2025-11-03T10:04:56-06:00 2024-12-31 450250958 EIDE BAILLY LLP 345 N REID PL STE 400 SIOUX FALLS SD 571037034 990 2024-01-01 460232450 FREEMAN REGIONAL HEALTH SERVICES FREE 6059254000 PO BOX 370 FREEMAN SD 57029 COURTNEY UNRUH CEO 6059254000 2025-10-31 1 1 LAURIE HANSON CPA P00851848 6053391999 2025-10-31 2024 2025-03-06 01:10:19Z COURTNEY UNRUH PO BOX 370 FREEMAN SD 57029 19534318 0 X WWW.FREEMANREGIONAL.COM X 1944 SD PROVIDE ACCESSIBLE, COMMUNITY BASED QUALITY CARE THAT IS COMPETENT, CREATIVE AND COMPASSIONATE. 9 9 259 14 0 0 2322260 209202 17516020 18664421 396975 281899 192475 264589 20427730 19420111 0 0 0 0 9539195 10160559 0 0 1464 7214097 7618311 16753292 17778870 3674438 1641241 23866310 25669697 1652938 1531020 22213372 24138677 THE MISSION OF FREEMAN REGIONAL HEALTH SERVICES IS TO PROVIDE ACCESSIBLE, COMMUNITY-BASED QUALITY CARE THAT IS COMPETENT, CREATIVE AND COMPASSIONATE. 0 0 15955724 18664421 FRHS IS COMPRISED OF A 45 BED NURSING HOME, 52 UNIT ASSISTED LIVING FACILITY, A SENIOR HOUSING FACILITY, PHYSICIAN CLINICS , AND A 25 BED CRITICAL ACCESS HOSPITAL WITH A 24/7 EMERGENCY ROOM LOCATED IN FREEMAN, SD. THE EMERGENCY ROOM HAS LOCAL PROVIDERS ON CALL AND TELEMEDICINE CAPABILITIES WITH A REGIONAL TRAMA CENTER. THE FACILITY HAD 779 ER VISITS. SURGERIES=119 HOSPITAL ACUTE PATIENT DAYS= 397, SWING BED DAYS= 531, NURSING HOME RESIDENT DAYS= 14,241 AND ASSISTED LIVING=10,174. 15955724 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 46 0 1 259 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 X X PHIL HUSHER 6059254000 510 EAST 8TH STREET FREEMAN SD 57029 LORI UECKER PRESIDENT 2.00 X X 0 0 0 STEVE FUHRMANN VICE PRESIDENT 2.00 X X 0 0 0 CYNTHIA MUTCHELKNAUS SECRETARY 2.00 X X 0 0 0 JASON AANENSON TREASURER 2.00 X X 0 0 0 CAMERON BECKER TRUSTEE 2.00 X 0 0 0 JAMES JULSON TRUSTEE 2.00 X 0 0 0 GLENN ROTH TRUSTEE 2.00 X 0 0 0 STEVE SCHMEICHEL TRUSTEE 2.00 X 0 0 0 SHANE VETCH TRUSTEE 2.00 X 0 0 0 COURTNEY UNRUH CEO 40.00 X 166889 0 35696 PHILLIP HUSHER CFO 40.00 X 141836 0 17475 ANTHONY MILLER THERAPY MANAGER 40.00 X 137164 0 6858 AMBER SCHIPPER RN 2.00 X 163526 0 8176 609415 0 68205 4 0 1 0 AVERA MCKENNAN HOSPITAL PO BOX 5045 SIOUX FALLS SD 57117 PHYSICIAN SERVICES 2340279 AVERA HEALTH 3900 W AVERA DR SIOUX FALLS SD 57108 FACILITY CONTRACTS/EDUCATION 353962 AVERA SACRED HEART HOSPITAL 501 SUMMIT YANKTON SD 57078 IT SUPPORT 153872 AVEL ECARE LLC PO BOX 950505 ST LOUIS MO 63195 ER VIRTUAL DOCTOR 145568 EIDE BAILLY PO BOX 5125 SIOUX FALLS SD 57117 ACCOUNTING SERVICES 140807 16 18055 96821 94326 209202 PATIENT SERVICE REVENUE 621110 17082821 17082821 PHARMACY 621400 1131640 1131640 COLLABORATIVE ARRANGEMENT 621300 387754 387754 MEALS ON WHEELS 624210 27375 27375 34831 34831 18664421 281899 281899 273928 96984 176944 176944 176944 104868 18055 17223 87645 87645 19420111 18664421 0 546488 X 364989 364989 7795116 7453939 341177 253709 247733 5976 1159218 1037035 122183 587527 539662 47865 6435 6435 124660 124660 