WINNER REGIONAL HEALTHCARE CENTER: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- WINNER REGIONAL HEALTHCARE CENTER (EIN 46-0274380)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-10-09
- IRS object ID
- 201512829349301271
- Schema version
- 2014v5.0
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-10-09T15:23:42-05:00 | ReturnTs |
| Tax Period End | 2014-12-31 | 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 | 2014-01-01 | 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 | 2015-10-06 | 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 | 2015-10-06 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | 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 | $20,431,699 | 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 | PROFESSIONAL CARE WITH A PERSONAL TOUCH. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 290 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $273,633 | PYContributionsGrantsAmt |
| CY Contributions Grants | $201,727 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $18,860,630 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $20,184,307 | CYProgramServiceRevenueAmt |
| PY Investment Income | $24,273 | PYInvestmentIncomeAmt |
| CY Investment Income | $23,146 | CYInvestmentIncomeAmt |
| PY Other Revenue | $20,577 | PYOtherRevenueAmt |
| CY Other Revenue | $22,519 | CYOtherRevenueAmt |
| PY Total Revenue | $19,179,113 | PYTotalRevenueAmt |
| CY Total Revenue | $20,431,699 | 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 | $10,036,225 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,266,662 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $11,724,393 | PYOtherExpensesAmt |
| CY Other Expenses | $11,321,735 | CYOtherExpensesAmt |
| PY Total Expenses | $21,760,618 | PYTotalExpensesAmt |
| CY Total Expenses | $20,588,397 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,581,505 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$156,698 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $14,981,565 | TotalAssetsBOYAmt |
| Total Assets EOY | $13,733,635 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $6,626,413 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,549,416 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $8,355,152 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $8,184,219 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE SPIRITUAL, PHYSICAL AND MENTAL WELL-BEING OF OUR PATIENTS AND RESIDENTS IS OUR PRIMARY CONCERN. EXCELLENCE IN HEALTHCARE IS OUR TRADITION. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $18,440,226 | ExpenseAmt |
| Revenue | $20,184,307 | RevenueAmt |
| Desc | WINNER REGIONAL HEALTHCARE CENTER, A 25-BED CRITICAL ACCESS HOSPITAL AND 79 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 1,626 ACUTE PATIENT DAYS; 1,157 SWING BED PATIENT DAYS; 341 NEWBORN PATIENT DAYS; 24,931 RESIDENT DAYS; 3,282 HOME HEALTH VISITS; 15,042 RURAL HEALTH CLINIC VISITS; 348 OBSERVATION DAYS; AND 60 LABOR AND DELIVERY DAYS. | Desc |
| Total Program Service Expenses | $18,440,226 | 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 | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | 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 | 40 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 290 | 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 |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 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 | |
| MICK ROWE | |||||||
| PRESIDENT (LEFT SEPT 2014) | 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 | 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) | $243,092 | $0 | $57,014 | ||
| REBECCA LITTAU | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BETSY PRAVECEK | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DR GREGG TOBIN | |||||||
| DIRECTOR,SURGEON (LEFT MAR 2014) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ALICE DAUGHTERS | |||||||
| DIRECTOR (LEFT APRIL 2014) | 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 | $153,173 | $0 | $38,598 | Yes (X) | ||
| MARLA HAYES | |||||||
| PHARMACIST | 40.00 | $132,934 | $0 | $3,028 | Yes (X) | ||
| BECKY OLSON | |||||||
| CNP | 50.00 | $127,180 | $0 | $11,826 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $656,379 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $110,466 | 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 |
|---|---|---|---|---|---|
| SANFORD HEALTH NETWORK | |||||
| 1305 W 18TH ST | SIOUX FALLS | SD | 57117 | MGMT FEES/SALARY REIMB/IT SUPPORT | $379,597 |
| WINNER PHYSICAL THERAPY | |||||
| PO BOX 435 | WINNER | SD | 57580 | THERAPY | $292,627 |
| RURAL ANESTHESIA SERVICES | |||||
| PO BOX 246 | GREGORY | SD | 57528 | ANESTHESIA SERVICES | $202,300 |
| GREGG TOBIN | |||||
| 825 EAST 8TH ST | WINNER | SD | 57580 | ER COVERAGE AND SCOPE RENTAL | $189,412 |
| MEDICAL IMAGING INC | |||||
| 825 EAST 8TH ST | WINNER | SD | 55402 | IMAGING | $174,134 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $114,052 | GovernmentGrantsAmt |
| All Other Contributions | $87,675 | AllOtherContributionsAmt |
| Total Contributions | $201,727 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT AND RESIDENT SERVICE REVE | 622110 | $19,621,177 | $19,621,177 |
