2026-02-09T11:38:34-05:00 2025-05-31 460434947 ELO PROF LLC PO BOX 249 MITCHELL SD 57301 990 2024-06-01 460400557 DOUGLAS COUNTY MEMORIAL HOSPITAL DOUG 6057242159 708 8TH STREET ARMOUR SD 57313 KEVIN COFFEY CFO 6057242159 2026-02-02 true true LUCAS H HAUERT CPA P01980092 6059967717 2026-02-04 2024 2025-03-06 01:10:19Z HEATH BROUWER 12712456 false X WWW.DCMHSD.ORG X PROMOTION OF GENERAL HEALTH CARE AND REHABILITATION SERVICES 5 5 106 6 0 446776 46745 11943033 12268967 289140 351658 107103 45086 12786052 12712456 0 0 6555889 6393640 0 0 5557747 5622886 12113636 12016526 672416 695930 18696271 19282185 3894307 3784291 14801964 15497894 PROMOTION OF GENERAL HEALTH CARE AND REHABILITATION SERVICES false false 10301985 12268967 DOUGLAS COUNTY MEMORIAL HOSPITAL PROVIDES HEALTHCARE SERVICES TO PERSONS IN THE ARMOUR, CORSICA, AND STICKNEY COMMUNITIES. DURING THE FISCAL YEAR ENDED MAY 31, 2025, THE HOSPITAL PROVIDED 377 INPATIENT DAYS, 203 SUBACUTE DAYS, 641 EMERGENCY ROOM VISITS, 11,547 OUTPATIENT VISITS AND 5,300 ASSISTED LIVING DAYS. THE FACILITY PROVIDED 1,376 HOME DELIVERED MEALS TO HOME BOUND COMMUNITY MEMBERS ALONG WITH 2,448 MEALS TO SENIOR MEALS PROGRAM. 10301985 true false false false false false false false false false true true false false true false false false false false false false false false false false true true false false true false false false false false false false false false false false false false false false false false true 41 0 true 106 true false false false false false false false false false false false false false false X 5 5 false false false false false false false true true false false false true true true true true true true false X KEVIN COFFEY CFO 6057242159 708 8TH STREET ARMOUR SD 57313 X MAURICE CHESSMORE PHYSICIAN 40.00 X 407562 0 52459 JENNIFER BIETZ PHYSICIAN AS 40.00 X 166444 0 40739 HEATH BROUWER ADMINISTRATO 40.00 X 167774 0 24590 MARLYS LUEBKE PHYSICIAN 40.00 X 167627 0 10902 NAKAYLA PHEIFER NURSE PRACTI 40.00 X 145051 0 23612 RAMSEY DEHAAN PHARMACIST 40.00 X 149269 0 17075 JOEL BAIER PRESIDENT 1.00 X X 0 0 0 BRAD VANDEN BERG VICE-PRESIDE 1.00 X X 0 0 0 SCOTT HOLBECK TREASURER 1.00 X 0 0 0 JODI SCHRANK SECRETARY 1.00 X X 0 0 0 SAM SCHUMAN MEMBER 1.00 X 0 0 0 1203727 169377 8 false true false CARDINAL PO BOX 70539 CHICAGO IL 60885 MEDICAL SERVICE 2191307 SANFORD HEALTH 2603 EAST BROADWAY AVE BISMARCK ND 58501 MEDICAL SERVICE 723926 INDEPENDENT PHARMACY COOP 1550 COLUMBUS ST SUN PRAIRIE WI 53590 PHARMACY SERV. 389285 DAKOTA DRYWALL PO BOX 78 WESSINGTON SPRINGS SD 57382 CONSTRUCTION 145000 DOCKSIDE 351 OLD GALLATIN ROAD SCOTTSVILLE KY 42164 PHARMACY SERV 129384 5 43745 3000 46745 PATIENT SERVICES 12092039 12092039 OTHER OPERATING REVENUE 107749 107749 ASSISTED LIVING 69179 69179 12268967 351658 