2017-03-08T10:27:19-06:00 2016-06-30 450250958 EIDE BAILLY LLP 200 EAST 10TH ST PO BOX 5125 SIOUX FALLS SD 571175125 990 2015-07-01 460228038 MADISON COMMUNITY HOSPITAL MADI 6052566551 323 SW 10TH ST MADISON SD 57042 TAMARA MILLER CEO 6052566551 2017-03-02 1 LAURIE HANSON P00851848 6053391999 2017-03-02 2015 2021-01-29 14:40:06Z MADISON REGIONAL HEALTH SYSTEM TAMARA MILLER 323 SW 10TH ST MADISON SD 57042 25353168 0 X WWW.MADISONREGIONALHEALTH.ORG X 1955 SD PROVIDE HEALTH CARE SERVICES TO AREA RESIDENTS. 11 11 269 34 0 0 308269 264685 19949400 23309336 45223 -245565 26325 104455 20329217 23432911 0 0 0 0 10933102 13093314 0 0 0 7691852 10973233 18624954 24066547 1704263 -633636 43310802 50721517 27088762 35133113 16222040 15588404 X MADISON COMMUNITY HOSPITAL SERVES AS A COMMUNITY HEALTH FOCAL POINT THROUGH THE PROVISION AND MAINTENANCE OF A PROGRESSIVE, EFFICIENT, AND WELL MANAGED HEALTHCARE INSTITUTION, COMMITTED TO QUALITY MEDICAL PRACTICE, AND HIGH ETHICAL STANDARDS.MADISON COMMUNITY HOSPITAL SERVES AS A COMMUNITY AND SERVICE AREA BASED PRIMARY CARE INSTITUTION WITH BASIC SECONDARY CARE SUPPORT SERVICES, AND FACILITIES PROVIDED TO MEET DEMONSTRATED NEEDS WHICH CAN BE MET WITHIN THE FINANCIAL AND RESOURCE CONSTRAINTS OF THE ORGANIZATION. 1 0 21136780 23455368 MADISON COMMUNITY HOSPITAL (HOSPITAL) IS A 22-BED ACUTE CARE HOSPITAL LOCATED IN MADISON, SOUTH DAKOTA. FOR THE YEAR ENDED JUNE 30, 2016: ACUTE PATIENT DAYS = 1,033; NEWBORN DAYS = 60; SKILLED DAYS = 1,840; AND INTERMEDIATE DAYS = 71. 21136780 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 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 1 1 1 0 0 1 19 0 1 269 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X TAMARA MILLER 6052566551 323 SW 10TH ST MADISON SD 57042 BRAD WILKENS PRESIDENT 1.00 1.00 X X 0 0 0 GREG HOLLISTER VICE PRESIDENT 1.00 0.00 X X 0 0 0 LOIS NIEDERT SECRETARY 1.00 0.00 X X 0 0 0 CHRIS LEMAIR TREASURER 1.00 0.00 X X 0 0 0 DAN BROWN TRUSTEE 1.00 0.00 X 0 0 0 PEGGY CASANOVA TRUSTEE 1.00 0.00 X 0 0 0 ROBIN SCHWEBACH TRUSTEE 1.00 0.00 X 0 0 0 LELAND WHITE TRUSTEE 1.00 0.00 X 0 0 0 ABBY OFTEDAL TRUSTEE 1.00 0.00 X 0 0 0 LORI HANSEN TRUSTEE 1.00 0.00 X 0 0 0 LAURA JOHNSON TRUSTEE 1.00 0.00 X 0 0 0 CINDY CALLIES TRUSTEE UNTIL 10/2015 1.00 1.00 X 0 0 0 KEVIN HOFF TRUSTEE UNTIL 07/2015 1.00 0.00 X 0 0 0 TAMARA MILLER CEO 40.00 1.00 X 177805 0 22458 TERESA MALLETT CFO 40.00 1.00 X 105448 0 10453 ROBERT SUMMERER SURGEON 40.00 0.00 X 432611 0 33242 WAYNE WETZBARGER MD 40.00 0.00 X 253331 0 16983 MITCHELL POPPENS PA-C 40.00 0.00 X 269349 0 24945 BERNARD HEILMAN MD 40.00 0.00 X 261374 0 11642 MARY BEECHER MD 40.00 0.00 X 268625 0 17475 1768543 0 137198 14 0 1 0 JOURNEY GROUP COMPANIES 4500 W 58TH ST SIOUX FALLS SIOUX FALLS SD 57108 CONSTRUCTION OF NEW BUILDING 12616270 UNIVERSAL HOSPITAL SERVICES 2020 E 28TH ST 108 MINNEAPOLIS MN 55407 MEDICAL EQUIPMENT