3789284 3185890 603394 24647 12773 11428 446 609223 597483 11472 268 235783 235783 15511 10212 5299 41658 28158 13500 618 618 766037 723752 42285 121066 116969 4097 MEDICAL SUPPLIES 1369802 1369802 EQUIPMENT RENTAL AND MA 248858 245078 3780 EMPLOYEE RECOGNITION 37723 8632 29091 227006 142205 84051 750 17778870 15955724 1821682 1464 6680484 8217657 2054570 1807665 169052 177499 162904 111483 16864315 10199659 7500370 6664656 5890292 7155787 1082710 1164342 325928 370608 23866310 25669697 1021525 1056585 2275 2275 154456 102252 3098 2988 471584 366920 1652938 1531020 X 21635982 23500373 577390 638304 22213372 24138677 23866310 25669697 X 1641241 126666 157398 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 1316914 1316914 9456368 6344933 3111435 5679285 3553682 2125603 411748 301044 110704 6664656 APARTMENT DEPOSITS 297765 OPERATING LEASE LIABILITY 69155 366920 X 19801159 126666 157398 284064 19517095 -96984 -96984 19420111 17875854 96984 96984 17778870 0 17778870 PART IV, LINE 2B: FREEMAN REGIONAL HOLDS ACCOUNTS ON BEHALF OF THE LONG-TERM CARE RESIDENTS. PART X, LINE 2: THE FACILITY 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 FACILITY 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: CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 157,398. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES RECLASSIFIED -96,984. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES RECLASSIFIED 96,984. GALA 95956 15318 80638 725 5298 775 5261 GOLF 26967 2737 24230 1800 1387 1977 122923 18055 104868 2525 6685 775 7238 17223 87645 1 1 X 1 X 1 X 1 1 1 0 0 128000 128000 0.00720 128000 128000 0.00720 6681723 5012998 1668725 0.09390 6681723 5012998 1668725 0.09390 6809723 5012998 1796725 0.10110 1 247122 21327 3925266 3940467 -15201 X 1 1 1 1 FREEMAN REGIONAL HEALTH SERVICES PO BOX 370 FREEMAN SD 57029 WWW.FREEMANREGIONAL.COM 10541 X X X X 3 RURAL HEALTH CLINICS FREEMAN REGIONAL HEALTH SERVICES 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X SEE LINE 7D X X 1 22 1 SEE LINE 7D 0 1 X 150.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X HTTPS://WWW.FREEMANREGIONAL.COM/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.FREEMANREGIONAL.COM/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.FREEMANREGIONAL.COM/FINANCIAL-ASSISTANCE/ X X X X X X 1 X 0 X X X X 1 X 0 0 FREEMAN REGIONAL HEALTH SERVICES PART V, SECTION B, LINE 5: THE FOCUS GROUPS UTILIZED FOR THE CHNA WERE COMPRISED OF INVITED COMMUNITY/SERVICE AREA RESIDENTS WHO WERE SELECTED BASED ON OBTAINING AN ADEQUATE CROSS SECTION OF AGE, GENDER AND OCCUPATION. OTHER CRITERIA CONSIDERED DURING THE PROCESS WERE FINDING INDIVIDUALS THAT REPRESENTED TWO MAIN GROUPS: RETIRED SENIORS AND WORKING ADULTS, AND THE BROAD INTEREST OF OUR SERVICE AREA. THE GROUPS HAD KNOWLEDGE OF AND PROVIDED INPUT ON COMMUNITY HEALTH AND MEDICALLY UNDERSERVED OR LOW-INCOME INDIVIDUALS IN THE SERVICE AREA. THESE GROUPS WERE ALSO KEPT TO A REASONABLE NUMBER TO FACILITATE