2026-03-16T14:43:54-05:00 2025-06-30 450250958 EIDE BAILLY LLP 345 N REID PL STE 400 SIOUX FALLS SD 571037034 990 2024-07-01 460246437 EUREKA COMMUNITY BENEVOLENT HOSPITAL ASSOCIATION EURE 6052842661 PO BOX 517 EUREKA SD 574370517 CARMEN WEBER ADMINISTRATOR 6052842661 2026-03-13 1 1 LAURIE HANSON CPA P00851848 6053391999 2026-03-03 2024 2025-03-06 01:10:19Z EUREKA COMMUNITY HEALTH SERVICE CARMEN WEBER PO BOX 517 EUREKA SD 574370517 6223429 0 X SEE SCHEDULE O NARRATIVE X 1928 SD EUREKA COMMUNITY HEALTH SERVICES AIMS TO PROVIDE QUALITY, ACCESSIBLE HEALTHCARE. 7 7 54 13 0 0 126913 64286 5622977 6103286 8748 55857 2145 0 5760783 6223429 0 0 0 0 2554643 2897125 0 0 0 2935772 3031327 5490415 5928452 270368 294977 10693150 10860568 7026622 6793773 3666528 4066795 X THE MISSION OF EUREKA COMMUNITY HEALTH SERVICES AVERA IS TO PROVIDE QUALITY, ACCESSIBLE HEALTHCARE TO THE RESIDENTS IN OUR REGION. WE RECOGNIZE THE ELEMENTS OF COMPASSION, RESPECT, JUSTICE, AND HOSPITALITY IN CARRYING OUT THIS MISSION. 0 1 5150251 6103286 EUREKA COMMUNITY HEALTH SERVICES OPERATES A 4 BED ACUTE CARE HOSPITAL, A 10 UNIT ASSISTED LIVING FACILITY AND A RURAL HEALTH CLINIC ALL LOCATED IN EUREKA SOUTH DAKOTA. IN THE FISCAL YEAR ENDING JUNE 30, 2025 THE RURAL HEALTH CLINIC HAD TOTAL PATIENT VISITS OF 3,465. THE 4 BED HOSPITAL HAD 157 ACUTE CARE DAYS, 159 SWING BED DAYS, 5,436 OUTPATIENT VISITS AND 3,424 ASSISTED LIVING DAYS. WE CONTINUE TO OFFER TELEMEDICINE VISITS TO PATIENTS WHO NEED CONSULTS OR FOLLOW UP VISITS WITH A SPECIALIST SO THEY WILL NOT HAVE TO TRAVEL LONG DISTANCES TO SEE A PROFESSIONAL. 5150251 1 0 0 0 0 0 0 0 0 1 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 20 0 1 54 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 X X JOYCE SCHWINGLER 6052842661 PO BOX 517 EUREKA SD 574370517 WAYNE LUTZ PRESIDENT 1.00 X X 0 0 0 KEITH KRAMLICH VICE PRESIDENT 1.00 X X 0 0 0 PATRICIA GRENZ SECRETARY 1.00 X X 0 0 0 STACI ACKERMAN TRUSTEE 1.00 X 0 0 0 KATHRYN GAB TRUSTEE 1.00 X 0 0 0 GEORGE HULSCHER TRUSTEE 1.00 X 0 0 0 WANDA JUNDT TRUSTEE 1.00 X 0 0 0 CARMEN WEBER ADMINISTRATOR 25.00 X 72871 0 21999 JOYCE SCHWINGLER CFO 40.00 X 57239 0 23869 CORY HEISER PHYSICIAN ASSISTANT 40.00 X 211829 0 31310 BRIANA DALCHOW PHYSICIAN ASSISTANT 40.00 X 160796 0 697 502735 0 77875 2 0 1 1 AVERA ST LUKE'S HOSPITAL 305 SOUTH STATE STREET ABERDEEN SD 57401 ADMIN, IT, AND OTHER SERVICES 476040 AVERA HEALTH 3900 W AVERA DR SIOUX FALLS SD 57108 IT MANAGEMENT FEES/SOFTWARE 131018 2 64286 64286 PATIENT SERVICE FEES 621110 4995700 4995700 PHARMACY 340B REVENUE 621110 630854 630854 ASSISTED LIVING FEES 621110 373698 373698 103034 103034 6103286 16977 16977 38429 451 0 0 38429 451 38880 38880 6223429 6103286 0 55857 X 194204 194204 2260294 2133004 127290 30322 28870 1452 250171 236231 13940 162134 147581 14553 65728 65728 1081652 970717 110935 4330 532 3798 178748 42413 136335 122443 106178 16265 94609 94609 9811 8597 1214 11123 10790 333 199062 180378 18684 603027 546427 56600 36007 32627 3380 MEDICAL SUPPLIES 450918 450796 122 EQUIPMENT AND REPAIRS 149772 143960 5812 DUES AND SUBSCRIPTIONS 10102 5922 4180 13995 10619 3376 