| OTHER REVENUE | 900099 | $300,880 | $300,880 |
| MEDICAID EMR INCENTIVE | 900099 | $262,250 | $262,250 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $20,184,307 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,146 | TotalRevenueColumnAmt |
| Exclusion | $23,146 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $22,519 | 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 | $22,519 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,519 | TotalRevenueColumnAmt |
| Exclusion | $22,519 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,431,699 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $20,184,307 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $45,665 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,317,632 | TotalAmt |
| Program Services | $6,852,667 | ProgramServicesAmt |
| Management And General | $464,965 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $133,979 | TotalAmt |
| Program Services | $128,052 | ProgramServicesAmt |
| Management And General | $5,927 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,284,085 | TotalAmt |
| Program Services | $1,173,083 | ProgramServicesAmt |
| Management And General | $111,002 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $530,966 | TotalAmt |
| Program Services | $499,576 | ProgramServicesAmt |
| Management And General | $31,390 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $286,515 | TotalAmt |
| Management And General | $286,515 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,768 | TotalAmt |
| Management And General | $28,768 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,283 | TotalAmt |
| Management And General | $73,283 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,775,002 | TotalAmt |
| Program Services | $4,359,461 | ProgramServicesAmt |
| Management And General | $415,541 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $137,053 | TotalAmt |
| Program Services | $27,000 | ProgramServicesAmt |
| Management And General | $110,053 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $284,041 | TotalAmt |
| Program Services | $242,031 | ProgramServicesAmt |
| Management And General | $42,010 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $326,102 | TotalAmt |
| Program Services | $36,482 | ProgramServicesAmt |
| Management And General | $289,620 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $697,830 | TotalAmt |
| Program Services | $697,830 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,935 | TotalAmt |
| Program Services | $35,935 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,597 | TotalAmt |
| Program Services | $47,107 | ProgramServicesAmt |
| Management And General | $10,490 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $205,610 | TotalAmt |
| Program Services | $166,830 | ProgramServicesAmt |
| Management And General | $38,780 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,171,976 | TotalAmt |
| Program Services | $1,171,976 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $147,404 | TotalAmt |
| Management And General | $147,404 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $1,783,120 | $1,783,120 | |
| BAD DEBTS | $824,061 | $824,061 | |
| FOOD | $299,305 | $299,305 | |
| EQUIPMENT & MAINTENANCE | $75,023 | $73,148 | $1,875 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,110 | TotalAmt |
| Program Services | $22,562 | ProgramServicesAmt |
| Management And General | $90,548 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,588,397 | TotalAmt |
| Program Services | $18,440,226 | ProgramServicesAmt |
| Management And General | $2,148,171 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,232,762 | BOYAmt |
| EOY | $5,827,717 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,079,795 | BOYAmt |
| EOY | $2,956,496 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $85,450 | BOYAmt |
| EOY | $80,832 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $507,363 | BOYAmt |
| EOY | $468,708 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $22,807 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $16,440,943 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $12,422,981 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,626,779 | BOYAmt |
| EOY | $4,017,962 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $228,463 | BOYAmt |
| EOY | $214,228 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,396 | BOYAmt |
| EOY | $8,207 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $190,557 | BOYAmt |
| EOY | $136,678 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,981,565 | BOYAmt |
| EOY | $13,733,635 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,705,308 | BOYAmt |
| EOY | $1,978,256 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,175,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,939 | BOYAmt |
| EOY | $11,199 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,031,058 | BOYAmt |
| EOY | $3,559,961 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $707,108 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,626,413 | BOYAmt |
| EOY | $5,549,416 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,126,689 | BOYAmt |
| EOY | $7,969,991 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $228,463 | BOYAmt |
