WINNER REGIONAL HEALTHCARE CENTER: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- WINNER REGIONAL HEALTHCARE CENTER (EIN 46-0274380)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-14
- IRS object ID
- 201643199349305014
- Schema version
- 2015v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-14T12:35:51-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EIDE BAILLY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 EAST 10TH ST PO BOX 5125 | AddressLine1Txt |
| City | SIOUX FALLS | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 571175125 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 460274380 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WINNER REGIONAL HEALTHCARE CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WINN | BusinessNameControlTxt |
| Phone | 6058427100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 745 E 8TH ST | AddressLine1Txt |
| City | WINNER | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57580 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KEVIN COFFEY | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 6058427100 | PhoneNum |
| Signature | 2016-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LAURIE HANSON | PreparerPersonNm |
| PTIN | P00851848 | PTIN |
| Phone | 6053391999 | PhoneNum |
| Preparation | 2016-11-14 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KEVIN COFFEY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 745 E 8TH ST | AddressLine1Txt |
| City | WINNER | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57580 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $22,226,468 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.WINNERREGIONAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1961 | FormationYr |
| Legal Domicile State | SD | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE QUALITY OF LIFE IN OUR REGION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 263 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $201,727 | PYContributionsGrantsAmt |
| CY Contributions Grants | $82,863 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $20,184,307 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $22,093,462 | CYProgramServiceRevenueAmt |
| PY Investment Income | $23,146 | PYInvestmentIncomeAmt |
| CY Investment Income | $27,456 | CYInvestmentIncomeAmt |
| PY Other Revenue | $22,519 | PYOtherRevenueAmt |
| CY Other Revenue | $22,687 | CYOtherRevenueAmt |
| PY Total Revenue | $20,431,699 | PYTotalRevenueAmt |
| CY Total Revenue | $22,226,468 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $9,266,662 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $8,857,086 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $11,321,735 | PYOtherExpensesAmt |
| CY Other Expenses | $13,143,567 | CYOtherExpensesAmt |
| PY Total Expenses | $20,588,397 | PYTotalExpensesAmt |
| CY Total Expenses | $22,000,653 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$156,698 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $225,815 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $13,733,635 | TotalAssetsBOYAmt |
| Total Assets EOY | $13,664,797 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,549,416 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,230,154 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $8,184,219 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $8,434,643 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | Yes (1) | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $19,814,743 | ExpenseAmt |
| Revenue | $22,093,462 | RevenueAmt |
| Desc | WINNER REGIONAL HEALTHCARE CENTER, A 25-BED CRITICAL ACCESS HOSPITAL AND 80 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 1,724 ACUTE PATIENT DAYS; 1,142 SWING BED PATIENT DAYS; 316 NEWBORN PATIENT DAYS; 175 BIRTHS; 26,780 RESIDENT DAYS; 2,283 HOME HEALTH VISITS; 20,181 RURAL HEALTH CLINIC VISITS; 413 OBSERVATION DAYS; AND 40 LABOR AND DELIVERY DAYS. | Desc |
| Total Program Service Expenses | $19,814,743 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (1) | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 39 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 263 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PHILLIP HUSHER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6058427213 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 745 EAST 8TH STREET | AddressLine1Txt |