DISCUSSION. THIS PROCESS WAS FACILITATED WITH THE ASSISTANCE OF A COMMUNITY DEVELOPMENT SPECIALIST WITH THE SOUTH DAKOTA PLANNING AND DEVELOPMENT DISTRICT III. FREEMAN REGIONAL HEALTH SERVICES PART V, SECTION B, LINE 7D: WWW.FREEMANREGIONAL.COM/COMMUNITY-NEEDS/ FREEMAN REGIONAL HEALTH SERVICES PART V, SECTION B, LINE 11: FRHS CONDUCTED A CHNA IN 2022 AND IDENTIFIED THE FOLLOWING NEEDS: ACCESS TO HEALTH CARE SERVICES AND COMMUNITY EDUCATION, AND MENTAL HEALTH SERVICES. FRHS WILL FOCUS ON ACCESS TO HEALTH CARE SERVICES AND COMMUNITY EDUCATION. FRHS WILL NOT DIRECTLY FOCUS ON MENTAL HEALTH SERVICES BUT WILL WORK IN PARTNERSHIP WITH OTHER ORGANIZATIONS IN THIS AREA.THE FOLLOWING ACTIONS WERE TAKEN TO ADDRESS THE IDENTIFIED NEEDS IN 2024:ACCESS TO HEALTH CARE SERVICES FREEMAN REGIONAL HEALTH SERVICES RECOGNIZES THE CHANGING DYNAMICS OF THE DIVERSE POPULATION WITHIN OUR SERVICE AREA. WE REMAIN COMMITTED TO PROVIDING SERVICES AIMED DIRECTLY AT MEETING THE CHANGING NEEDS OF THE COMMUNITIES WE SERVE, INCLUDING PROVIDING THE AREA WITH A FULL CONTINUUM OF CARE THROUGH THE INDEPENDENT LIVING, ASSISTED LIVING, NURSING HOME, 4 CLINICS AND A HOSPITAL WITH ER, AND STRATEGICALLY PLANNING FUTURE PROJECTS.THE MISSION OF FRHS IS TO PROVIDE ACCESSIBLE, COMMUNITY-BASED QUALITY CARE THAT IS COMPETENT, CREATIVE, AND COMPASSIONATE. TO MEET THESE NEEDS, FRHS COMPLETED THE FOLLOWING:-CONTINUED TO RECRUIT AND EMPLOY QUALITY PROVIDERS WHO ARE COMPETENT AND COMPASSIONATE TO MEET THE HEALTH CARE NEEDS OF THOSE WITHIN OUR SERVICE AREA.-PURCHASED A DEXA MACHINE FOR EXPANDING SERVICES TO DIAGNOSE AND MONITOR BONE HEALTH CONCERNS. -PURCHASED ADDITIONAL EQUIPMENT FOR OUR SURGICAL AREA TO ENSURE THE LATEST TECHNOLOGY FOR BEST PATIENT OUTCOMES. -STARTED PLANET HEART.-STARTED TO PROVIDE WEIGHT LOSS SERVICES THROUGH OUR CLINICS. -IN ADDITION TO THE TWO PHYSICIANS, ONE PHYSICIAN ASSISTANT, ONE CERTIFIED NURSE PRACTITIONER, THE FACILITY ALSO HIRED ANOTHER FULL-TIME AND PART-TIME CERTIFIED NURSE PRACTITIONER TO PROVIDE A CONTINUUM OF CARE IN THE HOSPITAL. THESE PROVIDERS MEET REGULARLY TO REVIEW THE SERVICES THEY PROVIDE AND ADJUST SERVICES AS NEEDED TO MEET THE NEEDS OF THE FREEMAN AREA RURAL COMMUNITIES. -FOOT CLINIC OFFERED IN FREEMAN, MARION, BRIDGEWATER, AND MENNO.-DENTAL SERVICES OFFERED WITHIN THE NURSING HOME. -PROVIDE PRIMARY SERVICES AND OUTREACH PROVIDERS THAT ARE APPROPRIATE FOR OUR RURAL SETTING.-BROUGHT IN ADDITIONAL EDUCATION ON MENTAL HEALTH AND MENTAL HEALTH REFERRALS TO OUR PROVIDERS.FRHS RECOGNIZES THE INCREASING DIFFICULTY IN FINDING THE RESOURCES REQUIRED TO STAFF THE VARIOUS DEPARTMENTS OF THE HOSPITAL, CLINIC, AND NURSING HOME. TO MEET THESE NEEDS FRHS COMPLETED THE FOLLOWING: -CONTINUED TO WORK WITH LOCAL SCHOOLS, COLLEGES AND CHURCHES TO PROMOTE AN INTEREST IN HEALTHCARE CAREERS.-PARTNERED WITH LAKE AREA TECH, DEPARTMENT OF LABOR, AND FREEMAN HIGH SCHOOL TO PROMOTE AN APPRENTICESHIP PROGRAM FOR STUDENTS. -PARTNERED WITH THE CITY ON HAVING A BOOTH AT THE SCHOOL FOR FRHS AND HAVING STUDENTS EXPERIENCE HEALTH CARE.