2019-04-03T05:42:33-05:00 2018-06-30 450250958 EIDE BAILLY LLP 200 EAST 10TH ST PO BOX 5125 SIOUX FALLS SD 571175125 990 2017-07-01 466015787 LANDMANN-JUNGMAN MEMORIAL HOSPITAL LAND 6055832226 600 BILLARS STREET SCOTLAND SD 570592026 MELISSA GALE CEO 6055832226 2019-03-22 1 LAURIE HANSON P00851848 6053391999 2019-03-22 X 199.247.43.11 2019-03-22 16:56:57 CD P B602D594AFD2B0B327E07A06F36CA6A7E42546D0 A01853E6EF032EEC7D4C024333A5FA8796B776CD 2017 2019-02-21 02:37:17Z MELISSA GALE 600 BILLARS STREET SCOTLAND SD 570592026 4716589 0 X WWW.LJMH.ORG X 1969 SD OPERATION OF A COMMUNITY CRITICAL ACCESS HOSPITAL. 9 9 55 9 0 0 13500 171930 4355226 4530556 25083 5070 700 700 4394509 4708256 0 0 0 0 2002390 2240002 0 0 0 2335546 2560437 4337936 4800439 56573 -92183 3982815 3765751 2458037 2314374 1524778 1451377 LANDMANN-JUNGMAN MEMORIAL HOSPITAL IS COMMITTED TO PROVIDING THE HIGHEST QUALITY HEALTHCARE WITH COMPASSION AND RESPECT. OUR COMMITMENT SHALL BE TO THE ETHICAL TREATMENT OF ALL PEOPLE THROUGHOUT THE CONTINUUM OF LIFE. 0 0 4125043 4545384 LANDMANN-JUNGMAN MEMORIAL HOSPITAL (LJMH) IS A LICENSED CRITICAL ACCESS HOSPITAL WITH 25 ACUTE CARE BEDS, OF WHICH 10 MAY BE USED AS SWING BEDS. THE FACILITY OFFERS INPATIENT, OUTPATIENT AND PHYSICIAN CLINIC SERVICES TO RESIDENTS IN AND AROUND THE CITY OF SCOTLAND, SD. SEVERAL VISITING SPECIALISTS SPEND TIME AT LJMH CONDUCTING OUTREACH CLINICS ON A REGULAR BASIS WHICH INCLUDE AREAS OF ORTHOPEDICS, GENERAL SURGERY, OB/GYN, MOBILE MRI, NUCLEAR MEDICINE AND MAMMOGRAPHY. WEST WINDS APARTMENTS IS ALSO PART OF LJMH AND SERVES AS A 15 UNIT SENIOR HOUSING APARTMENT BUILDING. LJMH IS PROUD OF THE EXCELLENT CARE IT PROVIDES FOR PATIENTS OF THE SERVICE AREA. THE FACILITY IS ALSO NOTED FOR ITS COMMUNITY SERVICE, WHICH INCLUDES COMMUNITY HEALTH EDUCATION AND BI-MONTHLY BLOOD DRIVES. 4125043 1 1 0 0 0 0 0 0 0 0 1 1 0 1 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 10 0 1 55 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 1 0 X X DARCY PERMANN 6055832226 600 BILLARS STREET SCOTLAND SD 57059 GREG GEMAR PRESIDENT 1.00 X X 0 0 0 JARED SCHORTZMAN VICE PRESIDENT 1.00 X X 0 0 0 CAROL HOFER SECRETARY 1.00 X 0 0 0 JAMES DANGEL DIRECTOR 1.00 X 0 0 0 DEVIN LUBINUS DIRECTOR 1.00 X 0 0 0 RHONDA BOUZA DIRECTOR 1.00 X 0 0 0 TANYA BULT DIRECTOR 1.00 X 0 0 0 CRAIG WINCKLER DIRECTOR 1.00 X 0 0 0 GARY PEPPER DIRECTOR 1.00 X 0 0 0 MELISSA GALE CEO 50.00 X 118915 0 22476 DARCY PERMANN CFO 50.00 X 65993 0 10410 184908 0 32886 0 0 0 1 AVERA MCKENNAN 1325 S CLIFF AVE PO BOX 5045 SIOUX FALLS SD 571175045 IT, EDUCATION, AND ADMINISTRATIVE SERVIC 674405 1 171930 171930 NET PATIENT SERVICE RE 621110 3579552 3579552 PHARMACY REVENUE 446110 802782 802782 WEST WINDS REVENUE 623990 105871 105871 42351 42351 4530556 2139 2139 700 0 700 700 700 11264 0 8333 11264 -8333 2931 2931 4708256 4530556 0 5770 X 212965 212965 1825853 1744014 81839 9463 9463 81750 81137 613 109971 