| City | WINNER | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57580 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| BRIAN SCHAEFFER | |||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JOEL LEYDEN | |||||||
| VICE PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| TOM KAUER | |||||||
| TREASURER (UNTIL 9/30/15) | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| KIM VANNERMAN | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| KEVIN OREL | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| NEIL LANTZ | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DOUG KARTAK | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DR TONY L BERG | |||||||
| DIRECTOR, FAMILY PRACTICE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| REBECCA LITTAU | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BETSY PRAVECEK | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KEVIN COFFEY | |||||||
| CEO | 40.00 | Yes (X) | $0 | $0 | $0 | ||
| PHILLIP HUSHER | |||||||
| CFO | 40.00 | Yes (X) | $0 | $0 | $0 | ||
| RHONDA JORGENSEN | |||||||
| CRNA | 42.00 | $173,255 | $0 | $29,476 | Yes (X) | ||
| MARLA HAYES | |||||||
| PHARMACIST | 40.00 | $146,886 | $0 | $1,616 | Yes (X) | ||
| BECKY OLSON | |||||||
| CNP | 50.00 | $122,036 | $0 | $4,935 | Yes (X) | ||
| ERIN TOBIN | |||||||
| PHYSICIAN ASSISTANT | 40.00 | $113,101 | $0 | $12,544 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $555,278 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $48,571 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 4 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PRIME TIME HEALTHCARE | |||||
| 14811 SHEPARD ST | OMAHA | NE | 68138 | CONTRACTED NURSING | $1,132,251 |
| R VISIONS MEDICAL STAFFING | |||||
| PO BOX 460 | NEWCASTLE | WY | 82701 | CONTRACTED NURSING | $590,104 |
| SANFORD HEALTH NETWORK | |||||
| 1305 W 18TH ST | SIOUX FALLS | SD | 57117 | MGMT FEES/SALARY REIMB/IT SUPPORT | $526,896 |
| WINNER PHYSICAL THERAPY | |||||
| PO BOX 435 | WINNER | SD | 57580 | THERAPY | $292,627 |
| WINNER SURGERY CLINIC | |||||
| 825 EAST 8TH STREET | WINNER | SD | 57580 | ER COVERAGE AND SCOPE RENTAL | $250,166 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 12 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $22,930 | GovernmentGrantsAmt |
| All Other Contributions | $59,933 | AllOtherContributionsAmt |
| Total Contributions | $82,863 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT AND RESIDENT SERVICE REVE | 622110 | $21,339,634 | $21,339,634 |
| OTHER REVENUE | 900099 | $678,895 | $678,895 |
| MEDICAID EMR INCENTIVE | 900099 | $74,933 | $74,933 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $22,093,462 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $27,456 | TotalRevenueColumnAmt |
| Exclusion | $27,456 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $22,687 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $22,687 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,687 | TotalRevenueColumnAmt |
| Exclusion | $22,687 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,226,468 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $22,093,462 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $50,143 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,706 | TotalAmt |
| Program Services | $40,706 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,938,223 | TotalAmt |
| Program Services | $6,410,368 | ProgramServicesAmt |
| Management And General | $527,855 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $123,131 | TotalAmt |
| Program Services | $114,416 | ProgramServicesAmt |
| Management And General | $8,715 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,252,401 | TotalAmt |
| Program Services | $1,130,871 | ProgramServicesAmt |
| Management And General | $121,530 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $502,625 | TotalAmt |
| Program Services | $467,143 | ProgramServicesAmt |
| Management And General | $35,482 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $632,427 | TotalAmt |
| Management And General | $632,427 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,671 | TotalAmt |
| Management And General | $14,671 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,590 | TotalAmt |
| Management And General | $62,590 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,545,924 | TotalAmt |