-PARTNERED WITH USD ON HRSA GRANT OPPORTUNITY FOR THE WORKFORCE EXPANSION PROGRAM.-ATTENDED JOB FAIRS (UNIVERSITY OF SOUTH DAKOTA, MITCHELL TECH, SOUTHEAST TECH) TO HELP RECRUIT NEW NURSING GRADUATES AND ASSIST WITH UTILIZING THE RURAL HEALTH GRANT OR BUILD DAKOTA TO HELP THEM RETURN TO SCHOOL FOR FURTHER EDUCATION. -WORKED WITH THE BOARD OF NURSING ON THE NURSE INTERN PROGRAM TO ALLOW STUDENTS TO EXPERIENCE RURAL HEALTH CARE IN FREEMAN. -PROMOTED SERVICES THROUGH AVERA HEALTH, LOCAL NEWSPAPERS, AND SOCIAL MEDIA, AS WELL AS WITHIN THE OUTREACH PROVIDERS THAT VISIT FRHS. -PARTNERED WITH LOCAL HIGH SCHOOL SENIORS ON THEIR SENIOR PROJECTS AND INTERNSHIPS THROUGHOUT THE YEAR IN DIFFERENT DEPARTMENTS.FREEMAN REGIONAL HEALTH SERVICES RECOGNIZES THE IMPORTANCE OF COMMUNITY OUTREACH AND THE VALUE OUR ORGANIZATION AND ITS EMPLOYEES BRING TO THE COMMUNITY. TO PROMOTE COMMUNITY OUTREACH (EDUCATION) AND VOLUNTEERISM, FRHS COMPLETED THE FOLLOWING:- PARTICIPATED IN THE CAREER HERE FAIR AT THE LOCAL SCHOOL - ULTRASOUND AND INJECTIONS FOR STUDENTS TO DO. - PROMOTED DONATING BLOOD.- PROMOTED HEALTHY EATING FOR KIDS DURING "EVERY KID HEALTHY WEEK"- BABYSITTING CLINIC/AED TRAINING TO COMMUNITY MEMBERS (CHILDREN WAS A MAJOR POINT OF REACH OUT).- TURNER COUNTY FAIR (EDUCATED THE COMMUNITY ON SAFE SLEEP/SAFE AT HOME/BABYSITTING CLINICS).- COMMUNITY TRICK OR TREAT SCAVENGER HUNT (SAFETY EDUCATION). FREEMAN REGIONAL HEALTH SERVICES PART V, SECTION B, LINE 13H: THE FACILITY MAY USE PRESUMPTIVE ELIGIBILITY IF ALL OTHER AVENUES HAVE BEEN EXHAUSTED. FREEMAN REGIONAL HEALTH SERVICES PART V, SECTION B, LINE 24: THE HOSPITAL FINANCIAL ASSISTANCE POLICY DOES NOT COVER ELECTIVE PROCEDURES. THE HOSPITAL MAY HAVE CHARGED FAP ELIGIBLE PATIENTS GROSS CHARGES FOR SERVICES THAT ARE NOT COVERED UNDER THE FINANCIAL ASSISTANCE POLICY. 2 1 - OAKVIEW TERRACE 510 E 8TH STREET FREEMAN SD 57029 LONG TERM CARE FACILITY 5 - FREEMAN REGIONAL ASSISTED LIVING 106 W 7TH ST FREEMAN SD 57029 ASSISTED LIVING PART I, LINE 3C: FREEMAN REGIONAL HEALTH SERVICES (FRHS) REQUIRES THAT THE PATIENT COMPLETE A FINANCIAL ASSISTANCE APPLICATION SHOWING HIS/HER INCOME AND EXPENSES. THE APPLICATION IS REVIEWED TO SEE WHAT FUNDS AND ASSETS THE PATIENT HAS AND WHETHER THE PATIENT HAS THE RESOURCES TO PAY HIS/HER MEDICAL BILLS. FOR SOME PATIENTS, FRHS USES DOCUMENTATION FROM OTHER GOVERNMENT BASED AGENCIES OF THE PATIENT'S FINANCIAL SITUATION AND RESOURCES AS A WAY TO HELP DETERMINE THE PATIENT'S FINANCIAL SITUATION. THE CHIEF FINANCIAL OFFICER REVIEWS ALL APPLICATIONS AND MAKES THE DETERMINATION OF ASSISTANCE OFFERED.THE FACILITY MAY USE PRESUMPTIVE ELIGIBILITY IF ALL OTHER AVENUES HAVE BEEN EXHAUSTED. PART I, LINE 7: CHARITY CARE EXPENSE WAS CONVERTED TO COST ON LINE 7A BASED ON AN OVERALL COST-TO-CHARGE RATIO ADDRESSING ALL PATIENT SEGMENTS. LINE 7G WAS OBTAINED FROM THE MEDICAID AND MEDICARE COST REPORTS, RESPECTIVELY. PART