2012-11-14T11:36:52-06:00 2011-12-31 450250958 EIDE BAILLY LLP 200 EAST 10TH STREET PO BOX 5125 SIOUX FALLS SD 571175125 990 2011-01-01 460274380 WINNER REGIONAL HEALTHCARE CENTER WINN 6058427100 745 E 8TH ST WINNER SD 57580 JOHN OSSE 6058427100 2012-11-08 1 LAURIE HANSON P00851848 6053391999 2012-11-08 2011 2016-02-24 21:20:13Z JOHN OSSE 745 E 8TH ST WINNER SD 57580 20786314 0 X WWW.WINNERREGIONAL.ORG X 1961 SD TO PROVIDE HEALTHCARE SERVICES. 9 8 281 15 97137 -42378 129500 3377795 16253699 17352854 46573 36276 5850 19389 16435622 20786314 0 0 0 0 8713679 8998769 0 0 0 7414122 8012410 16127801 17011179 307821 3775135 14479806 20728010 6409354 8883705 8070452 11844305 THE SPIRITUAL, PHYSICAL AND MENTAL WELL-BEING OF OUR PATIENTS AND RESIDENTS IS OUR PRIMARY CONCERN. EXCELLENCE IN HEALTHCARE IS OUR TRADITION. 0 0 15314483 17255717 WINNER REGIONAL HEALTHCARE CENTER, A 25-BED CRITICAL ACCESS HOSPITAL AND 81 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 AND A COMMUNITY HEALTH PROGRAM AND PROVIDES COMMUNITY EDUCATION PROGRAMS THROUGHOUT THE SERVICE AREA. WINNER REGIONAL HEALTHCARE CENTER HAD 743 ACUTE ADMISSIONS AND 79 SWING BED ADMISSIONS; 168 LIVE BIRTHS; 1,596 EMERGENCY ROOM VISITS; AND 1,163 SURGICAL PROCEDURES. 15314483 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 28 0 1 281 1 1 1 0 0 0 0 0 0 0 0 0 X 9 8 0 1 0 0 0 0 0 1 0 0 0 1 1 1 1 0 1 1 0 0 X PHILLIP HUSHER 6058427213 745 EAST 8TH STREET WINNER SD 57580 X TOM SCHRAMM 1.00 X X 0 0 0 MICK ROWE 1.00 X X 0 0 0 KEVIN OREL 1.00 X X 0 0 0 TOM KAUER 1.00 X X 0 0 0 MARY CARPENTER 1.00 X 32354 0 1380 DOUG KARTAK 1.00 X 0 0 0 BRIAN SCHAEFFER 1.00 X 0 0 0 ALICE DAUGHTERS 1.00 X 0 0 0 NEIL LANTZ 1.00 X 0 0 0 PHILLIP HUSHER 40.00 X 77213 0 13739 JAMES GISI THRU JUNE 2011 40.00 X 78446 0 4703 GORDON LARSON THRU MAY 2011 40.00 X 57346 0 2783 MICK PENTICOFF MAY - JULY 40.00 X 27912 0 0 CHRIS WORTHAM AUG - DEC 40.00 X 66600 0 5751 RHONDA JORGENSEN 20.00 X 166153 0 11711 506024 0 40067 1 0 1 1 WINNER PHYSICAL THERAPY PO BOX 435 WINNER SD 57580 THERAPY 280045 FAMILY PRACTICE ASSOCIATES PO BOX 110 WINNER SD 57580 EMERGENCY ROOM COVERAGE 172500 RURAL ANESTHESIA SERVICES PO BOX 246 GREGORY SD 57528 ANESTHESIA SERVICES 168625 MEDICAL IMAGING INC 825 E 8TH ST WINNER SD 57580 IMAGING 167166 DMS HEALTH TECHNOLOGIES SDS12-2208 MINNEAPOLIS MN 55489 MRI 121989 5 13000 3364795 21414 3377795 PATIENT SERVICE REV 622110 17056248 17056248 OTHER REVENUE 900099 199469 199469 REFERENCE LAB REV 621500 97137 97137 17352854 36276 36276 19389 0 19389 19389 19389 20786314 17255717 97137 55665 339494 339494 7094572 6639064 455508 116670 109128 7542 1108426 1043827 64599 339607 320397 19210 36008 36008 58338 58338 2176556 1972382 204174 75376 11206 64170 676592 561663 114929 124020 7562 116458 552307 552307 6867 6867 67021 51639 15382 273614 273614 802064 802064 137565 2305 135260 MEDICAL SUPPLIES 2096114 2096114 BAD DEBT EXPENSE 705805 705805 REPAIRS & MAINTENANCE 143319 