| EOY | $214,228 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,355,152 | BOYAmt |
| EOY | $8,184,219 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,981,565 | BOYAmt |
| EOY | $13,733,635 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$156,698 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$14,235 | 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 | $920 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $920 | 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 | $10,689,927 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,041,910 | DepreciationAmt |
| Book Value | $2,648,017 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,190,398 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,985,425 | DepreciationAmt |
| Book Value | $1,204,973 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $535,980 | OtherCostOrOtherBasisAmt |
| Depreciation | $395,646 | DepreciationAmt |
| Book Value | $140,334 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,017,962 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $19,607,638 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$824,061 | OtherRevenueAmt |
| Revenue Not Reported | -$824,061 | RevenueNotReportedAmt |
| Revenue Subtotal | $20,431,699 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $20,431,699 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $19,764,336 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $19,764,336 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $824,061 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $824,061 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $20,588,397 | 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. THE CENTER'S FEDERAL FORM 990T FILINGS ARE NO LONGER SUBJECT TO FEDERAL TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2011. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBTS -824,061. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBTS 824,061. |
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 | $192,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $192,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00970 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,757,323 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,583,876 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $173,447 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00880 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,949,323 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,583,876 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $365,447 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01850 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,185 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,160 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,025 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,067 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $25,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $67 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,215,482 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,926,885 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,288,597 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.21700 | 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 | 0.00610 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,364,734 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,953,069 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,411,665 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.22330 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,314,057 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,536,945 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,777,112 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.24180 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,984 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,091 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,893 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,064 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,064 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,712 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,712 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $32,760 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,091 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $21,669 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $824,061 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $82,406 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $4,599,490 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $4,622,598 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$23,108 | 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 |
