2018-03-29T12:07:43-05:00 2017-06-30 450250958 EIDE BAILLY LLP 200 EAST 10TH ST PO BOX 5125 SIOUX FALLS SD 571175125 990 2016-07-01 460246437 EUREKA COMMUNITY HEALTH SERVICES EURE 6052842661 PO BOX 517 EUREKA SD 57437 CARMEN WEBER ADMINISTRATOR 6052842661 2018-03-24 1 LAURIE HANSON P00851848 6053391999 2018-03-24 198.135.125.43 2018-03-24 12:59:28 CD P 974248CA41D94A414E643A61057C2CD568A63DD6 B16095FA32523CD326D583884BA37C70A3019BC0 2016 2021-01-29 14:40:06Z EUREKA COMM HEALTH SVCS AVERA CARMEN WEBER PO BOX 517 EUREKA SD 57437 3589448 0 X WWW.AVERA.ORG/LOCATIONS/PROFILE/?ID=164 X 1928 SD EUREKA COMMUNITY HEALTH SERVICES AVERA AIMS TO PROVIDE QUALITY, ACCESSIBLE HEALTHCARE. 7 7 42 11 0 0 10434 535804 2204254 2837003 5180 32831 0 0 2219868 3405638 0 0 0 0 1240703 1553371 0 0 0 1019993 1365671 2260696 2919042 -40828 486596 2434336 3145709 882202 824121 1552134 2321588 X THE MISSION OF EUREKA COMMUNITY HEALTH SERVICES AVERA IS TO PROVIDE QUALITY, ACCESSIBLE HEALTHCARE TO THE RESIDENTS IN OUR REGION. WE RECOGNIZE THE ELEMENTS OF COMPASSION, RESPECT, JUSTICE, AND HOSPITALITY IN CARRYING OUT THIS MISSION. 1 0 2544647 2864053 EUREKA COMMUNITY HEALTH SERVICES AVERA (ECHSA) OPERATES A 6-BED ACUTE CARE HOSPITAL, A 10-UNIT ASSISTED LIVING FACILITY AND AND A CLINIC LOCATED IN EUREKA, SOUTH DAKOTA. FOR THE YEAR ENDED JUNE 30, 2017, CLINIC VISITS WERE 2758, ACUTE PATIENT DAYS WERE 174; SWING-BED DAYS WERE 276; AND ASSISTED LIVING DAYS WERE 3212. 2544647 1 1 0 0 0 0 0 0 0 1 1 1 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 0 0 0 0 0 0 0 0 0 0 0 1 16 0 1 42 1 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 X X JOYCE SCHWINGLER 6052842661 PO BOX 517 EUREKA SD 574370517 WAYNE LUTZ PRESIDENT 1.00 X X 0 0 0 KEITH KRAMLICH VICE PRESIDENT 1.00 X X 0 0 0 PAT GRENZ SECRETARY 1.00 X X 0 0 0 WILLIS SCHNABEL TRUSTEE 1.00 X 0 0 0 KATHY GAB TRUSTEE 1.00 X 0 0 0 GEORGE HULSCHER TRUSTEE 1.00 X 0 0 0 WANDA JUNDT TRUSTEE 1.00 X 0 0 0 CARMEN WEBER ADMINISTRATOR 25.00 X 54540 0 12956 JOYCE SCHWINGLER FINANCE OFFICER 40.00 X 37116 0 14856 91656 0 27812 0 0 0 1 AVERA ST LUKE'S HOSPITAL 305 SOUTH STATE STREET ABERDEEN SD 57401 MGMT, SERVICE LAB,PHYSICAL THERAPY,CONSU 553820 HKG ARCHITECTS PO BOX 55 ABERDEEN SD 57402 ARCHITECTUAL FEES 291741 AVERA HEALTH 3900 W AVERA DR SIOUX FALLS SD 57108 E-EMERGENCY SERVICE FEES 118711 3 14922 520882 535804 PATIENT SERVICE FEES 621110 2545678 2545678 ASSISTED LIVING FEES 362399 211240 211240 COMMUNITY HEALTH FEES 900099 49109 49109 30976 30976 2837003 473 473 216168 183810 32358 32358 32358 3405638 2837003 0 32831 X 129850 129850 1190367 1126435 63932 16866 16094 772 130816 125161 5655 85472 