| Program Services | $6,273,642 | ProgramServicesAmt |
| Management And General | $272,282 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $181,079 | TotalAmt |
| Program Services | $78,927 | ProgramServicesAmt |
| Management And General | $102,152 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $381,538 | TotalAmt |
| Program Services | $295,534 | ProgramServicesAmt |
| Management And General | $86,004 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,040 | TotalAmt |
| Program Services | $26,963 | ProgramServicesAmt |
| Management And General | $46,077 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $563,862 | TotalAmt |
| Program Services | $563,862 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,499 | TotalAmt |
| Program Services | $70,499 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,099 | TotalAmt |
| Program Services | $67,342 | ProgramServicesAmt |
| Management And General | $16,757 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $181,712 | TotalAmt |
| Program Services | $144,561 | ProgramServicesAmt |
| Management And General | $37,151 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $942,538 | TotalAmt |
| Program Services | $942,538 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $131,799 | TotalAmt |
| Management And General | $131,799 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $1,910,786 | $1,910,786 | |
| BAD DEBTS | $943,162 | $943,162 | |
| FOOD | $307,528 | $307,528 | |
| LICENSES, DUES & SUBSCR | $63,143 | $25,716 | $37,427 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,170 | TotalAmt |
| Program Services | $179 | ProgramServicesAmt |
| Management And General | $52,991 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,000,653 | TotalAmt |
| Program Services | $19,814,743 | ProgramServicesAmt |
| Management And General | $2,185,910 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,827,717 | BOYAmt |
| EOY | $5,428,785 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,956,496 | BOYAmt |
| EOY | $2,948,719 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $5,233 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,832 | BOYAmt |
| EOY | $58,929 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $468,708 | BOYAmt |
| EOY | $513,370 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,807 | BOYAmt |
| EOY | $246,471 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $17,339,757 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $13,356,380 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,017,962 | BOYAmt |
| EOY | $3,983,377 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $214,228 | BOYAmt |
| EOY | $238,837 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,207 | BOYAmt |
| EOY | $6,019 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $136,678 | BOYAmt |
| EOY | $235,057 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,733,635 | BOYAmt |
| EOY | $13,664,797 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,978,256 | BOYAmt |
| EOY | $1,778,405 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,199 | BOYAmt |
| EOY | $14,018 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,559,961 | BOYAmt |
| EOY | $2,918,002 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $519,729 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,549,416 | BOYAmt |
| EOY | $5,230,154 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,969,991 | BOYAmt |
| EOY | $8,195,806 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $214,228 | BOYAmt |
| EOY | $238,837 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,184,219 | BOYAmt |
| EOY | $8,434,643 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,733,635 | BOYAmt |
| EOY | $13,664,797 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $225,815 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $24,609 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $718 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $718 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $24,638 | OtherCostOrOtherBasisAmt |
| Book Value | $24,638 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,787,844 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,435,920 | DepreciationAmt |
| Book Value | $2,351,924 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,405,705 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,505,812 | DepreciationAmt |