III, LINE 2: THE AMOUNT ON LINE 2 REPRESENTS IMPLICIT PRICE CONCESSIONS. THE ORGANIZATION DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSION BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH THIS CLASS OF PATIENTS. PART III, LINE 3: THE ESTIMATED AMOUNT OF THE ORGANIZATION'S IMPLICIT PRICE CONCESSIONS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS CALCULATED BASED ON THE PERCENTAGE OF INDIVIDUALS LIVING BELOW THE POVERTY LEVEL IN 2024. 8.63% CAN REASONABLY BE CONSIDERED A COMMUNITY BENEFIT AS IT WOULD HAVE BEEN WRITTEN OFF TO CHARITY CARE. PART III, LINE 4: THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES IMPLICIT PRICE CONCESSIONS IS LOCATED IN THE AUDITED FINANCIAL STATEMENT REPORT ON PAGES 14-15. PART III, LINE 8: MEDICARE ALLOWABLE COSTS OF CARE WAS CALCULATED FROM THE MEDICARE COST REPORT FOR FISCAL YEAR ENDING 12/31/2024. MEDICAL SERVICES ARE PROVIDED TO PATIENTS WITH MEDICARE COVERAGE REGARDLESS OF WHETHER OR NOT A SURPLUS OR DEFICIT IS REALIZED. PROVIDING MEDICARE SERVICES PROMOTES ACCESS TO HEALTHCARE SERVICES WHICH ARE VITALLY NEEDED BY OUR COMMUNITY.THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES.HOSPITAL SERVICES REIMBURSED ON A FEE SCHEDULE ARE NOT INCLUDED IN THE MEDICARE CALCULATION PER THE 990 INSTRUCTIONS. HAD THIS BEEN REPORTED THE HOSPITAL WOULD HAVE HAD A GREATER SURPLUS FROM MEDICARE SERVICES OF $9,470.MEDICARE FEE SCHEDULE REVENUE: $307,316MEDICARE ESTIMATED COSTS OF CARE RELATING TO PAYMENTS $(297,846)NET (SHORTAGE) $9,470 PART III, LINE 9B: 30-DAY NOTICE- OUR STATEMENTS INCLUDING THE FIRST STATEMENT HAVE A CHARITY CARE/FINANCIAL ASSISTANCE WEB SITE LISTED AT THE BOTTOM. THE SITE PROVIDES THE FINANCIAL ASSISTANCE POLICY AND FOLLOWS THE 30-DAY NOTICE GUIDELINES. 120-DAY NOTICE-FREEMAN REGIONAL DOES NOT INITIATE ANY ECA'S UNTIL AFTER THE 4TH MONTHLY STATEMENT. 240-DAY NOTICE-IF THE APPLICATION IS COMPLETE, WE DECIDE BY 240 DAYS. IF THE DETERMINATION IS AVERSE A 30-DAY NOTICE IS AGAIN GIVEN OUT. IF AN ACCOUNT IS DETERMINED TO QUALIFY FOR FAP WHEN IT IS IN COLLECTION, THE ACCOUNT IS RETURNED TO THE HOSPITAL AND COLLECTION EFFORTS CEASE. PART VI, LINE 2: ON A QUARTERLY BASIS, FREEMAN REGIONAL HEALTH SERVICES (FRHS) MEETS WITH THE MEDICAL STAFF TO DISCUSS OPERATIONS AND ANY SUGGESTIONS THEY MAY HAVE ON SERVICES PROVIDED BY FRHS AND THE NEEDS OF THE COMMUNITY. FRHS HAS A MONTHLY DEPARTMENT MANAGER MEETING WHERE THE NEEDS OF THE COMMUNITY AND OTHER ISSUES CAN BE DISCUSSED. COMMUNITY MEMBERS ARE ENCOURAGED TO COME TO THE FACILITY AT ANY TIME TO DISCUSS CONCERNS OR ISSUES WITH THE ADMINISTRATION. IN ADDITION, FRHS PREPARED A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2022. PART VI, LINE 3: FRHS HAS POSTED SIGNAGE ABOUT CHARITY CARE AND FINANCIAL ASSISTANCE PROGRAMS IN ADMISSIONS AREAS, EMERGENCY ROOMS, AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. FRHS ADDRESSES THE FINANCIAL ASSISTANCE PROGRAM AND PROVIDES INFORMATION ON HOW TO APPLY FOR