77571 7901 47689 47689 36205 36205 383681 380050 3631 4527 844 3683 95638 77535 18103 30236 414 29822 57830 55443 2387 9265 9060 205 3907 3907 15788 15788 67632 67632 18999 18999 MEDICAL SUPPLIES 368056 368056 EQUIPMENT AND REPAIRS 139292 136920 2372 BAD DEBTS 54768 54768 DUES AND SUBSCRIPTIONS 22211 19481 2730 9947 9488 459 2919042 2544647 374395 0 344414 410052 502452 480822 47153 60933 33262 45265 2822754 1996066 604153 826688 902902 1321949 2434336 3145709 336014 217468 32593 44793 357045 332310 156550 229550 882202 824121 X 955309 1437193 589108 876678 7717 7717 1552134 2321588 2434336 3145709 X 486596 -7339 290197 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8440 705 9145 8554 -114 8440 8748 -194 8554 7779 969 8748 7717 62 7779 0.84390 0.15620 1 0 18583 18583 1799082 1616924 182158 456252 379142 77110 548837 548837 826688 INTEREST IN AVERA FOUNDATION 918903 F ASSETS LIMITED AS TO USE - AVERA POOLED INVESTMENTS 403046 F 1321949 TENANT SECURITY DEPOSITS 2550 ESTIMATED THIRD PARTY PAYOR SETTLEMENT 227000 229550 X 3346158 -7339 -52141 -59480 3405638 0 3405638 2864274 0 2864274 54768 54768 2919042 PART V, LINE 4: EARNINGS ON ENDOWMENTS ARE INTENDED TO PROVIDE ADDITIONAL REAL GROWTH THROUGH NEW GIFTS AND INVESTMENT RETURN. PART X, LINE 2: THE ORGANIZATION IS 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 ORGANIZATION IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, THE ORGANIZATION IS SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE. THE ORGANIZATION CURRENTLY HAS NO INCOME THAT IT HAS DETERMINED TO BE SUBJECT TO UNRELATED BUSINESS INCOME TAX. THE ORGANIZATION 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 ORGANIZATION 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: BAD DEBT EXPENSES -54,768. CHANGE IN INTEREST IN UNRESTRICTED NET ASSETS OF FOUNDATION 2,627. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSES 54,768. 1 1 X 1 X 1 X 0 1 1 0 1 1 37598 20610 16988 0.00590 37598 20610 16988 0.00590 3208 3033 175 0.00010 505399 175060 330339 0.11530 68 68 0.00000 508675 178093 330582 0.11540 546273 198703 347570 0.12130 0 54768 0 1156208 1167496 -11288 X 1 1 1 1 EUREKA COMMUNITY HEALTH SERVICES AVERA 410 9TH STREET EUREKA SD 57437 WWW.AVERA.ORG/LOCATIONS 10538 X X X EUREKA COMMUNITY HEALTH SERVICES AVERA 1 0 0 1 X X X X X X X X X 15 1 0 0 1 X SEE NARRATIVE FOR 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 HTTP://WWW.AVERA.ORG/LOCATIONS/PROFILE/?ID=164 X HTTP://WWW.AVERA.ORG/LOCATIONS/PROFILE/?ID=164 X HTTP://WWW.AVERA.ORG/LOCATIONS/PROFILE/?ID=164 X X X X X 1 X 0 X X 1 X 0 0 EUREKA COMMUNITY HEALTH SERVICES AVERA PART V, SECTION B, LINE 5: FOCUS GROUPS