2019-11-11T11:50:27-06:00 2018-12-31 450250958 EIDE BAILLY LLP 200 EAST 10TH ST PO BOX 5125 SIOUX FALLS SD 571175125 990 2018-01-01 460274380 WINNER REGIONAL HEALTHCARE CENTER WINN 6058427100 745 E 8TH ST WINNER SD 57580 EARL PIERCE CFO 6058427100 2019-11-11 1 LAURIE HANSON P00851848 6053391999 2019-11-12 216.147.181.46 2019-11-11 09:44:02 CS P C5ADF3E96DC5FD5E5884512D59AB882B10EDFEC1 58563A860C08994041E53A5B7FE60D5BE488C1AC 2018 2020-03-31 21:24:44Z KEVIN COFFEY 745 E 8TH ST WINNER SD 57580 26945602 0 X WWW.WINNERREGIONAL.ORG X 1961 SD TO IMPROVE THE QUALITY OF LIFE IN OUR REGION. 9 7 254 9 0 0 1213383 677738 25293891 26187324 754248 33907 39510 46633 27301032 26945602 0 0 0 0 9442136 10143178 0 0 27940 15673291 15425341 25115427 25568519 2185605 1377083 16715788 26884271 5127984 13060036 11587804 13824235 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 21428350 26187324 WINNER REGIONAL HEALTHCARE CENTER, A 25-BED CRITICAL ACCESS HOSPITAL AND 79 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 NEW BORN CARE. THE FACILITY ALSO OPERATES A HOME HEALTH AGENCY, HOMEMAKER PROGRAM, A PROVIDER BASED RURAL HEALTH CLINIC, A COMMUNITY HEALTH PROGRAM AND PROVIDES COMMUNITY EDUCATION PROGRAMS THROUGHOUT THE SERVICE AREA. WINNER REGIONAL HEALTHCARE CENTER HAD 1,601 ACUTE PATIENT DAYS; 1,300 SWING BED PATIENT DAYS; 390 NEWBORN PATIENT DAYS; 217 BIRTHS; 25,355 RESIDENT DAYS; 2,890 HOME HEALTH VISITS; 14,322 RURAL HEALTH CLINIC VISITS; 473 OBSERVATION DAYS; AND 391 LABOR AND DELIVERY DAYS. 21428350 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 55 0 1 254 1 0 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 KEVIN COFFEY 6058427213 745 EAST 8TH STREET WINNER SD 57580 BRIAN SCHAEFFER PRESIDENT 1.00 X X 0 0 0 ROGER KINGSBURY VICE PRESIDENT 1.00 X X 0 0 0 KIM VANNERMAN TREASURER 1.00 X X 0 0 0 KEVIN OREL SECRETARY 1.00 X X 0 0 0 NEIL LANTZ DIRECTOR 1.00 X 0 0 0 DR ANORA HENDERSON DIRECTOR, FAMILY PRACTICE 40.00 X 351698 0 34430 REBECCA LITTAU DIRECTOR 1.00 X 0 0 0 BETSY PRAVECEK DIRECTOR 1.00 X 0 0 0 JOEL LEYDEN DIRECTOR 1.00 X 0 0 0 KEVIN COFFEY CEO 40.00 X 0 0 0 EARL PIERCE CFO (BEGIN MAR 2018) 40.00 X 72718 0 6614 RHONDA JORGENSEN CRNA 40.00 X 199410 0 14141 MARLA HAYES PHARMACIST 40.00 X 151532 0 3031 REBECCA OLSON CNP 40.00 X 135354 0 4572 KORIE PRAVECEK CNP 40.00 X 132857 0 12110 CHRIS SNAVELY PA 40.00 X 107588 0 10945 1151157 0 85843 7 0 1 1 PRIME TIME HEALTHCARE LLC 15380 WEIR ST OMAHA NE 68137 CONTRACTED NURSING 1719634 SANFORD HEALTH 1305 W 18TH ST SIOUX FALLS SD 57117 MGMT FEES/SALARY REIMB/IT SUPPORT 1508423 DAKOTA TRAVEL NURSING INC 1200 COLLINS AVE MANDAN ND 58554 CONTRACTED NURSING 763067 HEALTH CAROUSEL LLC 3805 EDWARDS RD 700 CINCINNATI OH 45209 CONTRACTED NURSING 331901 MEDICAL SOLUTIONS LLC 1010 N 102ND ST SUITE 300 OMAHA NE 68114 CONTRACTED NURSING 304417 17 9500 668238 677738 PATIENT AND RESIDENT SERVICE REVE 621110 25479674 