| Book Value | $899,893 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,121,570 | OtherCostOrOtherBasisAmt |
| Depreciation | $414,648 | DepreciationAmt |
| Book Value | $706,922 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,983,377 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $21,283,306 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$943,162 | OtherRevenueAmt |
| Revenue Not Reported | -$943,162 | RevenueNotReportedAmt |
| Revenue Subtotal | $22,226,468 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $22,226,468 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $21,057,491 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $21,057,491 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $943,162 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $943,162 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $22,000,653 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 -943,162. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBTS 943,162. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 150.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $152,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $152,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00720 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,010,754 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,874,932 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $135,822 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00650 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,162,754 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,874,932 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $287,822 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01370 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,688 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,242 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,446 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,052,103 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,308,770 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,743,333 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.22530 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $120,000 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $24 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $119,976 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00570 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,174,791 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,310,036 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,864,755 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.23110 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,337,545 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,184,968 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,152,577 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.24480 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,343 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,735 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,608 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,075 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,075 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,418 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,735 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,683 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $943,162 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $75,453 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $4,752,910 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $4,774,224 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$21,314 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WINNER REGIONAL HEALTHCARE CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 745 E 8TH ST | AddressLine1Txt |
| City | WINNER | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57580 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.WINNERREGIONAL.ORG | WebsiteAddressTxt |