SERVICES 715651 TSPINC 1112 NORTHWEST AVE SIOUX FALLS SD 57104 DESIGNING SERVICES 264602 SANFORD LABORATORIES PO BOX 5056 SIOUX FALLS SD 57117 LABORATORIES SERVICES 255678 JERRY ZWAK ANESTHESIA 811 9TH ST SW PIPESTONE MN 56164 ANESTHESIA SERVICES 241007 9 60510 15196 188979 264685 PATIENT SERVICE REVENUE 624210 23185292 23185292 MEALS 621110 136546 136546 MISCELLANEOUS 621110 20479 20479 MCMC REVENUE 900009 8596 8596 LOSS ON SUBSIDIARY 900009 -41577 -41577 23309336 42845 42845 104455 0 104455 104455 104455 1631847 1920257 -288410 -288410 -288410 23432911 23455368 0 -287142 329302 329302 10121953 9015949 1106004 380860 342444 38416 1397966 1196019 201947 863233 746854 116379 941347 493613 447734 97739 97739 754175 497036 257139 301795 301795 35683 33772 1911 52440 42809 9631 847895 847895 2626316 2626316 259460 259460 MEDICAL SUPPLIES 3354345 3354345 BAD DEBTS 1307256 1307256 MAINTENANCE AND REPAIRS 276465 276465 DUES AND SUBSCRIPTIONS 27850 27850 90467 54212 36255 24066547 21136780 2929767 0 5351581 9253578 2747622 3152608 206211 209508 420894 445470 477922 539175 41951356 4830178 34120377 37121178 -13805 0 43310802 50721517 4084048 1683051 23004714 33450062 27088762 35133113 X 16084646 15586577 137394 1827 16222040 15588404 43310802 50721517 -633636 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 25515905 964394 24551511 12647442 3663031 8984411 3788009 202753 3585256 37121178 X PART X, LINE 2: THE HOSPITAL 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 HOSPITAL IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. 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 CONSOLIDATED 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. THE HOSPITAL HAS DETERMINED THAT IT IS NOT SUBJECT TO UNRELATED BUSINESS INCOME TAX AND HAS NOT FILED AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990T) WITH THE IRS. 1 1 X 1 X 1 X 1 1 1 0 0 271000 271000 0.01190 472526 423795 48731 0.00210 743526 423795 319731 0.01400 2155 2155 0.00010 6945248 5066684 1878564 0.08250 6947403 5066684 1880719 0.08260 7690929 5490479 2200450 0.09660 0 1307256 213082 8610981 8665522 -54541 X 1 1 1 1 MADISON COMMUNITY HOSPITAL 323 SW 10TH ST MADISON SD 57042 WWW.MADISONREGIONALHEALTH.ORG 49870 X X X MADISON COMMUNITY HOSPITAL 1 0 0 1 X X X X X X X X X X 15 1 0 0 1 X SEE PART V SECTION C X 1 15 1 SEE PART V SECTION C 0 0 1 X 150.000000000000 400.000000000000 X X X X X X 1 1 X X X X 1 X HTTP://WWW.MADISONREGIONALHEALTH.ORG/CUSTOM/FINANCIAL-ASSISTANCE X HTTP://WWW.MADISONREGIONALHEALTH.ORG/CUSTOM/FINANCIAL-ASSISTANCE X HTTP://WWW.MADISONREGIONALHEALTH.ORG/CUSTOM/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 MADISON COMMUNITY HOSPITAL PART V, SECTION B, LINE 3J: IN ADDITION TO COMPLETING A COMMUNITY HEALTH NEEDS ASSESSMENT DURING THE YEAR ENDED JUNE 30, 2016, A DEMOGRAPHIC AND SERVICE LINE ANALYSIS WAS COMPLETED TO DETERMINE COMMUNITY HEALTHCARE