25479674 PHARMACY REVENUE 900099 322299 322299 PHYSICIAN OUTREACH 621110 57656 57656 327695 327695 26187324 12353 12353 46633 0 46633 46633 46633 21554 0 21554 21554 21554 26945602 26187324 0 80540 X 466048 367335 98713 78813 78813 7640678 6225611 1389336 25731 127536 101053 26483 1255239 877815 377194 230 574864 476754 96166 1944 331484 331484 8626 2346 6280 72102 4327 67775 7730028 7400449 329579 170973 17372 153601 474157 203798 270324 35 375855 41260 334595 620742 382527 238215 288354 287681 673 145038 84483 60555 47224 15696 31528 571808 508060 63748 147832 106754 41078 MEDICAL SUPPLIES 2579717 2481575 98142 BAD DEBTS 1415271 1415271 FOOD 291675 291589 86 LICENSES, DUES & SUBSCR 65980 24190 41790 88475 33591 54884 25568519 21428350 4112229 27940 1738721 40707 4072196 5184220 159764 221089 516064 478544 186267 50255 32552551 14460684 7276388 18091867 2490764 1758715 198624 1057972 2000 902 75000 0 16715788 26884271 2955625 3319420 11665 8945 1792902 9397332 367792 284339 0 50000 5127984 13060036 X 11289180 12666263 298624 1157972 11587804 13824235 16715788 26884271 X 1377083 859348 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1210 1210 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 11127492 8730900 2396592 5720076 5262875 457201 15680345 466909 15213436 18091867 ESTIMATED THRID-PARTY PAYOR SETTLEMENTS 50000 50000 X 25530331 -1415271 -1415271 26945602 0 26945602 24153248 0 24153248 1415271 1415271 25568519 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 IS ORGANIZED AS A SOUTH DAKOTA NONPROFIT CORPORATION AND HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THE CENTER IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, THE CENTER IS SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE. THE CENTER FILES AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990T) WITH THE IRS TO REPORT ITS UNRELATED BUSINESS TAXABLE INCOME. 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. PART XI, LINE 2D - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS -1,415,271. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 1,415,271. 1 1 X 1 X 1 X 150.000000000000 1 1 0 0 130000 130000 0.00510 2655452 2235117 420335 0.01640 2785452 2235117 550335 0.02150 17916 10503 7413 0.00030 10084947 5615565 4469382 0.17480 132989 132989 0.00520 10235852 5626068 4609784 0.18030 13021304 7861185 5160119 0.20180 0 1415271 406183 5525293 5544262 -18969 X 1 1 1 1 WINNER REGIONAL HEALTHCARE CENTER 745 E 8TH ST WINNER SD 57580 WWW.WINNERREGIONAL.ORG 10713 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 16 1 1 0 1 X SEE LINE 7D NARRATIVE X X 1 16 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: WRHC UTILIZED A SURVEY LINK VIA EMAIL TO REACH OUT TO SCHOOL OFFICIALS WHO IN TURN FORWARDED THE EMAIL LINK TO STAFF, THE CHAMBER DIRECTOR WHO IN TURN FORWARDED THE EMAIL LINK TO CHAMBER MEMBERS, AND ALL HEALTHCARE EMPLOYEES AT WINNER REGIONAL HEALTHCARE CENTER. EMAIL RECIPIENTS WERE ENCOURAGED TO FORWARD THE EMAIL TO OTHERS IN THE COMMUNITY. 