| State License | 10713 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | PROVIDER BASED RHC-WINNER REGIONAL CLINIC | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WINNER REGIONAL HEALTHCARE CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.WINNERREGIONAL.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.WINNERREGIONAL.ORG | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 150.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| WINNER REGIONAL HEALTHCARE CENTER | PART V, SECTION B, LINE 5: RESIDENTS THROUGHOUT THE COMMUNITY PARTICIPATED IN THE ONLINE SURVEY PROVIDING THEIR FEEDBACK ON THE NEEDS OF THE COMMUNITY. PERSONS WITH SPECIALIZED KNOWLEDGE AND EXPERTISE IN PUBLIC HEALTH WERE INVOLVED IN THE NEEDS ASSESSMENT, AND INCLUDED THE DIRECTOR OF SOUTHERN PLAINS MENTAL HEALTH, THE WINNER MIDDLE SCHOOL COUNSELOR, A PHYSICIAN AND A NURSE. |
| 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. |
| WINNER REGIONAL HEALTHCARE CENTER | PART V, SECTION B, LINE 11: THE IMPLEMENTATION STRATEGY IS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST AND ON OUR WEBSITE.BASED ON THE RESULTS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, A PRIORITIZATION WORKSHEET WAS COMPLETED BY THE CHNA STEERING GROUP. THE HOSPITAL IS WORKING TOWARD MEETING IDENTIFIED NEEDS. PRIORITY 1 IS PHYSICIAN RECRUITMENT. THE FACILITY IN 2014 SUCCESSFULLY RECRUITED 2 PHYSICIANS TO THE AREA. THE PHYSICIANS CONTINUE TO BUILD THEIR PRACTICES IN 2015. WE HAVE ENGAGED RECRUITING FIRMS TO RECRUIT ONE MORE FAMILY PRACTICE PHYSICIAN AS OUR LONG TIME PHYSICIAN IS LOOKING TO RETIRE IN 2017. WE ARE ALSO RECRUITING AN ADDITIONAL PHYSICIAN ASSISTANT/ CERTIFIED NURSE PRACTITIONER. PATIENT VISITS PER CLINIC PROVIDER HAVE INCREASED FROM 1,228 IN 2013 TO 1,324 IN 2014 AND 1,682 IN 2015.AS FAR AS VISITING/SPECIALTY PHYSICIANS WE ADDED AN ORTHOPEDIC PHYSICIAN LATE IN 2015. THIS PHYSICIAN WILL IN THE FUTURE PERFORM COMPLETE KNEE AND HIP REPLACEMENTS. INITIAL MEETINGS WITH THE COMMUNITY HAVE BEEN VERY POSITIVE IN REGARDS TO THIS SERVICE. ORTHOPEDIC SPECIALTY VISITS HAVE INCREASED 13.5%. WE ADDED A SEDATION DENTIST IN 2014 AND HE CONTINUES TO GROW HIS BUSINESS. DENTIST VISITS INCREASED 6% IN 2015. OUR VASCULAR SURGEON VISITS HAVE IMPROVED FROM 12 IN 2014 TO 125 IN 2015 AS HE STARTED HIS BUSINESS LATE IN 2014. WE ADDED A HIGH RISK OB/GYN PHYSICIAN IN 2015. THIS PHYSICIAN HAD 54 VISITS DURING THE YEAR. OVER ALL WE HAVE INCREASED SPECIALTY SERVICE VISITS 11.8% OR 200 VISITS FROM 2014 TO 2015. THESE SERVICES ALLOW OUR COMMUNITY MEMBERS ACCESS TO SERVICES CLOSE TO HOME. THE FACILITY IS ACTIVELY RECRUITING A PAIN DOCTOR, NEUROLOGY, UROLOGIST, AND ONCOLOGIST TO ADD TO OUR SPECIALTY CLINIC SERVICES. IN ADDITIONAL WE HAVE UPDATED OUR SPEECH CONTRACT WITH OUR LOCAL THERAPIST. THIS WILL ENHANCE OUR SERVICES TO OUR INPATIENTS AND NURSING HOME PATIENTS. ALSO THIS WILL INCREASE THE COMMUNITY'S OPPORTUNITY FOR SPEECH THERAPY SERVICES. WE HAVE HIRED A PHYSICIAN THERAPIST TO START OUR THERAPY SERVICES IN AN EFFORT TO PROVIDE A SMOOTH TRANSITION BACK TO HEALTH FOR OUR ORTHOPEDIC PHYSICIAN'S PATIENTS. WE PLAN TO HIRE ADDITIONAL THERAPIST AS THE BUSINESS GROWS. UNDER THE PRIORITY NUMBER 2 THE FACILITY DEVELOPED A WELLNESS COMMITTEE OF SEVEN PEOPLE. THE COMMITTEE HAS MET TO PROMOTE EMPLOYEE-WELLNESS PROGRAMS TO OUR WINNER REGIONAL EMPLOYEES. SPECIFICALLY THE COMMITTEE DECIDED ON THREE AREAS TO FOCUS ON FOR OUR EMPLOYEE WELLNESS: SMOKING, FLU PREVENTION AND A DRINKING AND EATING HEALTHY PROGRAM. THE PROGRAMS WERE DISSEMINATED AT OUR QUARTERLY ALL STAFF MEETING. STAFF WAS INFORMED OF SUCCESSFUL SMOKING SECESSION PROGRAMS PROVIDED BY THE STATE OF SOUTH DAKOTA. HANDOUTS AND SUPPLIES WERE DISSEMINATED TO STAFF. PARTICIPATION WAS ENCOURAGED BY THE WELLNESS COMMITTEE. THE FACILITY IMPLEMENTED A FLU SHOT POLICY. ALL PROVIDERS AND EMPLOYEES ARE REQUIRED TO RECEIVE A FLU SHOT REGARDLESS OF THE AMOUNT OF PATIENT INTERACTION. THIS WAS IMPLEMENTED FOR OUR PATIENT'S SAFETY AND TO SET AN EXAMPLE TO THE COMMUNITY THAT WE CARE ABOUT OUR PATIENTS AND OUR COMMUNITY'S HEALTH AND WELLNESS. OUR DIETICIAN EXPLAINED THE EATING HEALTHY PROGRAM AND PUT TOGETHER A PICTORIAL OF THE EFFECTS OF EATING HEALTHY. THE PICTORIAL WAS POSTED IN THE CAFETERIA TO BE VISIBLE FOR THE FACILITY'S STAFF AND THE COMMUNITY TO SEE AS THEY DECIDE ON THEIR FOOD CHOICES. UNDER PRIORITY 3 CONSTANT TRANSITIONS IN KEY POSITIONS HAS SLOWED SIGNIFICANT PROGRESS ADDRESSING CHRONIC HEALTH ISSUES. OUR YEARLY HEALTH FAIR IN JUNE PROVIDES WELLNESS CHECKS, HEART SCREENS AND STRESS TESTS AT REDUCED COSTS FOR OUR COMMUNITY MEMBERS. WE COMPLETED 151 WELLNESS CHECKS THE CLINIC OFFERS REDUCED PSA TESTING YEARLY IN SEPTEMBER. WE COMPLETED 54 TESTS THIS YEAR. MOVING FORWARD WITH LONG TERM STAFF IN PLACE AND NEW DATA WE CAN IMPROVE OUR FOCUS ON THE CHRONIC HEALTH ISSUES. |