NEEDS. MADISON COMMUNITY HOSPITAL PART V, SECTION B, LINE 5: TO ENSURE INPUT FROM PERSONS WITH BROAD KNOWLEDGE OF THE COMMUNITY, A COMMUNITY ADVISORY COMMITTEE WAS ORGANIZED WITH INDIVIDUALS FROM THE COMMUNITY SERVED. PERSONAL INVITATIONS WERE SENT TO INDIVIDUALS REPRESENTING VARIOUS COMMUNITY, BUSINESS, EDUCATIONAL AND RELIGIOUS GROUPS. REPRESENTATIVES FROM THE LOCAL HEALTH CARE PROVIDER AND THE COMMUNITY HEALTH DEPARTMENT WERE INCLUDED TO BRING IN ADDITIONAL PROFESSIONAL PERSPECTIVE. THE INDIVIDUALS IDENTIFIED TO PARTICIPATE IN THE PROCESS HAVE DIRECT ACCESS WITH INDIVIDUALS ACROSS ALL SUBSECTIONS OF THE COMMUNITY AND THEREFORE WERE ABLE TO ADDRESS NEEDS THAT MAY IMPACT THOSE POPULATIONS THAT ARE MEDICALLY UNDERSERVED OR MOST IN NEED. THERE WERE NO SPECIALLY IDENTIFIED UNDERSERVED POPULATIONS OTHER THAN THOSE LIVING IN POVERTY AND THOSE WITHOUT MEDICAL INSURANCE.THIS GROUP INCLUDED EMPLOYEES, PHYSICIANS, AND BOARD MEMBERS FROM MADISON REGIONAL HEALTH SYSTEM, A STATE SENATOR, REPRESENTATIVES FROM THE SOUTH DAKOTA DEPARTMENT OF LABOR AND REGULATION, HORIZON HEALTH-FEDERAL CLINIC, COMMUNITY COUNSELING SERVICES, SOUTH DAKOTA DEPARTMENT OF HEALTH / LAKE COUNTY COMMUNITY HEALTH, PRIMARY AND SECONDARY SCHOOLS, AND INDEPENDENT BUSINESS OWNERS. MEETINGS OF THE COMMUNITY ADVISORY COMMITTEE WERE HELD MAY 25, 2016. IN ORDER TO GATHER FEEDBACK FROM INDIVIDUALS NOT PARTICIPATING IN THE COMMUNITY ADVISORY COMMITTEE, A SURVEY TOOL WAS DEVELOPED TO ADDRESS GENERAL QUESTIONS RELATED TO THE HEALTH OF THE COMMUNITY. THE SURVEY WAS DISTRIBUTED BY THE HOSPITAL AND MEMBERS OF THE COMMUNITY ADVISORY COMMITTEE TO OTHERS IN THE COMMUNITY AND RETURNED FOR INDEPENDENT REVIEW AND ANALYSIS PRIOR TO THE MAY 25, 2016 COMMUNITY ADVISORY COMMITTEE MEETING. THIS SURVEY WAS DISTRIBUTED TO LOCAL COMMUNITY GROUPS, HOSPITAL BOARD MEMBERS, EMPLOYEES AND OTHER COMMUNITY MEMBERS. 289 SURVEYS WERE COMPLETED BY MEMBERS OF THE COMMUNITY.THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS APPROVED BY THE BOARD JUNE 28, 2016. MADISON COMMUNITY HOSPITAL PART V, SECTION B, LINE 11: MRHS ADOPTED AN IMPLEMENTATION STRATEGY TO ADDRESS THE NEEDS IDENTIFIED IN ITS MOST RECENT CHNA. SOME, BUT NOT ALL, NEEDS WILL BE ADDRESSED.1. EDUCATION ON HEALTH ISSUES - MRHS HAS AN EDUCATION PROGRAM, ALONG WITH A MARKETING PROGRAM COORDINATED BY ADMINISTRATION WITH A CONSULTING MARKETING FIRM THAT COORDINATES INFORMATION TO THE COMMUNITY AND SERVICE AREA. IN JULY, 2016, MRHS HIRED AN EMPLOYEE WITH EDUCATION AND EXPERTISE TO DEVELOP AND COORDINATE THE FACILITY'S IN-HOUSE MARKETING PROGRAM AND TO WORK WITH MRHS'S COMMUNITY EDUCATION PERSONNEL TO INCREASE AWARENESS OF SERVICES OFFERED. MRHS ALSO PLANS TO FURTHER DEVELOP COMMUNITY EDUCATION PROGRAMS AND HEALTH INFORMATION. 