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: THE IMPLEMENTATION STRATEGY IS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST AND CAN ALSO BE LOCATED ON OUR WEBSITE.DURING 2017 RESULTS OF THE SURVEYS WERE COMPILED BY SANFORD AND THE OUTCOME OF THE DATA WAS FORWARDED TO WRHC TO USE IN THE DEVELOPMENT OF THE IMPLEMENTATION STRATEGIES. BASED ON THE SURVEY RESULTS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, A PRIORITIZATION WORKSHEET WAS COMPLETED BY THE CHNA STEERING GROUP (DURING 2017). THE STEERING GROUP DETERMINED THERE WERE TWO PRIORITIES THAT WOULD BE THE FOCUS DURING THE NEXT THREE-YEAR TIMEFRAME. THE TWO PRIORITIES EACH HAVE THREE GOALS. PRIORITY 1 IS HEALTH CARE. PRIORITY 2 IS PHYSICAL HEALTH. THE PROJECTED IMPACT OF THE FIRST PRIORITY, HEALTH CARE, IS TO UNDERSTAND THE NEEDS OF THE COMMUNITY TO PROVIDE THE CARE THAT IS MOST ESSENTIAL. THIS WILL BE DONE BY EVALUATING THREE ITEMS: 1) CONDUCT COMMUNITY FOCUS GROUPS TO UNDERSTAND THEIR HEALTH-RELATED NEEDS AND DEVELOP A STRATEGIC PLAN FROM THE OUTCOME; 2) EVALUATE THE USAGE OF THE EMERGENCY ROOM, ITS PEAK TIMES AND LEVELS OF CARE AND 3) TO DETERMINE IF CLINIC ACCESS IS AN ISSUE BY DETERMINING HOW MANY ILL PATIENTS ARE SEEN THE SAME DAY AS THEY CALL FOR AN APPOINTMENT.THE SECOND PRIORITY, PHYSICAL HEALTH, IS TO IMPROVE THE OVERALL PHYSICAL HEALTH OF THE COMMUNITY BY: 1) REQUIRING MEDICAL STUDENTS THAT DO ROTATION IN THE COMMUNITY (I.E. FARM, RHEPS, PHARM) DO A COMMUNITY PROJECT TO ENHANCE AWARENESS OF VARIOUS HEALTH FACTORS (I.E. STOP THE BLEED, THUMP THE MELON); 2) GO THROUGH LAY LEADER TRAINING OFFERED BY BETTER CHOICES, BETTER HEALTH PROGRAM AND HOLD SUPPORT GROUP MEETINGS IN AND AROUND THE COMMUNITY AND 3) ENCOURAGE HEALTHIER EATING. THE FIRST TWO GOALS ARE IN PROCESS AND THE THIRD GOAL HAS LEADERSHIP ASSIGNED, BUT NO ACTIVITY HAS YET OCCURRED.THE DIRECTOR OF OPERATIONS MONITORS ALL ACTIVITY AND CONTINUOUSLY UPDATES THE ACTION PLAN. ON A QUARTERLY BASIS SENIOR LEADERSHIP MEETS AND REVIEWS ALL ACTIVITY AND WILL FOLLOW THROUGH ON ANY ISSUES/CONCERNS ON AN AS NEEDED BASIS TO ENSURE PROGRESS IS BEING MADE ON THE TWO PRIORITY GOALS.THE FOLLOWING WERE DONE TO IMPLEMENT THE PRIORITIES IN 2018:-EVALUATION OF ER VISITS, FROM THE PAST TWO YEARS, SHOWED A NICE BELL CURVE REGARDING THE LEVEL OF ER VISITS.-QUICKER ACCESS TO HEALTH CARE CONTINUED TO BE MONITORED, FOCUSING ON SCHEDULED TO NO SHOW RATIOS. CLINIC HOURS WERE ALSO INCREASED TO 6:30PM ON MONDAY.-FARM STUDENTS CONTINUED TO BE INVOLVED WITH SCRUB CAMPS AND MY SANFORD CHART.-BETTER CHOICES, BETTER HEALTH CLASSES WERE TAUGHT AT WINNER AS WELL AS THE SURROUNDING AREAS OF MISSION, SD AS WELL AS PLATTE, SD. 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: 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 GREATER 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. 