| 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 INSURANCE 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 16I: PART V, SECTION B, LINE 16A-C: THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION, AND FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY WERE NOT POSTED ON THE WEBSITE AS OF 12/31/15. THE POLICY AND APPLICATION ARE NOW POSTED TO THE WEBSITE 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 - WINNER REGIONAL NURSING HOME | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 745 EAST 8TH STREET | AddressLine1Txt |
| City | WINNER | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 575802631 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | SKILLED NURSING FACILITY | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. PLEASE REFER TO PART V, LINE 13 FOR ADDITIONAL INFORMATION.PART I, LINE 6: THE ORGANIZATION'S COMMUNITY BENEFIT REPORT CAN BE FOUND ON ITS WEBSITE AT HTTP://WWW.WINNERREGIONAL.ORG/ |
| 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, LN 7 COL(F): | BAD DEBT BASED ON CHARGES OF $943,162 WAS SUBTRACTED FROM TOTAL OPERATING EXPENSE. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | 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 HAT AND MITTEN DRIVE, AS WELL AS A TOY DRIVE, WAS ALSO 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. |
| 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: | BASED ON THE DEMOGRAPHICS OF THE AREA, APPROXIMATELY 8% OF BAD DEBT EXPENSE COULD REASONABLY BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY IF SUFFICIENT INFORMATION HAD BEEN AVAILABLE TO MAKE A DETERMINATION OF THEIR ELIGIBILITY. |
| PART III, LINE 4: | THE FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE IS ON PAGE 8 OF NOTE 1 - ORGANIZATION AND SIGNIFICANT ACCOUNTING POLICIES UNDER PATIENT AND RESIDENT RECEIVABLES FROM THE ATTACHED FINANCIAL STATEMENTS. |
| PART III, LINE 8: | MEDICARE ALLOWABLE COST OF CARE WAS CALCULATED FROM THE MEDICARE COST REPORT FOR FISCAL YEAR ENDING 12/31/2015. 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.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: | THE COMMUNITY HEALTH NEEDS REPORT INCLUDES A DESCRIPTION OF WINNER REGIONAL HEALTHCARE CENTER (WRHC) AND A DESCRIPTION OF THE COMMUNITY IT SERVES. THE DESIGN STUDY AND METHODOLOGY INCLUDED QUALITATIVE AND QUANTITATIVE DATA, WHICH WAS CONDUCTED WITHIN THE QUALITY AND DECISION SUPPORT TEAMS FROM SANFORD HEALTH. WRHC IS A MANAGED FACILITY OF THE SANFORD HEALTH NETWORK. THE SECONDARY DATA MODELED THE ROBERT WOOD JOHNSON FRAMEWORK FOR COUNTY PROFILES. ASSET MAPPING WAS BASED ON THE MCKNIGHT FOUNDATION MODEL. PRIMARY DATA WAS OBTAINED VIA A SURVEY THAT WAS AVAILABLE THROUGH THE WRHC WEBSITE USING SURVEYMONKEY. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT RESOURCES WERE AVAILABLE IN THE COMMUNITY TO ADDRESS THE NEEDS. |
| 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, AND TODD COUNTIES IN SOUTH DAKOTA AND INCLUDES THE CITIES OF MISSION, WOOD, WHITE RIVER, GREGORY, BURKE, DALLAS, HERRICK, BONESTEEL AND FAIRFAX. THE SERVICE AREA INCLUDES NORTHERN CHERRY AND KEYA PAHA COUNTIES IN NEBRASKA AND ENCOMPASSES THE CITIES OF SPRINGVIEW, SPARKS AND VALENTINE. FARMING AND RANCHING ARE THE PRIMARY INDUSTRIES IN THIS RURAL AREA. THE POPULATION OF THE AREA IS 28,283. AVERAGE INCOME IS $34,793. PERCENTAGE OF RESIDENTS BELOW THE POVERTY LEVEL IS 27.55%. 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 GOVERNING 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. THE FACILITY RECENTLY PURCHASED THE FOLLOWING NEW EQUIPMENT TO IMPROVE STAFF EFFICIENCY AND PROVIDE INCREASED PATIENT COMFORT AND SAFETY: AUTOCLAVE STERILIZER, BLANKET WARMER, COMBINATION BLOOD BANK CENTRIFUGE/INCUBATOR AND PLASMA THAWER.THE HEALTH AND WELL-BEING OF OUR COMMUNITY IS DIRECTLY IMPACTED THROUGH OUR OFFERING OF VARIOUS LOW COST HEALTH SCREENINGS AND CLINICS THROUGHOUT THE YEAR. LAST YEAR THE FOLLOWING CLINICS OR SCREENINGS WERE HELD: PSA CLINIC, HEART SCREEN, VASCULAR SCREEN, FLU CLINIC, YOUTH HEART SCREEN, YOUTH SPORTS PHYSICALS AND LOW COST LAB TESTS INCLUDING LIPID/GLUCOSE/HEMOGLOBIN, VITAMIN D AND THYROID BY TSH. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RHONDA JORGENSEN | PersonNm |