351658 UNREALIZED GAIN ON INVESTMENT 45086 45086 45086 12712456 12268967 396744 X 5166257 4348094 818163 234241 189184 45057 568660 460705 107955 424482 366697 57785 5015 5015 61158 61158 1232517 906937 325580 29655 4730 24925 240091 181099 58992 13262 6127 7135 47288 46051 1237 103137 100249 2888 433084 420959 12125 84152 84152 SUPPLIES 3249366 3167379 81987 REPAIRS AND MAINTENANCE 121136 100749 20387 RENT AND LEASES 3025 3025 12016526 10301985 1714541 0 400 673 1886927 2335176 1768441 1194770 220571 157801 528076 571976 141653 137102 11426240 5371556 6099978 6054684 927360 1003635 7009202 7826368 113663 18696271 19282185 908787 862247 2978919 2915443 6601 6601 3894307 3784291 X 14801964 15497894 14801964 15497894 18696271 19282185 X 695930 X false true X true false X 210526 210526 7648514 2787313 4861201 3567200 2584243 982957 6054684 7826368 C 7826368 DEPOSITS - PRAIRIE VILLA 6601 6601 true true true X 1.250000000000 true X true true true false false 85987 85987 0.00720 556400 681583 642387 681583 85987 0.00720 164756 69728 95028 0.00790 164756 69728 95028 0.00790 807143 751311 181015 0.01510 true 645954 138689 9825266 9370058 455208 false 1 1 DOUGLAS COUNTY MEMORIAL HOSPITAL 708 8TH STREET ARMOUR SD 57313 WWW.DCMHSD.ORG LICENSE 10526 X DOUGLAS COUNTY MEMORIAL HOSPITAL 1 false false true X X X X X X X 21 true false false true X WWW.DCMHSD.ORG X true 21 true WWW.DCMHSD.ORG false false true X 125.000000000000 200.000000000000 X X X X true true X X X true X WWW.DCMHSD.ORG X WWW.DCMHSD.ORG X WWW.DCMHSD.ORG X X X X X true X false X X X X true X false false FACILITY 1, DOUGLAS COUNTY MEMORIAL HOSPITAL - PART V, LINE 5 IN CONDUCTING THE CHNA THE HOSPITAL FACILITY RELIED HEAVILY UPON THE KNOWLEDGE OF THE ARMOUR MAYOR, DOUGLAS COUNTY COMMUNITY HEALTH NURSE, DOUGLAS COUNTY COMMISSIONER, ARMOUR HIGH SCHOOL PRINCIPAL, CORSICA HIGH SCHOOL PRINCIPAL, ARMOUR NURSING HOME ADMINISTRATOR, PHYSICIAN ASSISTANT, CORSICA CLINIC NURSE MANAGER, THE CEO, AND CFO OF THE DOUGLAS COUNTY MEMORIAL HOSPITAL. THE HOSPITAL RELIED ON THEIR INPUT AS TO WHAT THE NEEDS OF THE COMMUNITY ARE BASED ON THEIR WORKING KNOWLEDGE OF THE ILLNESSES THAT ARE OCCURRING IN THE DOUGLAS COUNTY. FACILITY 1, DOUGLAS COUNTY MEMORIAL HOSPITAL - PART V, LINE 11 THE HOSPITAL CONDUCTED A CHNA IN THE CURRENT TAX PERIOD. THE PRIORITIES IDENTIFIED IN THE ASSESSMENT WERE: MENTAL HEALTH; SHORTAGE OF DENTAL RESOURCES; WELLNESS; INCREASED ACCESS TO SPECIALTY SERVICES; TRANSPORTATION ISSUES FOR INDIVIDUALS WITH LIMITED MOBILITY; ACCESS TO LONG TERM CARE SERVICES. FOR MENTAL HEALTH THE HOSPITAL IS CONTINUING TO COLLABORATE WITH SANFORD HEALTH TO HAVE DR. EGGERS, WHO IS A PSYCHIATRIST, AVAILABLE TO PROVIDE TELE-MENTAL HEALTH SERVICES TO YOUTH. DCMH IS EXPLORING THE TELE- MENTAL HEALTH SERVICES