101043 8928 41210 41210 747416 608927 138489 8815 51 8764 249394 122948 126446 75513 75513 3057 211 2846 76149 76149 309713 309713 33557 33557 MEDICAL SUPPLIES 889321 889321 BAD DEBT 68356 68356 CONTINUING EDUCATION 37374 35847 1527 COMMUNITY & EMPLOYEE RE 4825 4825 15737 2350 13387 4800439 4125043 675396 0 553430 461420 623426 435435 166747 185081 17064 13636 7021115 5208908 1969035 1812207 653113 617972 0 240000 3982815 3765751 474161 637065 1711336 1502805 272540 174504 2458037 2314374 X 1524778 1451377 1524778 1451377 3982815 3765751 X -92183 3954 14828 X 0 1 X 1 0 X 36163 36163 4824856 3495676 1329180 1928002 1626622 301380 232094 86610 145484 1812207 INTEREST IN NET ASSETS OF AVERA HEALTH FOUNDATION 210437 F ASSETS LIMITED AS TO USE 407535 F 617972 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 240000 240000 CONDITIONAL ASSET RETIREMENT OBLIGATION 74795 DAMAGE DEPOSITS PAYABLE 8583 CAPITAL LEASE 91126 174504 X 4658682 3954 -53528 -49574 4708256 0 4708256 4732083 0 4732083 68356 68356 4800439 PART X, LINE 2: THE HOSPITAL 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 HOSPITAL IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, THE HOSPITAL IS SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE. THE HOSPITAL 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 HOSPITAL 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 -68,356. CHANGE IN AVERA FOUNDATION 14,828. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBTS 68,356. 1 1 X 1 X 1 X 1 1 0 1 1 7900 7900 0.00170 145445 105470 39975 0.00840 153345 105470 47875 0.01010 15107 15107 0.00320 967678 596461 371217 0.07840 982785 596461 386324 0.08160 1136130 701931 434199 0.09170 0 68356 8408 1995419 2010493 -15074 X 1 1 1 1 LANDMANN-JUNGMAN MEMORIAL HOSPITAL 600 BILLARS STREET SCOTLAND SD 57059 WWW.AVERA.ORG/SCOTLAND 10561 X X X X LANDMANN-JUNGMAN MEMORIAL HOSPITAL 1 0 0 1 X X X X X X X X X 15 1 0 0 1 X SEE PART V, LINE 7D X X 1 15 1 SEE PART V, LINE 7D 0 1 X 150.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X SEE 16J NARRATIVE X SEE 16J NARRATIVE X SEE 16J NARRATIVE X X X X X X X 1 X 0 X X X X 1 X 0 0 LANDMANN-JUNGMAN MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: LJMH BEGAN THE COMMUNITY HEALTH NEEDS ASSESSMENT BY GATHERING THE MOST RECENT STATISTICS REGARDING THE PUBLIC HEALTH OF THE COMMUNITY FROM COUNTY, STATE AND NATIONAL RESOURCES. LJMH HELD FOCUS GROUPS TO SEEK THE INPUT OF THE GENERAL PUBLIC, KEY COMMUNITY LEADERS, CITY AND COUNTY GOVERNMENT INCLUDING LAW ENFORCEMENT, SCHOOL NURSING AND ADMINISTRATION, CHURCH OFFICIALS, AND INDIVIDUALS WITH SPECIAL KNOWLEDGE IN PUBLIC HEALTH. THE BON HOMME COUNTY HEALTH NURSE WAS ALSO INTERVIEWED TO PROVIDE INPUT ON WHAT THE NEEDS ARE FOR THE COUNTY. LANDMANN-JUNGMAN MEMORIAL HOSPITAL PART V, SECTION B, LINE 7D: HTTPS://WWW.AVERA.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/ ORHTTPS://WWW.AVERA.