2016-11-14T12:35:51-06:00 2015-12-31 450250958 EIDE BAILLY LLP 200 EAST 10TH ST PO BOX 5125 SIOUX FALLS SD 571175125 990 2015-01-01 460274380 WINNER REGIONAL HEALTHCARE CENTER WINN 6058427100 745 E 8TH ST WINNER SD 57580 KEVIN COFFEY CEO 6058427100 2016-11-14 1 LAURIE HANSON P00851848 6053391999 2016-11-14 2015 2017-02-10 21:41:12Z KEVIN COFFEY 745 E 8TH ST WINNER SD 57580 22226468 0 X WWW.WINNERREGIONAL.ORG X 1961 SD TO IMPROVE THE QUALITY OF LIFE IN OUR REGION. 9 8 263 10 0 0 201727 82863 20184307 22093462 23146 27456 22519 22687 20431699 22226468 0 0 0 0 9266662 8857086 0 0 0 11321735 13143567 20588397 22000653 -156698 225815 13733635 13664797 5549416 5230154 8184219 8434643 X TO IMPROVE THE QUALITY OF LIFE IN OUR REGION BY PROVIDING COMPREHENSIVE HEALTHCARE IN A LOCAL, NURTURING ENVIRONMENT. THROUGH PROFESSIONALS WHO CONSIDER HEALTHCARE A CALLING, WE WILL EXCEED THE EXPECTATIONS OF THOSE WE SERVE. OUR ROLE AS A COMMITTED STEWARD TO OUR REGION WILL BE SUSTAINED THROUGH FISCAL RESPONSIBILITY, ENSURING PERSONALIZED HEALTHCARE FOR GENERATIONS TO COME. 1 0 19814743 22093462 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. 19814743 1 1 0 1 0 0 0 0 1 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 39 0 1 263 1 0 0 0 0 0 0 0 0 0 0 X 9 8 0 1 0 0 0 0 0 1 0 0 0 1 1 1 1 0 1 1 0 0 X PHILLIP HUSHER 6058427213 745 EAST 8TH STREET WINNER SD 57580 X X BRIAN SCHAEFFER PRESIDENT 1.00 X X 0 0 0 JOEL LEYDEN VICE PRESIDENT 1.00 X X 0 0 0 TOM KAUER TREASURER (UNTIL 9/30/15) 1.00 X X 0 0 0 KIM VANNERMAN TREASURER 1.00 X X 0 0 0 KEVIN OREL SECRETARY 1.00 X X 0 0 0 NEIL LANTZ DIRECTOR 1.00 X 0 0 0 DOUG KARTAK DIRECTOR 1.00 X 0 0 0 DR TONY L BERG DIRECTOR, FAMILY PRACTICE 1.00 X 0 0 0 REBECCA LITTAU DIRECTOR 1.00 X 0 0 0 BETSY PRAVECEK DIRECTOR 1.00 X 0 0 0 KEVIN COFFEY CEO 40.00 X 0 0 0 PHILLIP HUSHER CFO 40.00 X 0 0 0 RHONDA JORGENSEN CRNA 42.00 X 173255 0 29476 MARLA HAYES PHARMACIST 40.00 X 146886 0 1616 BECKY OLSON CNP 50.00 X 122036 0 4935 ERIN TOBIN PHYSICIAN ASSISTANT 40.00 X 113101 0 12544 555278 0 48571 4 0 1 0 PRIME TIME HEALTHCARE 14811 SHEPARD ST OMAHA NE 68138 CONTRACTED NURSING 1132251 R VISIONS MEDICAL STAFFING PO BOX 460 NEWCASTLE WY 82701 CONTRACTED NURSING 590104 SANFORD HEALTH NETWORK 1305 W 18TH ST SIOUX FALLS SD 57117 MGMT FEES/SALARY REIMB/IT SUPPORT 526896 WINNER PHYSICAL THERAPY PO BOX 435 WINNER SD 57580 THERAPY 292627 WINNER SURGERY CLINIC 825 EAST 8TH STREET WINNER SD 57580 ER COVERAGE AND SCOPE RENTAL 250166 12 22930 59933 82863 PATIENT AND RESIDENT SERVICE REVE 622110 21339634 21339634 OTHER REVENUE 900099 678895 678895 MEDICAID EMR INCENTIVE 900099 74933 74933 22093462 27456 27456 22687 0 22687 22687 22687 22226468 22093462 0 50143 X 40706 40706 6938223 6410368 527855 123131 114416 8715 1252401 1130871 121530 502625 467143 35482 632427 632427 14671 14671 62590 62590 6545924 6273642 272282 181079 78927 102152 381538 295534 86004 73040 26963 46077 563862 563862 70499 70499 84099 67342 16757 181712 144561 37151 942538 942538 131799 131799 MEDICAL SUPPLIES 1910786 1910786 BAD DEBTS 