| 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 HOSPITAL HAS RECRUITED A FAMILY PRACTICE PHYSICIAN AND CERTIFIED NURSE PRACTITIONER FOR THE FAMILY PRACTICE CLINIC ON LOCATION. IN ADDITION A SPECIALTY OBGYN OUTREACH PHYSICIAN HAS BEEN BROUGHT ON STAFF. THE FACILITY IS ACTIVELY RECRUITING A SEDATION DENTIST, ORTHOPEDIC SURGEON, UROLOGIST, AND ONCOLOGIST. PATIENT VISITS PER CLINIC PROVIDER HAVE INCREASE FROM 1,228 IN 2013 TO 1,324 IN 2014. PRIORITIES 2 AND 3 ARE EMPLOYEE-BASED WELLNESS PROGRAM AND EVALUATE CHRONIC HEALTH ISSUES IN THE COMMUNITY. A COORDINATOR WAS ASSIGNED TO EACH OF THESE ASSESSMENTS. DUE TO CHANGEOVER IN KEY POSITIONS (HR, CNO, CLINIC DIRECTOR AND DON) SOME OF THE GROUND LAYING HAS NOT STARTED. DIABETES SCREENING IN TRIPP COUNTY IS HIGHER THAN BOTH NATIONAL AND STATE BENCHMARKS, 89% AND 83%, RESPECTIVELY. ADULT OBESITY IS BETWEEN 30 AND 33.9% IN TRIPP COUNTY. AS A RESULT OF THE TWO FACTORS, WHICH HAVE A TENDENCY TO GO HAND-IN-HAND, THESE TWO TARGET AREAS WILL BE FOCUSED ON IN THE NEXT THREE YEARS. |
| 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: 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 | 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 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, 7F 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 $824,061 WAS SUBTRACTED FROM TOTAL OPERATING EXPENSE. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | WRHC IS VERY INVOLVED WITH THE WINNER CHAMBER OF COMMERCE AND PARTICIPATES IN THEIR ACTIVITIES AND MEETINGS. THE WINNER SCHOOL DISTRICT IS ALSO A PARTNER WITH WRHC AND OUR FACILITY SUPPORTS THE SCHOOL DISTRICT IN MANY WAYS. THE FACILITY ALSO SUPPORTS THE WINNER SCHOOL DISTRICT, COLOME SCHOOL DISTRICT, WHITE RIVER SCHOOL DISTRICT AND THE MISSION SCHOOL DISTRICT WITH THEIR FUND-RAISERS AND SEVERAL EVENTS. THIS YEAR EMPLOYEES HELD A BACK-TO-SCHOOL SUPPLY DRIVE FOR LOCAL SCHOOL DISTRICTS AND EMPLOYEES BROUGHT IN OVER 400 ITEMS FOR CHILDREN IN NEED. WRHC ALSO HELD A BOXED/CANNED FOOD DRIVE LAST FALL, AND BROUGHT IN OVER 200 POUNDS OF FOOD FOR THE WINNER FOOD PANTRY. EMPLOYEES ARE INVOLVED IN PHILANTHROPIC GROUPS SUCH AS ROTARY, THE PINK POSSE (AREA BREAST CANCER SUPPORT GROUP) AND WRHC IS A CORPORATE SPONSOR AND SUPPORTS THE LOCAL AMERICAN CANCER SOCIETY RELAY FOR LIFE. OUR EMPLOYEES ARE OFFERED THE OPPORTUNITY TO VOLUNTEER IN THE COMMUNITY THROUGH MANY DIFFERENT VENUES. WE HELD A BACK-TO-SCHOOL SUPPLY DRIVE AND A FOOD DRIVE. WRHC HELD A COMMUNITY WIDE EASTER EGG HUNT LAST APRIL, WITH ALL THE WORKERS BEING EMPLOYEES OF WRHC. OVER 500 COMMUNITY MEMBERS (MOSTLY CHILDREN) ENJOYED THE EASTER EGG HUNT AND THE OPPORTUNITY TO SPEAK AND PLAY WITH THE HOSPITAL EMPLOYEES DURING THE EVENT. THE HOSPITAL BRINGS A LABOR DAY ROAD RACE TO WINNER EVERY LABOR DAY. THIS EVENT, HELD TO PROMOTE WELLNESS IN THE COMMUNITY, ANNUALLY HAS ABOUT 100 RUNNERS/WALKERS EVERY YEAR, AND IS RUN BY WRHC EMPLOYEE VOLUNTEERS. EMPLOYEES WORK WITHIN THE COMMUNITY AS JUNIOR ACHIEVEMENT VOLUNTEERS (TEACHING SCHOOL AGE CHILDREN TO BE LEADERS IN THEIR COMMUNITY), PINK POSSE AND SISTERS AND SURVIVORS (BOTH BREAST CANCER SUPPORT GROUPS), ROTARY, WINNER QUARTERBACK CLUB (YOUTH SPORTS VOLUNTEER GROUP) 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 10% 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 12/31/2014. THE ENTIRE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT. THE SHORTFALL IS THE DIRECT RESULT OF SEQUESTRATION ENACTMENTS PUT IN PLACE BY THE FEDERAL GOVERNMENT. |
| PART III, LINE 9B: | 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 UPDATED THE X-RAY MACHINE TO PROVIDE HIGH QUALITY, STATE OF THE ART X-RAYS FOR PHYSICIANS TO REVIEW AND ANALYZE. THE HOSPITAL ALSO PURCHASED AN INFANT MONITORING SYSTEM THAT PROVIDES ADDITIONAL SAFETY FOR INFANTS DURING THEIR STAY AT WINNER REGIONAL AND NEW VITAL SIGNS MONITORS. THE EASE OF USE OF THE MONITORS ALLOWS THE STAFF TO FOCUS ON PATIENT SAFETY AND COMFORT. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| 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 (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DR TONY L BERG | ||||||||||||||
| DIRECTOR, FAMILY PRACTICE | $243,092 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $57,014 | $0 | $300,106 | $0 | $0 | $0 |
| RHONDA JORGENSEN | ||||||||||||||
| CRNA | $153,173 | $0 | $0 | $0 | $0 | $0 | $5,327 | $0 | $33,428 | $0 | $191,928 | $0 | $0 | $0 |
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 O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | SANFORD HEALTH NETWORK, A MANAGEMENT COMPANY, MANAGES THE FACILITY. THE CEO, CFO, CNO 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 $157,039 AND $22,546 RESPECTIVELY, AND COMPENSATION AND BENEFITS FOR THE CFO WERE $80,031 AND $25,042 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 2014 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 IX, LINE 11G | SERVICE CONTRACTS : PROGRAM SERVICE EXPENSES 228,519. MANAGEMENT AND GENERAL EXPENSES 102,156. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 330,675. OUTSIDE MEDICAL SERVICES : PROGRAM SERVICE EXPENSES 431,497. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 431,497. PURCHASED STAFFING : PROGRAM SERVICE EXPENSES 2,134,746. MANAGEMENT AND GENERAL EXPENSES 227,673. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,362,419. CONTRACT PHYSICIANS : PROGRAM SERVICE EXPENSES 1,533,469. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,533,469. CONSULTING AND OTHER : PROGRAM SERVICE EXPENSES 31,230. MANAGEMENT AND GENERAL EXPENSES 85,712. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 116,942. |
| FORM 990, PART XI, LINE 9: | CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION -14,235. |
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