OPPORTUNITIES BY ADDITIONAL COLLABORATION WITH SANFORD, AVERA, OR ANOTHER PROVIDER OF THESE SERVICES (SUCH AS A LOCAL NURSING HOME). ESPECIALLY TO SOMEONE WHO COULD PROVIDE THIS CARE TO ELDERLY PATIENTS. TO HAVE THE TELEMEDICINE SERVICES AVAILABLE IT COSTS THE FACILITY OVER 36,000 PER YEAR. THE FACILITY WILL COMMIT TO DISCUSSING THE AVAILABLE SERVICES DIRECTLY WITH OUR PATIENTS AS WELL AS ANY OTHER LOCAL COMMUNITY ORGANIZATIONS THAT MAY BE ABLE TO SUPPORT THIS INITIATIVE. THE ANTICIPATED IMPACT OF THIS WOULD BE AN INCREASED MENTAL & BEHAVIORAL HEALTH WITHIN THE COMMUNITY ALONG WITH POTENTIALLY ALLOWING PATIENTS TO REMAIN CLOSER TO FAMILY AND FRIENDS WHILE RECEIVING THEIR HEALTHCARE. THE SHORTAGE IN DENTAL SERVICES HAS SEVERAL CHALLENGES IN HAVING THIS AVAILABLE. FIRST, FINDING SPACE IS DIFFICULT ESPECIALLY BASED ON THE COST TO CONSTRUCT THE SPACE. IT IS COST PROHIBITIVE BASED ON THE NUMBER OF PEOPLE BEING CARED FOR TO BE ABLE TO HAVE A PRACTICE START FROM NOTHING. SECOND, DENTISTS WITHIN A REASONABLE DRIVING DISTANCE ALREADY HAVE FULL PRACTICES. FINALLY, MANY DENTISTS DO NOT TAKE MEDICAID FOR INSURANCE, WHICH IS A SIGNIFICANT PART OF THE POPULATION IN DOUGLAS COUNTY THAT NEEDS THESE SERVICES. THE HOSPITAL DOES NOT HAVE AN ABILITY TO ADDRESS THESE ISSUES ON ITS OWN. CURRENTLY DCMH PROVIDERS ARE ABLE TO PROVIDE REFERRALS TO OTHER DENTAL PROVIDERS THAT WILL PROVIDE NEEDED DENTAL CARE. THERE ARE SEVERAL OPTIONS WITHIN A THIRTY MILE RADIUS, AND DCMH WILL USE THESE PROVIDERS WHILE WE AWAIT THE ARRIVAL OF THE NEW DENTAL PRACTICE. THERE IS AN INDIVIDUAL WHO HAS PURCHASED A BUILDING WITHIN THE COMMUNITY AND HAS BEGUN A DENTAL PRACTICE. THE HOSPITAL WILL SEE HOW IT MAY SUPPORT THIS NEEDED ENDEAVOR WITHIN OUR COMMUNITY. DCMH INTENDS TO COMMIT TIME OF PROVIDERS AND NURSES TO DISCUSS DENTAL OPTIONS FOR PATIENTS NEEDING THIS CARE. WITH WELLNESS THE DOUGLAS COUNTY HOSPITAL INTENDS TO CONTINUE TO OFFER ITS WELLNESS EQUIPMENT TO THE PUBLIC FOR 10/MONTH. THE EQUIPMENT FOR THE WELLNESS AREA HAS COST THE FACILITY OVER 18,000 AND OCCUPIES 326 SQUARE FEET OF SPACE. DCMH INTENDS TO HAVE HOSPITAL STAFF CONTINUE TO GIVE TALKS TO STUDENTS REGARDING HYGIENE, IMPORTANCE OF EXERCISE AND SEXUALLY TRANSMITTED DISEASES. THE HOSPITAL WILL CONTINUE TO EVALUATE OTHER OPPORTUNITIES TO PROMOTE GENERAL WELLNESS TO COMMUNITY. THE ANTICIPATED IMPACT OF THESE EDUCATIONAL EFFORTS WILL BE TO CREATE A GREATER UNDERSTANDING OF THE PHYSICAL EXERCISE IN OVERALL WELLNESS (INCLUDING BENEFITS TO MENTAL HEALTH). THE GOAL IS FINALLY TO IMPROVE HEALTH TO THE COMMUNITY. THE HOSPITAL INTENDS TO INCREASE ACCESS TO SPECIALTY SERVICES BY AVERA'S INFECTIOUS DISEASE DEPARTMENT WAS RECENTLY ADDED TO OUR SPECIALTIES AVAILABLE THROUGH TELEMEDICINE. THIS NEW CONNECTION MAY LEAD TO ADDITIONAL SPECIALTY