943162 943162 FOOD 307528 307528 LICENSES, DUES & SUBSCR 63143 25716 37427 53170 179 52991 22000653 19814743 2185910 0 5827717 5428785 2956496 2948719 5233 80832 58929 468708 513370 22807 246471 17339757 13356380 4017962 3983377 214228 238837 8207 6019 136678 235057 13733635 13664797 1978256 1778405 11199 14018 3559961 2918002 519729 5549416 5230154 X 7969991 8195806 214228 238837 8184219 8434643 13733635 13664797 X 225815 24609 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 718 718 0 PART II-B, LINE 1: THE ORGANIZATION IS A MEMBER OF CERTAIN ORGANIZATIONS RELATED TO THE INDUSTRY WHICH HAVE LOBBYING EXPENSES. THE AMOUNT LISTED IS THE PERCENTAGE OF DUES THAT WERE USED FOR LOBBYING. ORGANIZATION OFFICERS AND DIRECTORS WILL ALSO FROM TIME TO TIME CONTACT LEGISLATORS CONCERNING HEALTH CARE ISSUES AND BILLS. 0 1 X 24638 24638 10787844 8435920 2351924 5405705 4505812 899893 1121570 414648 706922 3983377 X 21283306 -943162 -943162 22226468 0 22226468 21057491 0 21057491 943162 943162 22000653 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. 1 1 X 1 X 1 X 150.000000000000 1 1 0 1 1 152000 152000 0.00720 2010754 1874932 135822 0.00650 2162754 1874932 287822 0.01370 2688 1242 1446 0.00010 10052103 5308770 4743333 0.22530 120000 24 119976 0.00570 10174791 5310036 4864755 0.23110 12337545 7184968 5152577 0.24480 16343 3735 12608 0.00060 2075 2075 0.00010 18418 3735 14683 0.00070 0 943162 75453 4752910 4774224 -21314 X 1 1 1 1 WINNER REGIONAL HEALTHCARE CENTER 745 E 8TH ST WINNER SD 57580 WWW.WINNERREGIONAL.ORG 10713 X X X X PROVIDER BASED RHC-WINNER REGIONAL CLINIC WINNER REGIONAL HEALTHCARE CENTER 1 0 0 1 X X X X X X X X X 13 1 0 0 1 X WWW.WINNERREGIONAL.ORG X X 1 13 1 WWW.WINNERREGIONAL.ORG 0 0 1 X 100.000000000000 150.000000000000 X X X X X X X 1 1 X X X X 1 X X X X X 1 X 0 X X X X 1 X 0 0 WINNER REGIONAL HEALTHCARE CENTER PART V, SECTION B, LINE 5: 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. 1 1 - WINNER REGIONAL NURSING HOME 745 EAST 8TH STREET WINNER SD 575802631 SKILLED NURSING FACILITY PART I, LINE 3C: IN ADDITION TO UTILIZING FEDERAL POVERTY GUIDELINES, THE FOLLOWING ITEMS ARE USED TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE: PERSONAL ASSETS, LIABILITIES, INDIVIDUAL AND/OR FAMILY INCOME, NET WORTH, EMPLOYMENT STATUS OR EARNING CAPACITY, FAMILY SIZE, OTHER FINANCIAL OBLIGATIONS, FREQUENCY OF HEALTH SERVICES, INSURANCE STATUS, UNDERINSURANCE STATUS AND OTHER SOURCES OF PAYMENT FOR HEALTHCARE SERVICES RENDERED. THIS INFORMATION IS REVIEWED AND A DETERMINATION OF ELIGIBILITY FOR ASSISTANCE IS MADE BY THE PATIENT SERVICES REPRESENTATIVE AND THE CFO. 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. 0 0 0 0 0 0 0 0 0 RHONDA JORGENSEN CRNA 173255 0 0 0 0 0 5634 0 23998 0 202887 0 0 0 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. BECKY OLSON HIGHEST COMPENSATED EMPLOYEE LOAN FOR CNP SCHOOLING X 17000 5233 0 1 1 5233 JENNA LITTAU FAMILY MEMBER OF REBECCA LITTAU, BOARD MEMBER 40706 BASE WAGES AND BENEFITS 0 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.