2. EXPANSION OF URGENT CARE SERVICES - MRHS PREVIOUSLY OFFERED AN URGENT CARE/WALK-IN CLINIC FROM 5PM TO 8PM EACH WEEKDAY EVENING. MRHS DETERMINED OPTIMAL HOURS FOR AND BEGINNING JANUARY 1, 2017, IT EXPANDED ITS URGENT CARE/WALK-IN CLINIC TO INCLUDE SATURDAY HOURS. ALSO BEGINNING JANUARY 1, 2017, MRHS ADDED EARLY MORNING APPOINTMENTS AS AN ALTERNATIVE FOR PATIENTS WHO HAVE A DIFFICULT TIME MAKING APPOINTMENTS DURING NORMAL BUSINESS HOURS WORK.3. INCREASED ACCESS TO SPECIALTY SERVICES - MRHS CURRENTLY HAS 14 OUTREACH PHYSICIANS THAT CONDUCT CLINICS AT MRHS. THESE ARE SCHEDULED AT LEAST ONCE PER MONTH. MRHS CONTINUES TO WORK TOWARD ADDING OUTREACH PROVIDERS AND PLANS TO ADD OUTREACH PHYSICIAN CLINICS IN THE NEEDED AREAS AS DETERMINED BY THE CHNA AND/OR MARKET ANALYSIS COMPLETED FOR STRATEGIC PLANNING PURPOSES.4. NEEDS NOT BEING ADDRESSED - BEHAVIORAL/MENTAL HEALTH SYSTEMS AND TRANSPORTATION FOR MEDICAL SERVICES. THE MADISON AREA IS FORTUNATE TO HAVE BOTH A TRANSPORTATION SERVICE (EAST DAKOTA TRANSIT) AND A BEHAVIORAL/MENTAL HEALTH AGENCY (COMMUNITY COUNSELING SERVICES). MRHS WORKS CLOSELY WITH THESE PROVIDERS TO ASSURE CONTINUED SERVICE; HOWEVER, THE CHNA FOCUS GROUP DID NOT FEEL THAT IT WAS REALISTIC AT THIS TIME TO TAKE IT ON AS A PRIORITY NEED DUE TO THE FACT THAT THERE ARE PROVIDERS OF THOSE SERVICES IN THE COMMUNITY. MADISON COMMUNITY HOSPITAL PART V, SECTION B, LINE 13B: HOUSEHOLD SIZE MADISON COMMUNITY HOSPITAL PART V, SECTION B, LINE 16I: THE FINANCIAL ASSISTANCE POLICY IS ATTACHED TO BILLING INVOICES. THE FACILITY IS WORKING ON CREATING A PLAIN LANGUAGE SUMMARY. ONCE COMPLETE, THE FINANCIAL ASSISTANCE POLICY AND PLAIN LANGUAGE SUMMARY WILL BE POSTED TO THE WEBSITE. PART V. SECTION B, LINE 5 THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE ATWWW.MADISONREGIONALHEALTH.ORG/CUSTOM/COMMUNITY-HEALTH-NEEDS-ASSESSMENT PART V. SECTION B, LINE 10A THE IMPLEMENTATION STRATEGY IS AVAILABLE UPON REQUEST AND ATWWW.MADISONREGIONALHEALTH.ORG/CUSTOM/COMMUNITY-HEALTH-NEEDS-ASSESSMENT 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 7B AND LINE 7G WERE DETERMINED USING THE MEDICAID AND MEDICARE COST REPORTS, RESPECTIVELY. LINE 7E WAS DETERMINED USING THE GENERAL LEDGER. PART I, LN 7 COL(F): BAD DEBT EXPENSE OF $1,307,256 WAS SUBTRACTED FROM TOTAL OPERATING EXPENSE. PART III, LINE 2: BAD DEBT RECOVERIES AND DISCOUNTS APPLIED DURING THE COLLECTION PROCESS ARE POSTED IN A SEPARATE ACCOUNT ON THE GENERAL LEDGER. THIS ACCOUNT IS COMBINED WITH THE BAD DEBT EXPENSE ACCOUNT TO RESULT IN A NET BAD DEBT EXPENSE AMOUNT ON THE AUDITED FINANCIAL STATEMENT. THE BAD DEBT ALLOWANCE AND EXPENSE TAKES CONTRACTUAL ALLOWANCES INTO ACCOUNT. THE AMOUNT OF BAD DEBT SHOWN IS BASED ON CHARGES. PART III, LINE 3: THE HOSPITAL APPLIED THE MOST RECENT POVERTY LEVEL PERCENTAGE PER THE U.S. CENSUS BUREAU FOR ITS AREA TO THE TOTAL AMOUNT SENT TO COLLECTIONS DURING THE FISCAL YEAR ENDED JUNE 30, 2016 TO DETERMINE AN ESTIMATE OF ELIGIBLE CHARITY CARE REPORTED AS BAD DEBT. PART III, LINE 