OPPORTUNITIES AVAILABLE FOR OUR PATIENTS AS NEW OPPORTUNITIES SHOW THEMSELVES WITH THIS DEVELOPING RELATIONSHIP. TO HAVE THE TELEMEDICINE SERVICES AVAILABLE IT COSTS THE FACILITY OVER 36,000 PER YEAR. MANY SPECIALTIES HAVE BEEN ADDED THROUGH THE TELEMEDICINE PROGRAM WHICH DECREASES THE COST OF TRAVEL AND SAVES TIME FOR OUR PATIENTS. NEW SPECIALISTS CONTINUE TO BE ADDED BASED ON THEIR COMMITMENT TO PROVIDE THESE SERVICES TO OUR RURAL AREA. DCMH ANTICIPATES THE IMPACT OF TELEMEDICINE TO DECREASE THE COST OF TRAVEL TO SEE SPECIALISTS, SAVE TIME FOR TRAVEL, IMPROVED ACCESS TO SPECIALTY SERVICES, SHORTER WAIT TIMES, IMPROVED HEALTH OUTCOMES, AND IMPROVED PATIENT AND COMMUNITY SATISFACTION. WITH TRANSPORTATION ISSUES FOR INDIVIDUALS WITH LIMITED MOBILITY DCMH HAS LIMITED ABILITY TO MEET THIS NEED, BUT IS COMMITTED TO EXPLORING PARTNERSHIPS AND/OR OPTIONS FOR A THIRD PARTY TO PROVIDE THIS SERVICE TO COMMUNITY MEMBERS. THE DESIRED IMPACT WOULD BE TO PROVIDE COMMUNITY MEMBERS AN ABILITY TO OVERCOME TRANSPORTATION/MOBILITY CHALLENGES SO THAT THEY MAY RECEIVE THE QUALITY MEDICAL CARE AND SUPPORT THAT THEY NEED IN A ROUTINE AND TIMELY MANNER AS THEIR HEALTH NEEDS REQUIRE. FINALLY, WITH RESPECT TO ACCESS TO LONG TERM CARE SERVICES THE DOUGLAS COUNTY MEMORIAL HOSPITAL CURRENTLY HAS A 16 BED ASSISTED LIVING. THE NURSING HOME LOCATED IN ARMOUR CLOSED IN 2022. THE HOSPITAL EVALUATED THE POSSIBILITY OF PURCHASING THIS ORGANIZATION AND COMBINING IT WITH THE CURRENT OPERATIONS. AFTER REVIEWING STATE SURVEY REPORTS OF THE FACILITY, NEEDS OF THE PHYSICAL STRUCTURE, POSSIBILITY OF BUILDING A CONNECTED STRUCTURE TO THE HOSPITAL, AND THE FINANCIAL IMPACT THAT COMBINING THE TWO ORGANIZATIONS WOULD HAVE ON THE HOSPITAL, IT WAS DECIDED FOR THE HOSPITAL NOT TO PURCHASE THE NURSING HOME. THERE WERE TOO MANY RISKS THAT THE CONCERN WAS THAT ADDING THE NURSING HOME MAY JEOPARDIZE THE FINANCIAL STABILITY OF THE HOSPITAL. LICENSING OF BEDS FOR LONG TERM CARE SERVICES IS STRICTLY CONTROLLED BY THE STATE. NEW BED LICENSES ARE NOT GRANTED EASILY, SO IT WOULD BE DIFFICULT FOR THE HOSPITAL TO BE ABLE TO OBTAIN LICENSURE FOR ADDITIONAL BEDS. EVEN IF LICENSURE COULD BE OBTAIN, TO BUILD THE FACILITIES THAT ARE NECESSARY TO HOUSE SUCH SERVICES ARE COST PROHIBITIVE FOR THE HOSPITAL TO TAKE ON. DUE TO THESE FACTORS, THE BEST SOLUTION IS FOR THE OTHER FIVE NURSING HOMES WITHIN THE THIRTY MILE RADIUS TO PROVIDE THIS CARE. STATE OCCUPANCY FOR NURSING HOMES IS CURRENTLY BELOW 65%, SO THERE ARE BEDS AVAILABLE FOR PEOPLE NEEDING CARE. OTHER OPPORTUNITIES WILL BE EVALUATED BY THE ORGANIZATION ON A CASE-BY-CASE BASIS. DCMH WILL WORK WITH THE OTHER LOCAL NURSING HOMES, PARTICULARLY THE GOOD-SAM NURSING HOME IN CORSICA (OR OTHERS AS DESIRED BY PATIENTS/FAMILIES), TO REFER PATIENTS AS THEY ARE IN NEED OF THIS CARE. THE DESIRED OUTCOME FOR THIS WOULD BE THAT OUR PATIENTS ARE ABLE TO RECEIVE QUALITY LONG TERM CARE SERVICES AS NEEDED LOCALLY SO THEY MAY CONTINUE THIS PART OF THEIR LIFE WITH THE AVAILABLE CONNECTION TO FAMILY AND FRIENDS. 