 DATA) 7,291 5,586 8,384HOUSEHOLDS 2,862 2,209 3,470AVERAGE HOUSEHOLD SIZE (PEOPLE) 2.43 2.38 2.33MEDIAN HOUSEHOLD INCOME $54,868 $62,234 $55,380MEDIAN AGE 43.8 40 43% OF POPULATION UNDER 18 25.3% 27.8% 24.4%% OF POPULATION 19-64 51.8% 53.3% 54.2%% OF POPULATION 65+ 22.9% 18.9% 21.4%% OF POPULATION BELOW POVERTY INCOME LEVEL 11.5% 9.6% 9.4%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 49 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 NICHOLAS BRANDNER CEO UNTIL 11/2020 167348 0 0 0 0 0 4747 0 6581 0 178676 0 0 0 A CITY OF FREEMAN 466000164 2006-09-29 750000 TO HELP FINANCE CONGREGATE LIVING UNITS. 0 0 0 A 453072 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 4,588. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,588. PURCHASE OTHER CLINIC: PROGRAM SERVICE EXPENSES 1,436,333. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,436,333. MEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 564,728. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 564,728. PURCHASE COURIER: PROGRAM SERVICE EXPENSES 17,108. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,108. CONSULTING FEES: PROGRAM SERVICE EXPENSES 1,703. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,703. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 891,614. MANAGEMENT AND GENERAL EXPENSES 2,697. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 894,311. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 87,129. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 87,129. ULTRASOUND AND MRI CONTRACTS: PROGRAM SERVICE EXPENSES 45,002. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 45,002. PT FINANCIAL SVC COLLECTION FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 36,512. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 36,512. ADMINISTRATION CONSULTING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 133,446. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 133,446.