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/#LANDMANN LANDMANN-JUNGMAN MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: THE NEEDS IDENTIFIED AND ACTION PLANS INCLUDE THE FOLLOWING:NEED IDENTIFIED: BLOOD PRESSURE SCREENINGS ACTION PLAN FOR THIS NEED: LJMH PROVIDES FREE BLOOD PRESSURE SCREENINGS ON A DAILY BASIS IN THE CLINIC. LJMH STAFF HAS ALSO HELD BLOOD PRESSURE SCREENINGS AND EDUCATIONAL BOOTH ON HYPERTENSION AND HEART HEALTH IN CONJUNCTION WITH MEALS ON WHEELS, WOMEN HEART HEALTH LUNCH AND LEARN, A HIGH SCHOOL BASKETBALL GAME, AND OTHER COMMUNITY HAPPENINGS. NEED IDENTIFIED: SHORTAGES OF EMTS FOR THE AMBULANCE ACTION PLAN FOR THIS NEED: THE HOSPITAL HAS PARTNERED WITH THE EMT'S IN THE COMMUNITY OF SCOTLAND TO PROVIDE EMT'S MONTHLY EDUCATION AND TRAINING FOR EMT STAFF AT NO COST TO THEM. THE STAFF IS BETTER EDUCATED AND FEELS MORE COMMUNITY SUPPORT. THE RESULT INCLUDES THAT ADDITIONAL EMT'S HAVE BEEN ADDED TO THE ALL-VOLUNTEER CREW.NEED IDENTIFIED: DIABETIC EDUCATION SESSIONS ACTION PLAN FOR THIS NEED: DIABETIC EDUCATION CLASSES WERE PROVIDED TO THE COMMUNITY BY MULTIPLE DIFFERENT HEALTH CARE DISCIPLINES. LJMH ALSO PROVIDES SPACE FOR CIRCUIT TRAINING CLASSES, SENIOR YOGA, AND WEIGHT WATCHERS, ALL AT NO COST TO COMMUNITY MEMBERS. ALL OF THESE PHYSICAL ACTIVITIES HELP PREVENT DIABETES THROUGH HEALTHY LIFESTYLE.NEED IDENTIFIED: HEALTH AND WELLNESS INFORMATION ACTION PLAN FOR THIS NEED: MULTIPLE NEWSPAPER ARTICLES ON HEALTH RELATED TOPICS HAVE BEEN PUBLISHED IN THE SCOTLAND JOURNAL, THE LOCAL NEWSPAPER. ADDITIONAL HEALTH RELATED TOPICS FOR EDUCATION ARE POSTED TO THE HOSPITAL FACEBOOK PAGE. ADDITIONAL HEALTH EDUCATION HAS BEEN PROVIDED IN PUBLIC ACTIVITIES FOR PREVENATIVE HEALTH CARE, HAND HYGIENE FOR HEALTH, HANDS ONLY CPR, RED CROSS BABYSITTERS CURRICULUM, BREAST CANCER, TEEN DATING VIOLENCE PREVENTION, AGRICULTURAL HEALTH AND SAFETY, CONCUSSION AWARENESS, HEAT STROKE AWARENESS, FALLS AND BALANCE COMMUNITY SCREENING/EDUCATION, MONTHLY HEALTH TOPICS AT THE LOCAL ROTARY MEETINGS. LANDMANN-JUNGMAN MEMORIAL HOSPITAL PART V, SECTION B, LINE 13H: PRESUMPTIVE ELIGIBILITY MAY BE USED AS A LAST RESORT. LANDMANN-JUNGMAN MEMORIAL HOSPITAL PART V, SECTION B, LINE 16J: PART V, SECTION B, LINES 16A AND 16C: THE FINANCIAL ASSISTANCE POLICY AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE AT:HTTPS://WWW.AVERA.ORG/LOCATIONS/PROFILE/LANDMANN-JUNGMAN-MEMORIAL-HOSPITAL-AVERA/PART V, SECTION B, LINE 16B: THE FINANCIAL ASSISTANCE APPLICATION FORM IS AVAILABLE AT HTTP://WWW.AVERA.ORG/PATIENTS-VISITORS/CHARITY-PATIENT-ASSISTANCE-PROGRAMS/FINANCIAL-ASSISTANCE-FORMS/PART V, SECTION B, LINE 16J: A NOTICE IS POSTED IN THE HOSPITAL FACILITY'S EMERGENCY ROOMS OR WAITING ROOMS AND IN THE FACILITY'S ADMISSIONS OFFICE ALERTING PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND INSTRUCTIONS FOR OBTAINING A COPY OF THE FULL POLICY. LANDMANN-JUNGMAN MEMORIAL HOSPITAL 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. 