5928452 5150251 778201 0 922704 1568323 1213163 1085684 81062 96650 70634 75597 10264067 3716626 7072665 6547441 1254513 1428886 78409 57987 10693150 10860568 344619 341679 17564 20 6319952 6173753 344487 278321 7026622 6793773 X 3500759 3884034 165769 182761 3666528 4066795 10693150 10860568 X 294977 43227 62063 X 0 1 X 1 1 1 X 12386 1302 13688 11238 1148 12386 10530 708 11238 11783 -1253 10530 10044 1739 11783 0.00000 0.56380 0.43620 1 0 18583 18583 8778922 2784059 5994863 1390713 896960 493753 75849 35607 40242 6547441 INTEREST IN AVERA HEALTH FOUNDATION 388877 F ASSETS LIMITED AS TO USE - AVERA POOLED INVESTMENTS 1040009 F 1428886 TENANT SECURITY DEPOSITS 2250 OPERATING LEASE LIABILITY 55658 ESTIMTATED THIRD PARTY PAYOR SETTLEMENT 142850 FINANCE LEASE LIABILITY 77563 278321 X 6328719 43227 62063 105290 6223429 0 6223429 5928452 0 5928452 0 5928452 PART V, LINE 4: EARNINGS ON ENDOWMENTS ARE INTENDED TO PROVIDE ADDITIONAL REAL GROWTH THROUGH NEW GIFTS AND INVESTMENT RETURN. PART X, LINE 2: THE ORGANIZATION 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 ORGANIZATION 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 62,063. 1 1 X 1 X 1 X 1 1 1 0 0 82000 82000 0.01380 82000 82000 0.01380 1234 106 1128 0.00020 712132 364374 347758 0.05870 713366 364480 348886 0.05890 795366 364480 430886 0.07270 1 1462643 225247 2437108 2479873 -42765 X 1 1 1 1 EUREKA COMMUNITY BENEVOLENT HOSPITAL ASSOCIATION 200 J AVE EUREKA SD 57437 WWW.AVERA.ORG/LOCATIONS 10538 X X X RURAL HEALTH CLINIC EUREKA COMMUNITY HEALTH SERVICES 1 0 0 1 X X X X X X X X X 24 1 0 0 1 X SEE NARRATIVE FOR 7D X X 1 24 1 SEE PART V LINE 7D 0 1 X 200.000000000000 400.000000000000 X X X X 1 1 X X X 1 X SEE PART V SECTION C X SEE PART V SECTION C X SEE PART V SECTION C X X X X X 1 X 0 X X X X 1 X 0 0 EUREKA COMMUNITY HEALTH SERVICES PART V, SECTION B, LINE 5: EUREKA HOSPITAL'S CHNA BEGAN IN THE FALL OF 2024. DATA WAS COLLECTED FROM SURVEYS AND QUESTIONNAIRES. FOUR GROUPS WERE SURVEYED. THE FIRST GROUP CONSISTED OF ECHS STAFF, EMT'S, 2 MEDICAL PROVIDERS, TOWN MAYOR, NURSING HOME ADMINISTRATOR/CEO FOR MEDICAL FACILITY, DIRECTOR OF NURSING AND THE COMMUNITY HEALTH NURSE. THE 2ND GROUP WAS THE HOSPITAL BOARD OF TRUSTEES. THE 3RD GROUP WAS THE EUREKA SCHOOL STAFF. THE 4TH GROUP AND LARGEST GROUP COMPLETING THE SURVEY AND QUESTIONNAIRES WERE THE MEMBERS AT THE EUREKA SENIOR CENTER. IN ADDITION TO THE SURVEYS AND QUESTIONNAIRES, INFORMANT INTERVIEWS WERE ALSO CONDUCTED TO DETERMINE PRESSING COMMUNITY ISSUES. THE HOME HEALTH/DSS HOMEMAKING DIRECTOR WAS INTERVIEWED TO GATHER INPUT ON THE NEEDS OF THE ELDERLY. THE MCPHERSON COUNTY PUBLIC HEALTH NURSE WAS ALSO ASKED QUESTIONS UTILIZED IN THE PRIMARY DATA COLLECTION. THESE INDIVIDUALS HAVE SPECIAL KNOWLEDGE AND EXPERTISE IN PUBLIC HEALTH AND KNOW AND UNDERSTAND THE NEEDS OF THE MOST VULNERABLE AND THOSE MOST IMPACTED BY HEALTH DISPARITIES. SECONDARY DATA COLLECTED INCLUDED RESEARCH OF MCPHERSON COUNTY DEMOGRAPHICS AND HEALTH RELATED STATISTICS THROUGH RELIABLE INTERNET WEBSITES. SOURCES OF THIS DATA INCLUDE US CENSUS BUREAU, COUNTY HEALTH RANKINGS & ROADMAPS, US DEPARTMENT OF HEALTH AND HUMAN SERVICES AND THE SD DEPT OF HEALTH. EUREKA COMMUNITY HEALTH SERVICES PART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY ARE AVAILABLE AT HTTPS://WWW.AVERA.