6 PRAIRIE HEALTH CLINIC ARMOUR 708 8TH STREET ARMOUR SD 57313 RURAL HEALTH CLINIC PRAIRIE HEALTH CLINIC CORSICA 265 E MAIN STREET CORSICA SD 57328 RURAL HEALTH CLINIC PRAIRIE PHARMACY ARMOUR 1311 BRADDOCK STREET ARMOUR SD 57313 RETAIL/OUTPATIENT PHARMACY PRAIRIE PHARMACY CORSICA 265 E MAIN STREET CORSICA SD 57328 RETAIL/OUTPATIENT PHARMACY PRAIRIE VILLA 1309 BRADDOCK STREET ARMOUR SD 57313 ASSISTED LIVING CENTER PRAIRIE HEALTH CLINIC STICKNEY 301 MAIN STREET STICKNEY SD 57375 RURAL HEALTH CLINIC SCHEDULE H, PART I, LINE 7 THE COSTING METHODOLOGY USED FOR LINE 7A IS THE FACILITY'S AUDITED FINANCIAL STATEMENT'S INFORMATION FOR ALL PATIENT SEGMENTS INPUT INTO SCHEDULE H INSTRUCTIONS WORKSHEETS 1 & 2. LINE 7B USES CHARGES FROM HOSPITAL'S INTERNAL RECORDS AND COSTS FROM WORKSHEET 2 CALCULATIONS. LINE 7E USES COSTS FROM THE FACILITIES MEDICARE COST REPORT AND OFFSETTING REVENUE FROM THE GENERAL LEDGER SYSTEM. THIS INFORMATION WAS THEN INPUT IN THE SCHEDULE H INSTRUCTIONS WORKSHEET 4 TO COME TO THE FINAL FIGURES. SCHEDULE H, PART III, LINE 2 THE AMOUNT ON LINE 2 REPRESENTS IMPLICIT PRICE CONCESSIONS. THE ORGANIZATION DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH THE RESPECTIVE CLASS OF PAYORS. SCHEDULE H, PART III, LINE 3 THE ESTIMATED AMOUNT RELATED TO RELATED TO CHARITY CARE IS 8% OF IMPLICIT PRICE CONCESSIONS, WHICH IS BASED ON THE POVERTY LEVEL OF THE DOUGLAS COUNTY ACCORDING TO THE US CENSUS BUREAU DATA AS OF 2020. SCHEDULE H, PART III, LINE 4 THE FOOTNOTES ON IMPLICIT PRICE CONCESSIONS TO THE FINANCIAL STATEMENTS CAN BE FOUND ON PAGE 24. SCHEDULE H, PART III, LINE 8 THE FIGURE REPORTED ON LINE 6 COMES DIRECTLY FROM THE FACILITY'S FILED COST REPORT. THE DOUGLAS COUNTY MEMORIAL HOSPITAL PROVIDES SERVICES TO PATIENTS UNDER THE MEDICARE PROGRAM KNOWING THAT THE HOSPITAL WILL NOT RECEIVE ALL THE COSTS ASSOCIATED WITH PROVIDING THESE SERVICES. PROVIDING THESE SERVICES IS ESSENTIAL TO OUR MEDICARE PATIENTS, OUR COMMUNITY, AND INCREASES THEIR ACCESS TO HEALTHCARE SERVICES. THERE, THE MEDICARE SHORTFALL IS CONSIDERED A COMMUNITY BENEFIT. MEDICARE ALLOWABLE COSTS OF CARE ON LINE 6 ARE DIRECTLY FROM THE FILED MEDICARE COST REPORT ENDED ON 05/31/2025. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. SCHEDULE H, PART VI, LINE 2 IN ADDITION TO THE CHNA THAT WAS COMPLETED DURING THE FISCAL YEAR ENDED 05/31/2022, DCMH DETERMINES PATIENT NEEDS THROUGH THE SATISFACTION SURVEYS COMPLETED BY PATIENTS OF THE HOSPITAL AND CLINICS. ASSESSMENT OF THE NEEDS FOR HEALTHCARE ARE CONSIDERED MONTHLY WITH THE MEDICAL STAFF MEETINGS AS THE PROVIDERS EVALUATE THE CLINICAL SITUATIONS THAT HAVE PRESENTED IN THE PREVIOUS MONTH AND THOSE SITUATIONS THEY CAN FORESEE NEEDING TO MEET THE NEEDS OF IN THE COMING MONTH. THE VOLUTEER BOARD OF DIRECTORS, WHO ARE ALL LOCAL COMMUNITY MEMBERS WITHIN THE HOSPITAL'S SERVICE AREA, ALSO CONSIDER, AS APPROPRIATE, THE NEEDS OF THE COMMUNITY AS THEY ARE ABLE TO SEE BASED ON THEIR OWN NEEDS AND THE NEEDS OF THEIR FAMILY AND NEIGHBORS WHO MAY BRING CONCERNS TO THEM DIRECTLY. DCMH ALSO COMMUNICATES WITH OUTSIDE SPECIALITY PROVIDERS, OTHER HOSPITALS, STATE AND FEDERAL GOVERNMENTAL HEALTH AGENCIES. CONTINUED ASSESSMENT OF THE COMMUNITY'S HEALTH NEEDS IS A CONSTANT EFFORT FOR DCMH TO CONSIDER IN ORDER TO PROVIDE SERVICES THAT THE COMMUNITY REQUIRES AND THE HOSPITAL IS ABLE TO PROVIDE. SCHEDULE H, PART VI, LINE 3 PATIENT FINANCIAL SERVICES EVALUATES EACH ACCOUNT FOR PATIENT ELIGIBILITY UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS, AND PROVIDES ELIGIBLE PATIENTS WITH INFORMATION REGARDING THESE PROGRAMS ALONG WITH THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO BE WRITTEN OFF THROUGH FINANCIAL ASSISTANCE. SCHEDULE H, PART VI, LINE 4 THE COMMUNITY SERVED IS DEFINED AS DOUGLAS COUNTY AS 69% OF THE HOSPITAL'S PATIENTS COME FROM DOUGLAS COUNTY. THE HOSPITAL ALSO PROVIDES SERVICES TO PATIENTS FROM NEIGHBORING COUNTIES. DCMH CONSIDERS PART OF ITS COMMUNITY ALL PEOPLE REGARDLESS OF ABILITY TO PAY AND/OR WHETHER THEY ARE ELIGIBLE FOR ASSISTANCE UNDER FINANCIAL ASSISTANCE. THE PRIMARY INDUSTRIES IN DOUGLAS COUNTY INCLUDE AGRICULTURE AND HEALTH AND SOCIAL SERVICES. AS OF THE 2020 CENSUS ESTIMATE, THERE WERE 2,835 PEOPLE WITH AN AVERAGE POPULATION DENSITY OF 7 RESIDENT PER SQUARE MILE. THE COUNTY IS ESTIMATED TO EXPERIENCE A SLIGHT DECREASE IN TOTAL POPULATION BY 0.42% FROM 2022 TO 2027 ACCORDING TO ENVIRONICS ANALYTICS. THIS IS LESS THAN THE PREVIOUS TRENDS OF DECREASE: 2000 TO 2010 DECREASED BY 13.19% AND 2010 TO 2022 DECREASED BY 4.10%. THE RACIAL MAKEUP OF THE COUNTY WAS 95.1% WHITE, 2.6% AMERICAN INDIAN AND THE REMAINDER OTHER. MEDIAN HOUSEHOLD INCOME IN THE COMMUNITY IS 67,373 WHICH IS ABOVE THE STATE MEDIAN HOUSEHOLD INCOME OF 65,841. THE AVERAGE HOUSEHOLD INCOME IN THE COMMUNITY IS 83,128 WHICH IS BELOW THE STATE AVERAGE HOUSEHOLD INCOME OF 87,071 APPROXIMATELY 8% OF THE COMMUNITY HAS AN INCOME BELOW THE POVERTY LINE. THIS IS LESS THAN THE STATE ESTIMATE OF 12.8% AND THE UNITED STATES ESTIMATE OF 12.8%. CORRELATIONS EXIST BETWEEN HEALTH OUTCOMES AND SOCIOECONOMIC STATUS. HIGH INCOME INDIVIDUALS TEND TO BE IN BETTER HEALTH THAN LOW INCOME INDIVIDUALS. THE UNEMPLOYMENT RATE IS ESTIMATED TO BE 2.2% ACCORDING TO BLS DATA SERIES AS OF DECEMBER 2021. THIS COMPARES TO THE STATE UNEMPLOYMENT RATE OF 2.8% AND UNITED STATES UNEMPLOYMENT RATE OF 3.9% DURING THIS SAME TIME. EMPLOYMENT STATUS CAN IMPACT MENTAL HEALTH AND HEALTH CARE UTILIZATION. UNEMPLOYED PERSONS HAVE MORE DEPRESSION AND ANXIETY SYMPTOMS THAN THOSE WHO ARE EMPLOYED. 