ASSISTANCE AT DISCHARGE AND IN PATIENT BILLS. THE BUSINESS OFFICE AND SOCIAL WORKERS ADVISE PATIENTS ON THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, AND ASSIST THE PATIENT WITH QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE. A NOTICE RELATED TO AVAILABLE CHARITY CARE IS PRINTED AT THE BOTTOM OF ALL SERVICE STATEMENTS. PART VI, LINE 4: FRHS IS A HEALTHCARE FACILITY THAT PRIMARILY SERVES RESIDENTS IN RURAL HUTCHINSON, MCCOOK AND TURNER COUNTIES IN SOUTHEASTERN SOUTH DAKOTA. SERVICE AREA DEMOGRAPHICS JULY 1, 2024 HUTCHINSON MCCOOK TURNER POPULATION 7,427 5,682 8,673 HOUSEHOLDS 3,227 2,467 3,899 AVERAGE HOUSEHOLD SIZE 2.30 2.30 2.22 MEDIAN HOUSEHOLD INCOME $74,459 $80,847 $75,283 % OF POPULATION UNDER 20 27.89% 30.32% 27.60%% OF POPULATION 20-64 50.50% 51.08% 51.82%% OF POPULATION 65+ 21.61% 18.60% 20.58% % OF POPULATION BELOW POVERTY INCOME LEVEL 10.00% 7.40% 8.50%A MAJORITY OF THE EMPLOYERS IN THESE AREAS ARE SMALL EMPLOYERS WHO OFFER LITTLE TO NO EMPLOYEE BENEFITS. OF THE EMPLOYERS WHO DO OFFER HEALTH INSURANCE TO THEIR EMPLOYEES, DEDUCTIBLES AND CO-PAYS HAVE RISEN FROM 300-500% OVER THE PAST 10 YEARS. MANY EMPLOYERS HAVE PASSED THE INCREASE IN HEALTH INSURANCE PREMIUMS TO THEIR EMPLOYEES MAKING PAYING THE HIGHER DEDUCTIBLES AND CO-PAYS VERY DIFFICULT. PART VI, LINE 5: FRHS'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. FRHS EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PROVIDERS IN ITS COMMUNITY AND SURROUNDING AREA. FRHS REINVESTS SURPLUS FUNDS TO IMPROVEMENTS IN PATIENT CARE, INCLUDING BUT NOT LIMITED TO EXPANSION OF SERVICES OFFERED, PATIENT EDUCATION, EMPLOYEE EDUCATION, AND EQUIPMENT AND FACILITY RENOVATIONS. FRHS IS COMPRISED OF A 45 BED NURSING HOME, 52 UNITS ASSISTED LIVING FACILITY, A SENIOR HOUSING FACILITY, PHYSICIAN CLINICS , AND A 25 BED CRITICAL ACCESS HOSPITAL WITH A 24/7 EMERGENCY ROOM LOCATED IN FREEMAN, SD. THE EMERGENCY ROOM HAS LOCAL PROVIDERS ON CALL AND TELEMEDICINE CAPABILITIES WITH A REGIONAL TRAUMA CENTER.FREEMAN REGIONAL HEALTH SERVICES RECOGNIZES THE IMPORTANCE OF COMMUNITY OUTREACH AND THE VALUE OUR ORGANIZATION AND ITS EMPLOYEES BRING TO THE COMMUNITY. TO PROMOTE COMMUNITY OUTREACH AND VOLUNTEERISM, FRHS COMPLETED THE FOLLOWING:-FRHS CONTINUED TO SUPPORT AND ADVOCATE TO ITS EMPLOYEES THE VALUE AND IMPORTANCE OF BEING INVOLVED WITH THEIR COMMUNITIES.-THE ADMINISTRATIVE ASSISTANT SERVES ON THE BOARD OF THE GROWING DREAMS DAYCARE CENTER AND WORKS TO HELP SUPPORT ACTION STEPS TO HELP EXPAND THE DAYCARE.-THE CEO IS A CURRENT MEMBER OF THE FREEMAN COMMUNITY DEVELOPMENT CORPORATION, AN ORGANIZATION DEDICATED TO PROMOTING THE ECONOMIC VITALITY OF THE COMMUNITY AND PROMOTING THE HIGHEST QUALITY OF LIFE FOR RESIDENTS AND THOSE WHO VISIT THE FREEMAN COMMUNITY. -THE CEO IS A CURRENT MEMBER OF FREEMAN COMMUNITY FOUNDATION WHICH OFFERS GRANTS TO NON-PROFITS.-AN EMPLOYEE IS ON CITY COUNCIL.-FRHS SPONSORED A FAMILY FRIENDLY ROOM AT THE SD CHISLIC FESTIVAL IN THE PRAIRIE ARBORETUM INTERPRETIVE CENTER.