143165 154 LICENSES, DUES & SUBS 45639 12053 33586 35205 3321 31884 17011179 15314483 1696696 0 5230103 5826046 3290868 8746496 119074 110542 603702 617312 45800 17489 14733660 9867067 4862280 4866593 167313 166031 225886 160666 151615 14479806 20728010 1336099 3843701 2915000 2710000 2158255 2330004 6409354 8883705 X 7903139 11678274 167313 166031 8070452 11844305 14479806 20728010 X 3775135 -1282 X 0 1 0 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 804 804 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: THE ORGANIZATION IS A MEMBER OF CERTAIN ORGANIZATIONS RELATED TO THE INDUSTRY WHICH HAVE LOBBYING EXPENSES. THE AMOUNT LISTED IS THE PERCENTAGE OF DUES THAT WERE USED FOR LOBBYING. ORGANIZATION OFFICERS AND DIRECTORS WILL ALSO FROM TIME TO TIME CONTACT LEGISLATORS CONCERNING HEALTH CARE ISSUES AND BILLS. 24638 24638 10038768 6899158 3139610 4029967 2637906 1392061 640287 330003 310284 4866593 20786314 17011179 3775135 -1282 -1282 3773853 20786314 0 20786314 0 20786314 17011179 0 17011179 0 17011179 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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 2008. PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION -1,282. 1 1 X 0 0 1 1 1 0 0 223000 223000 0.01370 223000 223000 0.01370 12558 2541 10017 0.00060 2000 2000 0.00010 1198589 856505 342084 0.02100 1213147 859046 354101 0.02170 1436147 859046 577101 0.03540 1086 1086 0.00010 5571 5571 0.00030 6657 6657 0.00040 0 705805 70581 5167459 4896413 271046 X 1 1 1 1 WINNER REGIONAL HEALTHCARE CENTER

745 E 8TH ST WINNER SD 57580

X X X X WINNER REGIONAL HEALTHCARE CENTER 1 1 0 0 0 1 1 X X 1 0 1 X 1 1 2 WINNER REGIONAL NURSING HOME

745 EAST 8TH STREET WINNER SD 575802631

SKILLED NURSING FACILITY WINNER REGIONAL CLINIC

745 EAST 8TH STREET WINNER SD 575802631

MEDICAL CLINIC PART I, LINE 3C: 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. PART I, LINE 7: LINE 7A WAS DETERMINED BY MULTIPLYING THE RATIO OF COST TO GROSS CHARGES BY THE GROSS UNCOMPENSATED CHARGES ASSOCIATED WITH PROVIDING CHARITY CARE. LINES 7E AND 7F WERE OBTAINED UTILIZING THE ACTUAL GENERAL LEDGER SYSTEM. LINE 7G WAS DETERMINED USING THE COST REPORT. PART I, LINE 7G: ER AND CLINIC ACTIVITY IS COMBINED ON THE COST REPORT AND ACCOUNTS FOR EXPENSE OF $877,503. PART I, L7 COL(F): BAD DEBT EXPENSE OF $705,805 WAS SUBTRACTED FROM TOTAL OPERATING EXPENSE. PART II: WINNER REGIONAL HEALTHCARE CENTER FEELS THAT THE HEALTH AND WELLNESS OF OUR COMMUNITY ARE OF UTMOST IMPORTANCE. AS THE LARGEST HEALTHCARE LEADER IN THE COMMUNITY, WE ARE A CENTRALIZED RESOURCE THAT NOT ONLY PROVIDES COMPASSIONATE PATIENT CARE, BUT ALSO WELLNESS COUNSELING, CLASSES, PRESENTATIONS AND EVENTS, ALONG WITH FOCUSED EDUCATION AND LOW COST AND COMPLIMENTARY MEDICINE AND HEALTHY FITNESS PROGRAMS AND INFORMATION. WE WORK TO ENHANCE THE QUALITY OF LIFE AND EMPOWER OUR PATIENTS, CARE-GIVERS AND OUR COMMUNITY WITH THE RESOURCES THEY NEED WHEN THEY NEED THEM. OUR FREE AND LOW COST SEMINARS ARE OF GREAT BENEFIT TO THE COMMUNITY THAT SERVE TO EDUCATE AND PROMOTE HEALTH AND WELLNESS. PART III, LINE 4: A) 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.B) BAD DEBT EXPENSE IS RECORDED AT GROSS CHARGES. 