85% OF INDIVIDUALS HAD HEALTH INSURANCE COVERAGE WITH THE REMAINING 15% HAVING NO COVERAGE. SCHEDULE H, PART VI, LINE 5 DURING THE FISCAL YEAR ENDED MAY 31, 2024, THE HOSPITAL PROVIDED 435 INPATIENT DAYS, 206 SUBACUTE DAYS, 579 EMERGENCY ROOM VISITS, 11,849 OUTPATIENT VISITS AND 5,734 ASSISTED LIVING DAYS. THE FACILITY PROVIDED 2,855 HOME DELIVERED MEALS TO HOME BOUND COMMUNITY MEMBERS ALONG WITH 2,694 MEALS TO SENIOR MEALS PROGRAM. THE BOARD OF DIRECTORS IS COMPLETELY MADE UP OF COMMUNITY MEMBERS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYED BY NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION. THE HOSPITAL ALSO PROVIDES THE PHYSICAL LOCATION FOR THE DOUGLAS COUNTY COMMUNITY HEALTH OFFICE WHICH ALSO ALLOWS THE HOSPITAL TO WORK CLOSELY WITH OUR LOCAL HEALTH AGENCY. AN OPEN MEDICAL STAFF ALSO ALLOWS PROVIDERS WHO ARE NOT EMPLOYED BY THE ORGANIZATION TO SEE PATIENTS, AND PROVIDE MEDICAL TREATMENT AT THE FACILITY. THE DOUGLAS COUNTY MEMORIAL HOSPITAL IS ALSO EXPANDING ITS TELEMEDICINE CAPABILITIES ALLOWING PATIENTS WHO WOULD OTHERWISE HAVE TO TRAVEL DISTANCES IN EXCESS OF NINETY MILES TO SEE SPECIALISTS WHO CAN NOW BE SEEN LOCALLY. GIVEN THE INCLEMENT WEATHER OF SOUTH DAKOTA THIS PROVIDES PATIENTS THE ABILITY TO SEE THEIR PROVIDERS WITHOUT HAVING TO RUN A RISK OF BEING CAUGHT IN POTENTIALLY DANGEROUS CONDITIONS. THIS IS MOST ESPECIALLY TRUE FOR THE EDERLY POPULATION AS THEY ARE OFTEN THE ONES IN MOST NEED OF SEEING THESE SPECIALTY PROVIDERS. false false false false false false false false false MAURICE CHESSMORE PHYSICIAN 407562 20503 31956 460021 JENNIFER BIETZ PHYSICIAN ASSISTANT 166444 8783 31956 207183 HEATH BROUWER ADMINISTRATOR 167774 8904 15686 192364 MARLYS LUEBKE PHYSICIAN 167627 8250 2652 178529 NAKAYLA PHEIFER NURSE PRACTITIONER 145051 4518 19094 168663 RAMSEY DEHAAN PHARMACIST 149269 7595 9480 166344 FORM 990, PAGE 6, PART VI, LINE 11B THE 990 IS REVIEWED AND APPROVED BY THE ADMINISTRATOR AND CHIEF FINANCIAL OFFICER BEFORE FILING. FORM 990, PAGE 6, PART VI, LINE 12C AT THE BOARD'S ANNUAL MEETING FORM 990, PAGE 6, PART VI, LINE 15A PROCESS COMPLETED THROUGH BOARD COMPENSATION COMMITTEE FORM 990, PAGE 6, PART VI, LINE 15B PROCESS COMPLETED THROUGH BOARD COMPENSATION COMMITTEE FORM 990, PAGE 6, PART VI, LINE 19 GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATMENTES ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G 906,937 325,580 0 FORM 990, PART XI, LINE 9 ASSISTED LIVING REVENUES - NETTED ON FINANCIAL STATEMENTS 0 ASSISTED LIVING EXPENSES - NETTED ON FINANCIAL STATEMENTS 0