| Title | CRNA | TitleTxt |
| Base Compensation Filing Org | $173,255 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $5,634 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $23,998 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $202,887 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | THE CEO AND CFO ARE 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 AND CFO. |
| PART II, LINE 1 | DR. TONY BERG IS A BOARD MEMBER OF WINNER REGIONAL HEALTHCARE CENTER AND A FAMILY PRACTICE PHYSICIAN AT THE WINNER REGIONAL CLINIC. HE IS EMPLOYED BY SANFORD HEALTH NETWORK, BUT WINNER REGIONAL HEALTHCARE CENTER REIMBURSES SANFORD DOLLAR FOR DOLLAR FOR DR. BERG'S COMPENSATION AND BENEFITS. |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BECKY OLSON | PersonNm |
| Relationship With Org | HIGHEST COMPENSATED EMPLOYEE | RelationshipWithOrgTxt |
| Loan Purpose | LOAN FOR CNP SCHOOLING | LoanPurposeTxt |
| Loan From Organization | Yes (X) | LoanFromOrganizationInd |
| Original Principal | $17,000 | OriginalPrincipalAmt |
| Balance Due | $5,233 | BalanceDueAmt |
| Default | 0 | DefaultInd |
| Board Or Committee Approval | Yes (1) | BoardOrCommitteeApprovalInd |
| Written Agreement | Yes (1) | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $5,233 | TotalBalanceDueAmt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JENNA LITTAU | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | FAMILY MEMBER OF REBECCA LITTAU, BOARD MEMBER | RelationshipDescriptionTxt |
| Transaction | $40,706 | TransactionAmt |
| Transaction | BASE WAGES AND BENEFITS | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 2 | ORTHOPEDICS AND IN-HOUSE PHYSICIAN THERAPY SERVICES WERE ADDED IN 2015. |
| FORM 990, PART VI, SECTION A, LINE 3 | SANFORD HEALTH NETWORK, A MANAGEMENT COMPANY, MANAGES THE FACILITY. THE CEO, CFO, AND CLINIC DIRECTOR ARE EMPLOYEES 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, AND PHILLIP HUSHER, CFO. COMPENSATION AND BENEFITS FOR THE CEO WERE $187,685 AND $22,520 RESPECTIVELY, AND COMPENSATION AND BENEFITS FOR THE CFO WERE $95,708 AND $20,911 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. THE CFO IS RESPONSIBLE FOR SUPERVISING, PLANNING, AND DIRECTING FINANCIAL ACTIVITY. |
| 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 11 | A COPY OF THE 2015 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 IMPLEMENT AND CONTROL ALL CONFLICTS THAT MAY ARISE. |
| FORM 990, PART VI, SECTION B, LINE 15A | COMPENSATION OF THE CEO AND OTHER EMPLOYEES OF THE MANAGEMENT COMPANY IS DETERMINED BY THE WINNER REGIONAL HEALTHCARE BOARD WHO EVALUATES SALARIES ANNUALLY USING COMPARABLE DATA FOR OTHER FACILITIES WITHIN THE STATE. THE DETERMINATION OF COMPENSATION IS DOCUMENTED IN WRITING. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS ARE AVAILABLE UPON REQUEST |
| FORM 990, PART VII, SECTION A: | DR. TONY BERG IS A BOARD MEMBER OF WINNER REGIONAL HEALTHCARE CENTER AND A FAMILY PRACTICE PHYSICIAN AT THE WINNER REGIONAL CLINIC. HE IS EMPLOYED BY SANFORD HEALTH NETWORK, BUT WINNER REGIONAL HEALTHCARE CENTER REIMBURSES SANFORD DOLLAR FOR DOLLAR FOR DR. BERG'S COMPENSATION AND BENEFITS. COMPENSATION AND BENEFITS FOR DR. BERG WERE $323,879 AND $13,748 RESPECTIVELY. |
| FORM 990, PART IX, LINE 11G | SERVICE CONTRACTS : PROGRAM SERVICE EXPENSES 277,727. MANAGEMENT AND GENERAL EXPENSES 21,622. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 299,349. OUTSIDE MEDICAL SERVICES : PROGRAM SERVICE EXPENSES 475,384. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 475,384. PURCHASED STAFFING : PROGRAM SERVICE EXPENSES 3,311,961. MANAGEMENT AND GENERAL EXPENSES 104,307. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,416,268. CONTRACT PHYSICIANS : PROGRAM SERVICE EXPENSES 2,062,311. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,062,311. CONSULTING AND OTHER : PROGRAM SERVICE EXPENSES 28,500. MANAGEMENT AND GENERAL EXPENSES 143,630. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 172,130. REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 117,759. MANAGEMENT AND GENERAL EXPENSES 2,723. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 120,482. |
| FORM 990, PART XI, LINE 9: | CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 24,609. |
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