-PARTICIPATES IN LOCAL COMMUNITY PARADES-PARTICIPATED IN THE MUTTON RUN/WATERFEST TO ENCOURAGE COMMUNITY ACTIVITY. X X 0 0 0 0 0 0 0 0 0 COURTNEY UNRUH CEO 166889 0 0 0 0 0 8761 0 28491 0 204141 0 0 0 AMBER SCHIPPER RN 163526 0 0 0 0 0 8176 0 1279 0 172981 0 0 0 PHILLIP HUSHER CFO 141836 0 0 0 0 0 7236 0 11775 0 160847 0 0 0 A CITY OF FREEMAN 466000164 2006-09-29 750000 TO HELP FINANCE CONGREGATE LIVING UNITS. 0 0 0 A 647748 750000 750000 2006 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 1 0 0 0 0 0 0 A 0 FORM 990, PART VI, SECTION A, LINE 8B FREEMAN REGIONAL HEALTH SERVICES DOES NOT UTILIZE COMMITTEES. FORM 990, PART VI, SECTION B, LINE 11B THE CEO AND CFO REVIEW THE FORM 990 IN DETAIL, IT IS THEN PRESENTED AND REVIEWED BY THE BOARD AT A BOARD MEETING PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C FRHS REQUIRES ANNUAL COMPLIANCE WITH AND DISCLOSURE OF CONFLICTS IN ACCORDANCE WITH THE WRITTEN POLICY. CONFLICTS OF INTEREST OR POTENTIAL CONFLICTS OF INTEREST MUST BE REPORTED TO THE COMPLIANCE OFFICER. IF A CONFLICT IS DEEMED TO EXIST, APPROPRIATE ACTION IS TAKEN SUCH AS A BOARD MEMBER MAY BE REQUIRED TO ABSTAIN FROM DISCUSSION, DELIBERATION, AND VOTING ON THE ISSUE AT HAND. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION IS INITIALLY SET BY THE BOARD AND/OR ADMINISTRATION FOLLOWING A REVIEW AND ASSESSMENT OF THE SDAHO COMPARABILITY STUDY. THE ANNUAL INCREASES ARE SUBJECT TO THE APPROVAL OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST FORM 990, PART IX, LINE 11G COLLECTION FEES: PROGRAM SERVICE EXPENSES 3,452. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,452. PURCHASE OTHER CLINIC: PROGRAM SERVICE EXPENSES 728,164. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 728,164. MEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 811,632. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 811,632. PURCHASE COURIER: PROGRAM SERVICE EXPENSES 16,789. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,789. CONSULTING FEES: PROGRAM SERVICE EXPENSES 18,373. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,373. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,263,337. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,263,337. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 180,831. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 180,831. ULTRASOUND AND MRI CONTRACTS: PROGRAM SERVICE EXPENSES 163,312. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 163,312. PT FINANCIAL SVC COLLECTION FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 32,923. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,923. ADMINISTRATION CONSULTING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 559,407. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 559,407. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 11,064. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,064. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 157,398.