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. C) FOOTNOTE FROM FINANCIAL STATEMENT: THE CARRYING AMOUNT OF PATIENT AND RESIDENT RECEIVABLES IS REDUCED BY A VALUATION ALLOWANCE THAT REFLECTS MANAGEMENT'S ESTIMATE OF AMOUNTS THAT WILL NOT BE COLLECTED FROM PATIENTS, RESIDENTS AND THIRD-PARTY PAYORS. MANAGEMENT REVIEWS PATIENT AND RESIDENT RECEIVABLES BY PAYOR CLASS AND APPLIES PERCENTAGES TO DETERMINE ESTIMATED AMOUNTS THAT WILL NOT BE COLLECTED FROM THIRD PARTIES UNDER CONTRACTUAL AGREEMENTS AND AMOUNTS THAT WILL NOT BE COLLECTED FROM PATIENTS AND RESIDENTS DUE TO BAD DEBTS. MANAGEMENT CONSIDERS HISTORICAL WRITE OFF AND RECOVERY INFORMATION IN DETERMINING THE ESTIMATED BAD DEBT PROVISION. PART III, LINE 8: MEDICARE ALLOWABLE COST OF CARE WAS CALCULATED FROM THE MEDICARE COST REPORT FOR FISCAL YEAR ENDING 12/31/2011. 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." WINNER REGIONAL HEALTHCARE CENTER PART V, SECTION B, LINE 9: 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. WINNER REGIONAL HEALTHCARE CENTER PART V, SECTION B, LINE 10: 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. WINNER REGIONAL HEALTHCARE CENTER PART V, SECTION B, LINE 13G: VERBALLY NOTIFIED PATIENTS OF THE FINANCIAL ASSISTANCE POLICY ON ADMISSION.VERBALLY NOTIFIED PATIENTS OF THE FINANCIAL ASSISTANCE POLICY PRIOR TO DISCHARGE.VERBALLY NOTIFIED PATIENTS OF THE FINANCIAL ASSISTANCE POLICY IN COMMUNICATIONS WITH THE PATIENTS REGARDING THE PATIENTS' BILLS. WINNER REGIONAL HEALTHCARE CENTER PART V, SECTION B, LINE 19D: ALL PATIENTS ARE CHARGED GROSS CHARGES INITIALLY. AS OF YEAR END, A POLICY HAD NOT BEEN APPROVED BY MANAGEMENT. HOWEVER, MANAGEMENT HAS ADOPTED AND APPROVED THE PROSPECTIVE METHOD TO DETERMINE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS. WINNER REGIONAL HEALTHCARE CENTER PART V, SECTION B, LINE 20: ALL PATIENTS ARE CHARGED GROSS CHARGES INITIALLY. AS OF YEAR END, A POLICY HAD NOT BEEN APPROVED BY MANAGEMENT. HOWEVER, MANAGEMENT HAS ADOPTED AND APPROVED THE PROSPECTIVE METHOD TO DETERMINE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS. WINNER REGIONAL HEALTHCARE CENTER PART V, SECTION B, LINE 21: ALL PATIENTS ARE CHARGED GROSS CHARGES INITIALLY. AS OF YEAR END, A POLICY HAD NOT BEEN APPROVED BY MANAGEMENT. HOWEVER, MANAGEMENT HAS ADOPTED AND APPROVED THE PROSPECTIVE METHOD TO DETERMINE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS. PART VI, LINE 2: WINNER REGIONAL HEALTHCARE CENTER IS PROUD TO BE THE HEALTHCARE LEADER IN THE COMMUNITY AND SOUTHERN TRIPP COUNTY. ONE OF OUR PRIORITIES IS TO PROMOTE THE HEALTH AND WELL-BEING OF THE COMMUNITY - NOT ONLY TO INDIVIDUALS, BUT TO THE COMMUNITY AS A WHOLE. IN 2011, WE INDIVIDUALLY AND IN CONCERT WITH OTHER ORGANIZATIONS, HELD EIGHTEEN EVENTS OF BENEFIT TO THE COMMUNITY. THROUGH OUTREACH TO OUR COMMUNITY, INCLUDING OUR HOME HEALTH DEPARTMENT, OUR PUBLIC SAFETY LIAISON, AND THROUGH WORKING WITH LOCAL, STATE AND FEDERAL DEPARTMENTS, WE DETERMINE THE HEALTH CARE NEEDS OF OUR COMMUNITY, AND WORK TO ENSURE THE SERVICES AND EVENTS WE PROVIDE TO THE COMMUNITY ARE BENEFICIAL AND IN ACCORDANCE WITH NEED. 