WERE CONDUCTED IN OCTOBER AND NOVEMBER. ONE FOCUS GROUP INCLUDED THE AMBULANCE SQUAD PRESIDENT, THE COUNTY CORONER, THE MINISTERIAL ASSOCIATION PRESIDENT, THE COUNTY SHERIFF AND HIS DEPUTY, THE COUNTY EMERGENCY MANAGER, THE EUREKA FIRE DEPARTMENT CHIEF, THE NURSING HOME ADMINISTRATOR, THE FACILITY DIRECTOR OF PATIENT SERVICES, AND THE CEO OF THE MEDICAL FACILITY.A SECOND FOCUS GROUP INCLUDED THE HOSPITAL'S MEDICAL STAFF COMMITTEE, CONSISTING OF SENIOR LEADERS AND PRIMARY CARE PROVIDERS. A THIRD FOCUS GROUP INCLUDED THE BOARD OF TRUSTEES. A FOURTH FOCUS GROUP WAS THE CAPITAL CAMPAIGN STEERING COMMITTEE CONSISTING OF THE TOWN PHARMACIST, A CITY COUNCIL MEMBER, A RETIRED SCHOOL TEACHER, A RETIRED PASTOR, A COMMUNITY BUSINESS WOMAN, A FORMER STATE LEGISLATOR AND 7 LOCAL FARMERS AND RANCHERS FROM ACROSS MCPHERSON COUNTY.IN ADDITION, TO ENSURE THAT THE ORGANIZATION INCLUDED INPUT FROM THOSE WITH SPECIAL KNOWLEDGE OR EXPERTISE IN THE NEEDS OF THE ELDERLY OF OUR COMMUNITY, THE EUREKA COMMUNITY HEALTH SERVICES AVERA HOME HEALTH/DSS HOMEMAKING DIRECTOR WAS ALSO ASKED TO ANSWER THE SERIES OF QUESTIONS UTILIZED IN THE PRIMARY DATA COLLECTION. THE MCPHERSON COUNTY PUBLIC HEALTH NURSE ALSO ANSWERED THE SERIES OF QUESTIONS UTILIZED IN THE PRIMARY DATA COLLECTION.SECONDARY DATA COLLECTION INCLUDED THE RESEARCH OF MCPHERSON COUNTY DEMOGRAPHICS AND HEALTH RELATED STATISTICS AND OBTAINING RELIABLE DATA THROUGH INTERNET RESEARCH. SOURCES OF THIS DATA INCLUDE U.S. CENSUS BUREAU, COUNTY HEALTH RANKINGS & ROADMAPS, US DEPARTMENT OF HEALTH AND HUMAN SERVICES, SOUTH DAKOTA DEPARTMENT OF HEALTH, AND THE SOUTH DAKOTA ASSOCIATION OF HEALTHCARE ORGANIZATIONS. EUREKA COMMUNITY HEALTH SERVICES AVERA PART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE AT HTTP://WWW.AVERA.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/#EUREKA EUREKA COMMUNITY HEALTH SERVICES AVERA PART V, SECTION B, LINE 11: SIGNIFICANT NEEDS IDENTIFIED THROUGH THE CHNA PROCESS INCLUDE NEW, UPDATED FACILITIIES, HEART DISEASE, AND RECRUITMENT OF PROVIDERS. ECHSA IS ADDRESSING ALL OF THESE NEEDS.THE CAPITAL CAMPAIGN FUNDRAISER FOR A NEW FACILITY WAS SUCCESSFUL AND WITH APPROVAL FROM USDA THE BOARD OF DIRECTORS VOTED IN JULY OF 2017 TO PROCEED WITH THE CONSTRUCTION OF A NEW FACILITY. THE CONSTRUCTION PROJECT HAS STARTED AND IS ONGOING WITH A POSSIBLE COMPLETION DATE SOMETIME IN THE FALL OF 2018.THE RECRUITMENT FOR A PA/NP BEGAN IN MARCH 2016 AND THE HOSPITAL HIRED A PA IN AUGUST, 2016. WE WILL BEGIN RECRUITING FOR A MD OR PA/NP IN THE NEAR FUTURE DUE TO OUR CURRENT DOCTOR EXPRESSING THE DESIRE TO RETIRE IN 2 TO 3 YEARS. EMT CLASSES WERE OFFERED BY VIDEO