2 1 - WEST WINDS APARTMENTS 1140 WASHINGTON STREET SCOTLAND SD 57059 INDEPENDENT SENIOR LIVING CENTER 2 - SCOTLAND PHARMACY 620 BILLARDS STREET SCOTLAND SD 57059 RETAIL PHARMACY PART I, LINE 3C: IN ADDITION TO USING FPG TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE, THE FACILITY ALSO CONSIDERS ASSET LEVEL AND INSURANCE STATUS, AND MAY PROVIDE PRESUMPTIVE CARE IF WARRANTED.PART I, LINE 6:LJMH PREPARES A COMMUNITY BENEFIT REPORT. THE REPORT IS AVAILABLE TO THE PUBLIC UPON REQUEST. 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 UTILIZING THE MEDICAID AND MEDICARE COST REPORTS, RESPECTIVELY. PART I, LN 7 COL(F): BAD DEBT EXPENSE OF $68,356 WAS SUBTRACTED FROM TOTAL OPERATING EXPENSE. PART III, LINE 2: THE AMOUNT REPORTED ON LINE 2 REPRESENTS THE BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS.LJMH BAD DEBT SYSTEM TAKES INTO ACCOUNT CONTRACTUAL ALLOWANCES AND/OR DISCOUNTS. IF AN ACCOUNT IS WRITTEN OFF TO BAD DEBTS, PAYMENTS RECEIVED AFTER THE WRITE OFF FOR THAT ACCOUNT ARE POSTED TO THE BAD DEBT RECOVERY ACCOUNT. 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 2017. THE 12.3% CAN REASONABLY BE CONSIDERED A COMMUNITY BENEFIT AS IT WOULD HAVE BEEN WRITTEN OFF TO CHARITY CARE. PART III, LINE 4: THE FOOTNOTE THAT DESCRIBES BAD DEBT IS ON PAGE 5 AND 6 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 6/30/18. 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: FINANCIAL ARRANGEMENTS WILL BE MADE ON ACCOUNTS MEETING FINANCIAL NEED AND HAVING A REMAINING BALANCE ON THEIR ACCOUNT. ARRANGEMENTS MAY BE ALTERED ACCORDING TO NEED AT THE DISCRETION OF THE ADMINISTRATOR. PART VI, LINE 2: LANDMANN-JUNGMAN MEMORIAL HOSPITAL (LJMH) CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT DURING THE FISCAL YEAR ENDED JUNE 30, 2016.LJMH REGULARLY CONDUCTS PATIENT SATISFACTION SURVEYS WHICH CAN LEAD TO INFORMATION REGARDING NEEDED SERVICES. ADDITIONALLY, INTERACTIVE QUESTIONS ARE ASKED ABOUT SERVICES DURING HEALTH SCREENINGS. RESULTS OF THE QUESTIONNAIRE ARE REPORTED BACK TO THE OFFICERS AND BOARD. PART VI, LINE 3: PATIENTS ARE INFORMED OF THE FINANCIAL ASSISTANCE/CHARITY CARE POLICY WITH A DOCUMENT EXPLAINING THE PROCEDURE. THE DOCUMENT IS AT THE REGISTRATION DESK AND IS GIVEN TO PATIENTS AT TIME OF REGISTRATION. THE STAFF REGISTERING THE PATIENT CAN IDENTIFY ON THE FRONT END THAT THE PATIENT IS ABLE TO PAY THROUGH INSURANCE OR OTHERWISE. IF THEY IDENTIFY ON THE FRONT END THAT THE PATIENT NEEDS ASSISTANCE, THE PATIENT IS GIVEN A FINANCIAL PACKET TO COMPLETE TO SEE IF THEY QUALIFY FOR BENEFITS. IF THERE IS NO OPTION FOR AN OUTSIDE ASSISTANCE PROGRAM, THE PATIENT IS INFORMED AND ENCOURAGED TO COMPLETE THE APPLICATION THAT UTILIZES A COMBINATION OF INCOME, ASSETS, AND EXPENSES TO DETERMINE WHAT PERCENTAGE OF CHARITY CARE THEY WOULD QUALIFY FOR. PART VI, LINE 4: LJMH IS LOCATED IN SCOTLAND, SD, AND PRIMARILY SERVES THE COUNTIES