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 27,957. AVERAGE INCOME IS $31,721. PERCENTAGE OF RESIDENTS BELOW THE POVERTY LEVEL IS 26.24%. 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 FACILITY HAS A NINE MEMBER BOARD COMPRISED OF CITIZENS THAT LIVE IN THE PRIMARY SERVICE AREA. THE FACILITY EXTENDS PRIVILEGES TO PHYSICIANS IN THE IMMEDIATE AREA. THE FACILITY USES SURPLUS FUNDS TO FUND BUILDING IMPROVEMENTS TO ENHANCE SERVICES TO OUR PATIENTS. THE FACILITY RECENTLY REMODELED THE LABORATORY AND CONSTRUCTED A HEALING GARDEN TO ENHANCE THE PATIENT'S EXPERIENCE. X 1 1 X X 0 0 0 0 0 0 0 0 0 PHILLIP HUSHER 77213 0 0 0 0 0 1544 0 12731 0 91488 0 0 0 JAMES GISI THRU JUNE 2011 78446 0 0 0 0 0 1229 0 3871 0 83546 0 0 0 GORDON LARSON THRU MAY 2011 57346 0 0 0 0 0 1147 0 1929 0 60422 0 0 0 MICK PENTICOFF MAY - JULY 27912 0 0 0 0 0 0 0 0 0 27912 0 0 0 CHRIS WORTHAM AUG - DEC 66600 0 0 0 0 0 1080 0 4973 0 72653 0 0 0 RHONDA JORGENSEN 166153 0 0 0 0 0 4985 0 6726 0 177864 0 0 0 PART I, LINE 1A ROTARY CLUB DUES SUPPLEMENTAL INFORMATION PART III THE CEO OF THE ORGANIZATION, GORDON LARSON, CHRIS WORTHAM, AND MICK PENTICOFF, THE CFO OF THE ORGANIZATION, PHILLIP HUSHER, AND THE LTC ADMINISTRATOR, JAMES GISI, ARE PAID THROUGH AN AGREEMENT WITH SANFORD HEALTH, SIOUX FALLS, SD. RHONDA JORGENSEN, CRNA, IS COMPENSATED BY WINNER REGIONAL HEALTHCARE CENTER. FAMILY PRACTICE ASSOCIATES DIRECTOR ON BOARD 172500 DR. CARPENTER IS A DIRECTOR ON THE BOARD AND A PARTNER IN FAMILY PRACTICE ASSOCIATES. FAMILY PRACTICE ASSOCIATES PROVIDED EMERGENCY ROOM COVERAGE AS AN INDEPENDENT CONTRACTOR. THE CLINIC WAS PURCHASED BY THE HOSPITAL DURING 2011. 0 FORM 990, PART VI, SECTION A, LINE 3 SANFORD HEALTH NETWORK, AN UNRELATED ORGANIZATION, MANAGES THE FACILITY. THE CEO, CFO, DON OF LT CARE, LT CARE ADMINISTRATOR, AND DON OF THE HOSPITAL ARE EMPLOYEES OF THE MANAGEMENT COMPANY. 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 2011 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 ARE DETERMINED BY THE WINNER REGIONAL HEALTHCARE BOARD WHO EVALUATES SALARIES ANNUALLY USING COMPARABLE DATA FOR OTHER FACILITIES WITHIN THE STATE. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST COMPENSATION FORM 990, PART VII DR. MARY CARPENTER WAS COMPENSATED THROUGH AN UNRELATED MANAGEMENT COMPANY FOR PHYSICIAN SERVICES AND NOT BY WINNER REGIONAL HEALTHCARE CENTER IN THE CAPACITY AS A BOARD MEMBER. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION -1,282. TOTAL TO FORM 990, PART XI, LINE 5: -1,282.