CONFERENCE WITH AVERA MCKENNAN STARTING IN JANUARY OF 2017. BY PROVIDING THE CLASSES THROUGH VIDEO CONFERENCE, WE WERE ABLE TO BRING THE CLASSES RIGHT TO OUR COMMUNITY AND INTERESTED PERSONS DID NOT HAVE TO TRAVEL TO RECEIVE THE EDUCATION NEEDED TO BECOME AN EMT, AND THE COST OF THE CLASS WAS LESS EXPENSIVE. THERE WERE 3 PARTICIPANTS THAT TOOK THE CLASS THAT CONCLUDED IN MAY OF 2017. ALL 3 PARTICIPANTS TOOK THE NATIONAL EXAM WITH 2 OF THEM PASSING THE EXAM AND BECOMING CERTIFIED EMT'S AND WHO ARE NOW SERVING ON OUR LOCAL AMBULANCE SQUAD.EDUCATION AND PREVENTION OF HEART DISEASE WAS DONE THROUGH THE OFFERING OF SCREENING OPPORTUNITIES THROUGH SCREENING AMERICA (STROKE & YOUNG HEARTS SCREENING). CONSUMER TO LAB SCREENING DONE AT A REDUCED COST TO CONSUMERS CONTINUES TO BE DONE IN THE FALL OF EACH YEAR. WE CONTINUE TO HAVE COMMUNITY HEALTH NURSE, NURSING STAFF AND EMT STAFF DISPLAY AND PRESENT HEART DISEASE INFORMATION AT COMMUNITY MEETINGS AND EVENTS. WE CONTINUE TO EDUCATE THE PUBLIC ABOUT THE NU-VAL POINT SYSTEM USED AT THE LOCAL GROCERY STORE TO PROMOTE HEALTHY EATING CHOICES. WE CONTINUE TO PUBLISH ARTICLES ON HEART DISEASE IN THE NEWSPAPER AND TO PRESENT ON THE LOCAL RADIO SHOW "EUREKA SHOW". WE ALSO CONTINUE TO PROMOTE THE ORGANIZATIONS CARDIAC REHAB PROGRAM TO PROMOTE HEALTHY HEARTS. 2 1 - EUREKA COMMUNITY HOSPITAL 401 9TH ST EUREKA SD 57437 ASSISTED LIVING FACILITY 2 - EUREKA MEDICAL CLINIC- AVERA 401 9TH ST EUREKA SD 57437 CLINIC CENTER PART I, LINE 6A: OUR COMMUNITY BENEFIT REPORT IS INCLUDED IN THE COMMUNITY BENEFIT REPORT THAT IS SUBMITTED TO AVERA HEALTH BY AVERA ST. LUKE'S. IT IS AVAILABLE THROUGH THE WEBSITE AND REQUESTED MAILING, AND IS FILED WITH THE CATHOLIC HEALTH ASSOCIATION. PART I, LINE 7: LINE 7E AND 7I WERE OBTAINED UTILIZING THE ACTUAL GENERAL LEDGER SYSTEM. LINE 7B WAS DETERMINED BASED ON AN OVERALL COST TO CHARGE RATIO. LINE 7G WAS OBTAINED FROM THE MEDICARE COST REPORT. PART I, LN 7 COL(F): PART I, LINE 7 COL (F): THE AMOUNT OF BAD DEBT EXPENSE BASED ON CHARGES OF $54,768 WAS SUBTRACTED FROM TOTAL OPERATING EXPENSE. PART III, LINE 2: 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 ACCOUNTAS AN OFFSET AGAINST THE EXPENSE. PART III, LINE 3: THE ORGANIZATION DOES NOT BELIEVE ANY PORTION OF BAD DEBT EXPENSE IS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY. PART III, LINE 4: THE FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE IS FOUND ON PAGE SIX AND SEVEN 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 6/30/17. 