OF BON HOMME AND HUTCHINSON. THE POPULATION OF THE SERVICE AREA IS ROUGHLY 14,286 PEOPLE, AND SCOTLAND HAS A POPULATION OF 841 PEOPLE. APPROXIMATELY 21.95% OF THE AREA SERVED CONSISTS OF PERSONS 65 AND OLDER, WHICH MAKES UP 87% OF LJMH'S ACUTE AND SWING BED DAYS. IF ONE LOOKS AT THE COUNTIES AS A WHOLE, THE AVERAGE MEDIAN HOUSEHOLD INCOME IS $49,229. BOTH COUNTIES ARE CONSIDERED MEDICALLY UNDERSERVED BY HRSA AND THE SD DEPARTMENT OF HEALTH. BOTH COUNTIES HAVE UNINSURED PATIENTS OF 13% PER THE 2017 COUNTY HEALTH RANKINGS. BON HOMME AND HUTCHINSON COUNTIES ARE RURAL AGRICULTURE AREAS. PART VI, LINE 5: LANDMANN JUNGMAN MEMORIAL HOSPITAL IS FOCUSED ON SERVING THE NEEDS OF THE COMMUNITY. THE GOVERNING BODY OF THE HOSPITAL IS MADE UP ENTIRELY OF VOLUNTEERS FROM THE COMMUNITY. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO QUALIFIED PHYSICIANS IN ITS COMMUNITY. EXCESS FUNDS ARE USED FOR THE IMPROVEMENT OF PATIENT CARE AND FACILITIES. THE HOSPITAL IS USED BY THE UNIVERSITY OF SOUTH DAKOTA FOR NURSING CLINICALS, AS WELL AS BY THE PHARMACY AND HIM PROGRAMS. IT IS OPEN TO ANYONE WHO WANTS TO LEARN ABOUT CAREERS IN THE HEALTH CARE INDUSTRY.THE HOSPITAL OPERATES AN EMERGENCY ROOM THAT IS AVAILABLE TO ALL REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL ADMINISTRATION IS VERY RECEPTIVE TO INPUT FROM THE COMMUNITY.AVERA HEALTH AND LJMH DEDICATE RESOURCES TO ENDEAVORS THAT MAKE A POSITIVE DIFFERENCE TO IMPROVE THE HEALTH OF THE COMMUNITIES THEY SERVE. THESE ACTIVITIES INCLUDE LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS, ECONOMIC DEVELOPMENT, PHYSICAL IMPROVEMENTS IN THE COMMUNITY, CONTRIBUTIONS TO NONPROFIT COMMUNITY ORGANIZATIONS, NONPROFIT EVENT SPONSORSHIPS, DONATED MEDICAL SUPPLIES, COMMUNITY HEALTH EDUCATION AND SUPPORT GROUPS, HEALTH SCREENINGS, FLU-SHOT CLINICS, COMMUNITY HEALTH EDUCATION AND VARIOUS OTHER ACTIVITIES. WE ALSO HAVE A FITNESS CENTER SO PATIENTS CAN MAINTAIN A HEALTHY LIFESTYLE. ADDITIONAL INFORMATION ON COMMUNITY BENEFITS ARE AVAILABLE IN THE ANNUAL COMMUNITY BENEFITS REPORT. PART VI, LINE 6: LJMH IS A MANAGED FACILITY OF AVERA HEALTH. AVERA HEALTH AND THE HOSPITAL WORK COOPERATIVELY TO ENHANCE HEALTHCARE THROUGHOUT THE COMMUNITY SERVED BY LJMH. AS A MANAGED FACILITY, LJMH IS ABLE TO PARTICIPATE IN AVERA E-CARE SERVICES. THESE SERVICES INCLUDE AVERA,E-EMERGENCY, E-PHARMACY AND E-CONSULT. THESE SERVICES ALLOW RURAL PATIENTS TO BE CARED FOR AT THEIR LOCAL HOSPITALS, PROVIDE RURAL HOSPITALS ACCESS TO IMMEDIATE SPECIALTY CARE AND SUPPORT, AND HELP REDUCE HEALTH CARE COSTS AND TRAVEL.LJMH ALSO HAS ACCESS TO "BACK OFFICE" SUPPORT SERVICES, SUCH AS LEGAL CONSULTATION, QUALITY BENCHMARKING, CODING, COMPUTER SERVICES, CONTRACT NEGOTIATIONS, ADMINISTRATIVE CONSULTATION, GROUP PURCHASING, HUMAN RESOURCE ASSISTANCE AND MANY OTHER SERVICES. AVERA HEALTH IS ABLE TO PROVIDE THESE SERVICES TO LJMH AT A COST BELOW THAT WHICH THE HOSPITAL COULD OTHERWISE ACHIEVE. IN TURN, LOCAL CAREGIVERS ARE ABLE TO DEVOTE MORE RESOURCES TO PATIENT AND RESIDENT CARE. X X X 0 0 0 0 0 0 0 0 0 MELISSA GALE CEO 118698 0 0 0 217 0 2500 0 20191 0 141606 0 0 0 FORM 990 PART VII, LINE 5 MELISSA GALE, CEO, WAS COMPENSATED THROUGH AN ARRANGEMENT WITH AVERA MCKENNAN, 1325 S CLIFF AVE, SIOUX FALLS, SD 57108. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE IS COMPOSED OF THE PRESIDENT, VICE-PRESIDENT, SECRETARY, AND ONE ADDITIONAL BOARD MEMBER OF THE BOARD OF TRUSTEES ELECTED BY THE BOARD. THE EXECUTIVE COMMITTEE SHALL HAVE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE FACILITY DURING THE INTERIM BETWEEN THE MEETINGS OF THE BOARD OF DIRECTORS, PROVIDED ANY ACTION TAKEN SHALL NOT CONFLICT WITH THE POLICIES AND EXPRESSED WISHES OF THE BOARD OF DIRECTORS AND THAT IT SHALL REFER ALL MATTERS OF MAJOR IMPORTANCE TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE CEO WILL REVIEW THE 990 IN DETAIL. A COPY OF THE 990 IS GIVEN TO THE BOARD MEMBERS BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY APPLIES TO ALL BOARD MEMBERS AND MANAGEMENT. BOARD MEMBERS ARE RESPONSIBLE FOR DETERMINING WHETHER A POTENTIAL CONFLICT EXISTS WITH THE ADMINISTRATOR AND BOARD MEMBERS. THE ADMINISTRATOR IS RESPONSIBLE FOR DETERMINING IF THERE ARE POTENTIAL CONFLICTS OF INTEREST AMONGST MANAGEMENT. THE BOARD IS ULTIMATELY RESPONSIBLE FOR DETERMINING WHETHER AN ACTUAL CONFLICT EXISTS. ANY BOARD MEMBER WITH A CONFLICT IS REQUIRED TO ABSTAIN FROM VOTING ON THE MATTER OF CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 AVERA MCKENNAN AND LANDMANN-JUNGMAN MEMORIAL HOSPITAL USE COMPARABILITY DATA TO DETERMINE APPROPRIATE COMPENSATION OF THE ADMINISTRATOR BASED ON EXPERIENCE AND PERFORMANCE. THE COMPENSATION AMOUNT IS APPROVED ANNUALLY BY THE BOARD OF DIRECTORS.FOR OTHER KEY EMPLOYEES AVERA MCKENNAN DOES A SALARY SURVEY THAT IS THEN APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC DURING ITS ANNUAL BOARD MEETING AND UPON REQUEST. THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G TEMPORARY AND CONTRACT LABOR: PROGRAM SERVICE EXPENSES 85,532. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 85,532. PHYISICIAN PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 375,505. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 375,505. OTHER FEES: PROGRAM SERVICE EXPENSES 147,890. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 147,890. TEMPORARY AND CONTRACT LABOR: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,680. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,680. OTHER FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 7,463. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,463. ADMINISTRATIVE SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 128,346. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 128,346. FORM 990, PART XI, LINE 9: CHANGE IN AVERA FOUNDATION REPORTED IN FUND BALANCE 14,828.