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 HTTP://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, FAMILY SIZE, 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. 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 7E AND 7I WERE 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 $2,009,562 AND COSTS OF $3,740,211 ARE INCLUDED ON LINE 7G FOR A NET COMMUNITY BENEFIT OF $1,730,649. PART I, LN 7 COL(F): BAD DEBT BASED ON CHARGES OF $1,415,271 WAS SUBTRACTED FROM TOTAL OPERATING EXPENSE. PART III, LINE 2: BAD DEBT EXPENSE ON LINE 2 IS REPORTED AT CHARGES AS PRESENTED ON THE FINANCIAL STATEMENTS. IF AN ACCOUNT IS WRITTEN OFF TO BAD DEBTS, PAYMENTS RECEIVED AFTER THE WRITE OFF FOR THAT ACCOUNT ARE POSTED TO THE CURRENT YEAR BAD DEBT ACCOUNT AS AN OFFSET AGAINST THE EXPENSE. PART III, LINE 3: THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE 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 2018. THEREFORE, 28.7% CAN REASONABLY BE CONSIDERED A COMMUNITY BENEFIT AS IT WOULD HAVE BEEN WRITTEN OFF TO CHARITY CARE. PART III, LINE 4: THE FOOTNOTE WHICH DESCRIBES BAD DEBT EXPENSE IS ON PAGE 10 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 12/31/2018. 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 THE AREA IS 32,161. THE AVERAGE MEDIAN INCOME IS $40,384. PERCENTAGE OF RESIDENTS BELOW THE POVERTY LEVEL IS 28.7%. 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. PART VI, LINE 5: THE WINNER REGIONAL GOVERING 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. WRHC SERVES AS ONE OF THE MAJOR CORPORATE SPONSORS OF THE WINNER CHAMBER OF COMMERCE. VARIOUS EMPLOYEES PARTICIPATE AND VOLUNTEER AT THEIR ACTIVITIES AND MEETINGS. WE ARE ALSO A STRONG SUPPORTER OF THE WINNER SCHOOL DISTRICT, ALONG WITH THE NEIGHBORING SCHOOL DISTRICTS OF COLOME, WHITE RIVER AND MISSION. WRHC IS PROUD TO SUPPORT THE FUNDRAISERS AND EVENTS OF THESE SCHOOL DISTRICTS. IN ADDITION TO THE SUPPORT OF OUR LOCAL SCHOOLS, WE ALSO PROVIDE SPONSORSHIPS TO OTHER YOUTH ATHLETIC ORGANIZATIONS AND OUR COMMUNITY PLAYHOUSE. EVERY LABOR DAY, THE HOSPITAL SPONSORS A MORNING ROAD RACE IN WINNER. THIS EVENT, HELD TO PROMOTE AND ENCOURAGE FITNESS IN THE COMMUNITY, HAS ABOUT 100 RUNNERS/WALKERS EVERY YEAR. THERE ARE VARIOUS AGE GROUPS TO ENCOURAGE EVERYONE FROM YOUNG CHILDREN TO SENIORS TO PARTICIPATE IN THE EVENT. THE EVENT IS ENTIRELY RUN BY WRHC EMPLOYEES WHO VOLUNTEER ON A HOLIDAY TO HELP WITH THIS EVENT. DURING THE HOLIDAY SEASON, THE EMPLOYEES OF WRCH HELD VARIOUS DRIVES TO OFFER NECESSARY SUPPORT TO COMMUNITY MEMBERS. AT THANKSGIVING, A BOXED/CANNED FOOD DRIVE WAS HELD WHICH BROUGHT IN OVER 200 POUNDS OF FOOD FOR THE WINNER FOOD PANTRY. DURING DECEMBER, A TOY DRIVE WAS HELD. WRHC HELD ITS ANNUAL COMMUNITY WIDE EASTER EGG HUNT IN APRIL, PROVIDING OVER 6,000 CANDY-FILLED EGGS. THE MAJORITY OF THE VOLUNTEERS FOR