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: WHEN AN ACCOUNT IS UNPAID AND COLLECTION EFFORTS ARE UNSUCCESSFUL BY THE FACILITY IT MAY BE NECESSARY TO FILE WITH A COLLECTION AGENCY FOR FURTHER COLLECTION EFFORTS. IF AT ANY TIME AFTER AN ACCOUNT IS TURNED OVER TO A COLLECTION AGENCY, IT IS DETERMINED THE PATIENT IS ELIGIBLE FOR CHARITY CARE OR ANY OTHER FINANCIAL ASSISTANCE THE COLLECTION AGENCY WILL BE NOTIFIED TO STOP ANY COLLECTION EFFORTS ON THE ACCOUNT AND THE ACCOUNT WILL BE GIVEN BACK TO THE HOSPITAL. PART VI, LINE 2: EUREKA COMMUNITY HEALTH SERVICES AVERA CONDUCTS PATIENT SATISFACTION SURVEYS WHICH CAN LEAD TO INFORMATION REGARDING NEEDED SERVICES. IN ADDITION, INTERACTIVE QUESTIONS ARE ASKED ABOUT SERVICES AND RESULTS ARE REPORTED BACK TO THE OFFICERS AND BOARD. ECHSA CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT DURING FISCAL YEAR END 6/30/16. PART VI, LINE 3: ECHSA HAS SIGNS POSTED THROUGHOUT THE FACILITY REGARDING FINANCIAL ASSISTANCE. A SUMMARY SHEET EXPLAINING FINANCIAL ASSISTANCE IS GIVEN TO DISCHARGED PATIENTS AND ALSO MADE AVAILABLE TO THE PUBLIC THROUGHOUT THE REST OF THE FACILITY. ECHSA WILL ALSO POST THIS INFORMATION PERIODICALLY IN THE LOCAL NEWSPAPER. PART VI, LINE 4: ECHSA IS LOCATED IN THE TOWN OF EUREKA, SOUTH DAKOTA, WHICH IS IN MCPHERSON COUNTY. MCPHERSON COUNTY HOLDS THE DISTINCTION OF HAVING THE HIGHEST PERCENTAGE OF ITS COUNTY POPULATION OVER THE AGE OF 65 IN THE STATE OF SOUTH DAKOTA. AS OF THE AMERICAN COMMUNITY SURVEY(ACS) OF 2014, THERE ARE 2,401 PEOPLE AND 1,028 HOUSEHOLDS RESIDING IN THE COUNTY.IN 2010, 30 PERCENT OF THE COUNTY'S POPULATION WAS AGE 65 AND OVER. THE ECONOMY IN MCPHERSON COUNTY HAS REMAINED RELATIVELY STABLE.THE MEDIAN INCOME FOR A HOUSEHOLD IN THE COUNTY WAS $37,602. MALES HAD A MEDIAN INCOME OF $37,188 VERSUS $33,824 FOR FEMALES. THE PER CAPITA INCOME FOR THE COUNTY WAS $22,515. ABOUT 16.6 PERCENT OF THE POPULATION IS BELOW THE POVERTY LINE. PART VI, LINE 5: THE FACILITY IS GOVERNED BY A SEVEN MEMBER VOLUNTARY BOARD OF TRUSTEES COMPRISED OF PEOPLE LIVING WITHIN THE SERVICE AREA. THESE MEMBERS HAVE NO BUSINESS OR FAMILY TIES TO THE ORGANIZATION. ECHSA EXTENDS MEDICAL STAFF PRIVILEGES TO QUALIFIED PHYSICIANS IN THE SERVICE AREA AND CURRENTLY HAS TWO PHYSICIANS, 1 EMPLOYED PA, ONE CONTRACTED PA ON STAFF. ALL FUNDS GENERATED BY THE FACILITY ARE REINVESTED INTO THE FACILITY THROUGH THE CONTINUED PROVISION OF HEALTHCARE SERVICES. ECHSA IS A CRITICAL ACCESS HOSPITAL WITH 24HR EMERGENCY ROOM SERVICES AND IS OPEN TO ALL PEOPLE REGARDLESS OF ABILITY TO PAY. PART VI, LINE 6: ECHSA IS A MANAGED FACILITY OF AVERA HEALTH. AVERA HEALTH AND ECHSA WORK COOPERATIVELY TO ENHANCE HEALTHCARE THROUGHOUT THE COMMUNITY SERVED BY THE HOSPITAL. AS A MANAGED FACILITY, THE HOSPITAL IS ABLE TO