4: FOOTNOTE FROM FINANCIAL STATEMENT: PLEASE SEE PAGE 8 OF THE ATTACHED FINANCIAL STATEMENT FOR THE PATIENT RECEIVABLES FOOTNOTE. PART III, LINE 8: MEDICARE ALLOWABLE COST OF CARE WAS CALCULATED FROM THE MEDICARE COST REPORT FOR THE FISCAL YEAR ENDING 6/30/2016.THE ENTIRE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT. THE SHORTFALL IS THE DIRECT RESULT OF SEQUESTRATION ENACTMENTS PUT IN PLACE BY THE FEDERAL GOVERNMENT. PART III, LINE 9B: ACCOUNTS THAT MEET THE CRITERIA FOR THE FINANCIAL ASSISTANCE POLICY WILL BE WRITTEN OFF IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE POLICY. ACCOUNTS THAT DO NOT MEET THE CRITERIA FOR FINANCIAL ASSISTANCE WILL PROCEED THROUGH THE COLLECTION PROCESS. IF, DURING THE COLLECTION PROCESS, IT IS DETERMINED THAT AN ACCOUNT IN COLLECTION BELONGS TO A PATIENT WHO IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THE ACCOUNT WILL BE REMOVED FROM COLLECTION AND RETURNED TO THE HOSPITAL FOR RESOLUTION. PART VI, LINE 2: IN ADDITION TO COMPLETING A COMMUNITY HEALTH NEEDS ASSESSMENT DURING THE YEAR ENDED JUNE 30, 2016, A DEMOGRAPHIC AND SERVICE LINE ANALYSIS WAS COMPLETED TO DETERMINE COMMUNITY HEALTHCARE NEEDS. PART VI, LINE 3: A SUMMARY OF THE FACILITY'S FINANCIAL ASSISTANCE POLICY IS AVAILABLE ON THE HOSPITAL'S WEBSITE, ATTACHED TO BILLING INVOICES, POSTED IN THE EMERGENCY ROOM OR WAITING ROOMS, POSTED IN THE ADMISSIONS OFFICE, GIVEN TO PATIENTS ON ADMISSION, AND UPON REQUEST. DISCHARGE PLANNING PERSONNEL IN THE BUSINESS OFFICE COUNSEL PATIENTS UPON ADMISSION AND THROUGH THE DISCHARGE PLANNING PROCESS ON MEDICAID, COUNTY WELFARE PROGRAMS, CHARITY CARE, ETC. FINANCIAL ASSISTANCE PROGRAMS ARE DETAILED EITHER IN PERSON OR THROUGH A BROCHURE THAT EXPLAINS THE HOSPITAL'S FINANCIAL ASSISTANCE AND PAYMENT REQUIREMENTS. COVERED VS NON-COVERED CHARGES ARE DISCUSSED WITH THE PATIENT. A PATIENT ASSESSMENT, INCLUDING A DISCUSSION ON FINANCIAL RESPONSIBILITIES, CONCERNS, AND GOVERNMENT PROGRAMS, IS COMPLETED ON EACH INPATIENT BY DISCHARGE PLANNING. A FINANCIAL COUNSELOR MEETS ONE-ON-ONE WITH PATIENTS PRIOR TO DISCHARGE TO GO OVER INSURANCE COVERAGE AND WHAT TO EXPECT ONCE INSURANCE IS PROCESSED. PART VI, LINE 4: MADISON COMMUNITY HOSPITAL IS THE ONLY HOSPITAL IN THE SERVICE AREA. FIVE PHYSICIANS AND TWO PHYSICIAN EXTENDERS PRACTICE IN THE COMMUNITY. THE SERVICE AREA FOR MCH INCLUDES 14 ZIP CODE COMMUNITIES THAT ARE WITHIN A 21-MILE RADIUS OF THE HOSPITAL. IT INCLUDES ALL OF LAKE COUNTY AND PORTIONS OF BROOKINGS, KINGSBURY, MINER, MOODY, MCCOOK AND MINNEHAHA COUNTIES. TOTAL SERVICE AREA POPULATION IS APPROXIMATELY 32,000. ESTIMATED MEDIAN HOUSEHOLD INCOME IS $48,241 TO $56,603. PART VI, LINE 5: THE GOVERNING BODY OF MADISON COMMUNITY HOSPITAL IS COMPRISED OF COMMUNITY MEMBERS, NONE OF WHOM ARE EMPLOYEES OR CONTRACTORS OF THE HOSPITAL. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. SURPLUS FUNDS ARE USED TO IMPROVE PATIENT CARE AND FACILITIES. THE HOSPITAL OPERATES AN EMERGENCY ROOM WHICH IS AVAILABLE TO ALL REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL PARTICIPATES IN EDUCATION AND TRAINING OF HEALTHCARE PROFESSIONALS THROUGH RESIDENCIES AND INTERNSHIPS FOR NURSING STUDENTS, THERAPY STUDENTS, PHYSICIANS AND PHYSICIAN'S ASSISTANTS. THE HOSPITAL PARTICIPATES IN SEVERAL GOVERNMENT SPONSORED HEALTH PROGRAMS, INCLUDING BUT NOT LIMITED TO: MEDICARE, MEDICAID, VA, TRI-CARE, AND ALL-WOMEN-COUNT. THE HOSPITAL OFFERS VOLUNTEER OPPORTUNITIES TO MEMBERS OF THE COMMUNITY. X X X 0 0 0 0 0 0 0 0 0 TAMARA MILLER CEO 177805 0 0 0 0 0 9231 0 14019 0 201055 0 0 0 ROBERT SUMMERER SURGEON 432611 0 0 0 0 0 13250 0 20783 0 466644 0 0 0 WAYNE WETZBARGER MD 253331 0 0 0 0 0 5559 0 12216 0 271106 0 0 0 MITCHELL POPPENS PA-C 269349 0 0 0 0 0 7260 0 18131 0 294740 0 0 0 BERNARD HEILMAN MD 261374 0 0 0 0 0 0 0 12340 0 273714 0 0 0 MARY BEECHER MD 268625 0 0 0 0 0 5747 0 12520 0 286892 0 0 0 FORM 990, PART III, LINE 2 MADISON REGIONAL HEALTH SYSTEM BEGAN DELIVERING BABIES IN NOVEMBER 2015 AFTER ABOUT A 2 YEAR PERIOD OF LIMITED OB SERVICES. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE SHALL HAVE THE BOARD PRESIDENT AS ITS CHAIRMAN AND FOUR APPOINTED MEMBERS. 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 11 THE CEO AND CHIEF FINANCIAL OFFICER REVIEW THE 990 IN DETAIL. AFTER THEIR REVIEW, THE 990 IS PROVIDED TO EACH BOARD MEMBER. THE CEO PRESENTS THE 990 TO THE BOARD OF DIRECTORS AT THE MEETING HELD PRIOR TO ITS FILING IF SO REQUESTED BY ANY BOARD MEMBER. WHETHER PRESENTED IN A BOARD MEETING OR NOT, THE 990 IS NOT FILED UNTIL EACH BOARD MEMBER HAS BEEN GIVEN A COPY OF IT AND GIVEN AMPLE TIME TO REVIEW IT. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS AND OFFICERS ARE COVERED UNDER THE CONFLICT OF INTEREST POLICY. THE BOARD WILL REVIEW ACTUAL CONFLICTS AND MAKE DETERMINATIONS WHETHER A CONFLICT EXISTS. THE RESTRICTIONS ARE IMPOSED ON A CASE BY CASE BASIS BASED ON THE BOARD'S DETERMINATION. FORM 990, PART VI, SECTION B, LINE 15A THE CEO'S COMPENSATION AND BENEFITS ARE REVIEWED ON AN ANNUAL BASIS IN EXECUTIVE SESSION AT THE BOARD OF TRUSTEE MEETING. THE BOARD OF TRUSTEES APPROVES THE SALARY AND BENEFITS COMPENSATION. SDAHO SALARY SURVEY AND OTHER FACILITY 990'S ARE USED TO DETERMINE CEO'S COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. MADISON COMMUNITY HOSPITAL FOUNDATION INC 323 SW 10TH ST MADISON SD 57042 463925885 SUPPORT SD 501(C)(3) LINE 11A, I MADISON COMMUNITY HOSPITAL 1 MADISON COMMUNITY MEDICAL CENTER 323 SW 10TH ST MADISON SD 57042 460398320 OFFICE RENTAL SD MADISON COMMUNITY HOSPITAL C 95335 1.00000 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 MADISON COMMUNITY HOSPITAL FOUNDATION INC C 60510 FMV FORM 990, SCHEDULE R, PART IV MADISON COMMUNITY MEDICAL CENTER WAS DISSOLVED JANUARY 1, 2016.