THIS EVENT WERE WRHC EMPLOYEES AND THEIR FAMILIES. OVER 400 COMMUNITY MEMBERS ENJOYED THE EASTER EGG HUNT AND THE OPPORTUNITY TO SPEAK AND PLAY WITH HOSPITAL EMPLOYEES DURING THE EVENT. IN JUNE, WRHC HELD A FREE COMMUNITY BREAKFAST AND HEALTH FAIR, PROVIDING VALUABLE HEALTH-RELATED INFORMATION, WHILE ALSO OFFERING FREE AND LOW COST HEALTH SCREENINGS. OUR EMPLOYEES ARE ENCOURAGED TO VOLUNTEER AND SERVE AS ENGAGED MEMBERS OF OUR COMMUNITY AND ARE INVOLVED IN A MYRIAD OF PHILANTHROPIC ORGANIZATIONS. WRHC EMPLOYEES VOLUNTEER WITHIN THE COMMUNITY THROUGH SUCH GROUPS AS JUNIOR ACHIEVEMENT (EMPOWERING SCHOOL AGE CHILDREN TO ACHIEVE SCHOLASTIC AND ECONOMIC SUCCESS), PINK POSSE AND SISTERS AND SURVIVORS (BREAST CANCER SUPPORT GROUPS), ROTARY, 4-H, BOY SCOUTS, GIRL SCOUTS, WINNER QUARTERBACK CLUB (YOUTH SPORTS BOOSTER CLUB) AND MORE. 0 0 0 0 0 0 0 0 0 DR ANORA HENDERSON DIRECTOR, FAMILY PRACTICE 351698 0 0 0 0 0 18500 0 16470 0 386668 0 0 0 RHONDA JORGENSEN CRNA 193750 0 0 0 5660 0 6153 0 8088 0 213651 0 0 0 MARLA HAYES PHARMACIST 151532 0 0 0 0 0 3031 0 100 0 154663 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. ANORA HENDERSON IS A BOARD MEMBER OF WINNER REGIONAL HEALTHCARE CENTER AND A FAMILY PRACTICE PHYSICIAN AT THE WINNER REGIONAL CLINIC. SHE IS EMPLOYED BY SANFORD HEALTH NETWORK, BUT WINNER REGIONAL HEALTHCARE CENTER REIMBURSES SANFORD DOLLAR FOR DOLLAR FOR DR. HENDERSON'S COMPENSATION AND BENEFITS. JENNA LITTAU FAMILY MEMBER OF REBECCA LITTAU, BOARD MEMBER 53036 BASE WAGES AND BENEFITS 0 KYLE COFFEY FAMILY MEMBER OF KEVIN COFFEY, CEO 26777 BASE WAGES AND BENEFITS 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. COMPENSATION AND BENEFITS FOR THE CEO WERE $206,418 AND $34,277 RESPECTIVELY. 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 THE 2018 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 WAS LAST UNDERTAKEN IN THE CURRENT YEAR. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST FORM 990, PART IX, LINE 11G SERVICE CONTRACTS : PROGRAM SERVICE EXPENSES 342,977. MANAGEMENT AND GENERAL EXPENSES 89,858. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 432,835. OUTSIDE MEDICAL SERVICES : PROGRAM SERVICE EXPENSES 449,755. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 449,755. PURCHASED STAFFING : PROGRAM SERVICE EXPENSES 4,504,784. MANAGEMENT AND GENERAL EXPENSES 219. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,505,003. CONTRACT PHYSICIANS : PROGRAM SERVICE EXPENSES 2,045,021. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,045,021. CONSULTING AND OTHER : PROGRAM SERVICE EXPENSES 26,351. MANAGEMENT AND GENERAL EXPENSES 195,080. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 221,431. REPAIRS AND MAINTENANCE : PROGRAM SERVICE EXPENSES 31,561. MANAGEMENT AND GENERAL EXPENSES 44,422. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 75,983. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 859,348.