PARTICIPATE IN AVERA E-CARE SERVICES. ECSHA BEGAN UTILIZING AVERA'S E-EMERGENCY SERVICES DURING THE FISCAL YEAR ENDED 6/30/17.ECHSA 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 ECHSA 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. AVERA HEALTH AND ECHSA 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. X X X 0 0 0 0 0 0 0 0 0 FORM 990 PART VII, LINE 5 CARMEN WEBER, ADMINISTRATOR, IS COMPENSATED THROUGH AN ARRANGEMENT WITH AVERA ST. LUKE'S HOSPITAL, 305 S STATE ST, ABERDEEN, SD 57401. FORM 990, PART III, LINE 2 THE HOSPITAL PURCHASED A CLINIC AND E-EMERGENCY BECAME AVAILABLE ON OCTOBER 1, 2016. FORM 990, PART VI, SECTION A, LINE 8B THE HOSPITAL BOARD DOES NOT HAVE COMMITTEES. FORM 990, PART VI, SECTION B, LINE 11B THE ADMINISTRATOR AND FINANCE OFFICER REVIEW THE 990 IN DETAIL. AFTER THEIR REVIEW, THE 990 IS PROVIDED TO EACH BOARD MEMBER. THE 990 IS FILED AFTER EACH BOARD MEMBER HAS RECEIVED A COPY. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY INCLUDES ALL BOARD MEMBERS AND OFFICERS OF THE ORGANIZATION. THE ADMINISTRATOR TAKES KNOWN CONFLICTS TO THE BOARD. THE BOARD IS RESPONSIBLE FOR THE REVIEW AND DETERMINATION OF WHETHER A CONFLICT EXISTS. IF A PERSON IS DETERMINED TO HAVE A CONFLICT, HE/SHE IS REQUIRED TO ABSTAIN FROM DISCUSSION, DELIBERATION AND VOTING ON THE MATTER CAUSING THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD FILLS OUT A WRITTEN EVALUATION ON THE ADMINISTRATOR, AND MEETS WITH AVERA ST. LUKE'S TO DISCUSS THE EVALUATION. DETERMINATION OF COMPENSATION IS A COLLABORATIVE EFFORT BETWEEN THE ORGANIZATION AND AVERA ST. LUKE'S. THE ADMINISTRATOR REVIEWS RATES FOR PERSONS IN THE FINANCE OFFICER POSITION ACROSS THE REGION, AND DETERMINES THE AMOUNT OF THE AGGREGATE INCREASE TO APPLY TO THE SALARY OF THE FINANCE OFFICER WHICH IS THEN APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE AVAILABLE FOR VIEWING ON-SITE ONLY. FORM 990, PART IX, LINE 11G PROFESSIONAL FEES : PROGRAM SERVICE EXPENSES 342,312. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 342,312. LABORATORY PURCHASE LAB : PROGRAM SERVICE EXPENSES 30,747. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,747. CONSULTING FEES : PROGRAM SERVICE EXPENSES 6,991. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,991. PT FINANCIAL SVC COLLECTION FEES-AM : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,219. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,219. ADMINISTRATION FINANCE SVC CHARGES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,412. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,412. FORM 990, PART XI, LINE 9: CHANGE IN TEMPORARILY RESTRICTED NET ASSET 290,197.