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/#EUREKA EUREKA COMMUNITY HEALTH SERVICES PART V, SECTION B, LINE 11: IN THE FY25 CHNA THE FOLLOWING WERE IDENTIFIED AS THE TOP PRIORITIES:1. PROMOTING CARDIOVASCULAR HEALTH2. MENTAL HEALTH AWARENESS3. HIGHLIGHTS OF THE VARIOUS DEPARTMENTS WITHIN ECHSWE PLAN TO ADDRESS ALL NEEDS IDENTIFIED TO THE BEST OF OUR ABILITY. DUE TO TIMING OF THE FY25 IMPLEMENTATION STRATEGY, WE FOCUSED ON NEEDS IDENTIFIED IN THE PRIOR COMMUNITY HEALTH NEEDS ASSESSMENT, AS FOLLOWS.WE RECRUITED ANOTHER MID LEVEL PROVIDER TO JOIN OUR STAFF AND WE ALSO CONTRACTED WITH A NEW PHYSICIAN WHO WILL OVERSEE THE MID LEVELS. THE PHYSICIAN WE HAD RETIRED IN MAY OF 2025. OUR PROVIDERS CONTINUE TO REVIEW AVERA SPECIALTY DOCTORS TO MAKE SURE THEY ARE CREDENTIALED FOR OUR FACILITY SO THEY ARE ABLE TO USE THE E-EMERGENCY AND E-CONSULT SERVICES PROVIDED. WE CONTINUED TO PROMOTE THESE SERVICES WITHIN THE COMMUNITY. THE FACILITY CONTINUED TO EDUCATE THE COMMUNITY ON THE HEALTH CARE SERVICES PROVIDED HERE THROUGH NEWSPAPER ARTICLES, THE WANDA SHOW, AND FACE BOOK. WE ALSO PARTICIPATE IN THE SD WEEK-OF-WORK WITH HIGH SCHOOL STUDENTS WHICH HAS HAD GOOD RESPONSE, AND GETS STUDENTS EXPOSED TO THE SERVICES WE PROVIDE IN THE COMMUNITY. EUREKA COMMUNITY HEALTH SERVICES PART V, SECTION B, LINE 13H: PRESUMPTIVE ELIGIBILITY MAY BE USED AS A LAST RESORT. EUREKA COMMUNITY 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. PART V, SECTION B, LINES 16A-C THE FAP, FAP APPLICATION, AND FAP SUMMARY ARE AVAILABLE AT:HTTPS://WWW.AVERA.ORG/LOCATIONS/PROFILE/EUREKA-COMMUNITY-HEALTH-SERVICES-AVERA/ 1 1 - EUREKA COMMUNITY HEALTH SERVICES 200 J AVE EUREKA SD 57437 ASSISTED LIVING FACILITY PART I, LINE 3C: IN ADDITION TO THE USE OF FPG TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE, ECHS ALSO LOOKS AT THE PATIENT'S INCOME LEVEL, MEDICAL INDIGENCY, INSURANCE AND UNDERINSURANCE STATUS AND ELIGIBILITY FOR MEDICARE/MEDICAID. PRESUMPTIVE ELIGIBILITY IS UTILIZED AS A LAST RESORT. PART I, LINE 7: LINE 7A WAS CALCULATED UTILIZING IRS WORKSHEET 2. LINE 7E WAS OBTAINED UTILIZING THE ACTUAL GENERAL LEDGER SYSTEM. LINE 7G WAS OBTAINED FROM THE MEDICARE COST REPORT. 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. THEREFORE 15.4% OF IMPLICIT PRICE CONCESSIONS CAN REASONABLY BE CONSIDERED A COMMUNITY BENEFIT AS IT WOULD HAVE BEEN WRITTEN OFF TO CHARITY CARE. PART III, LINE 4: THE FOOTNOTE THAT DESCRIBES IMPLICIT PRICE CONCESSIONS IS FOUND ON PAGES 12 AND 13 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: MEDICARE ALLOWABLE COST OF CARE WAS CALCULATED FROM THE MEDICARE COST REPORT FOR FISCAL YEAR ENDING 6/30/25. 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 LOSS FROM MEDICARE SERVICES OF $26,289. $39,775 MEDICARE FEE SCHEDULE REVENUE$(66,064) MEDICARE ESTIMATED COSTS OF CARE RELATING TO PAYMENTS$(26,289) NET (SHORTAGE) PART III, LINE 9B: ALL POST DISCHARGE STATEMENTS CONTAIN INFORMATION THAT A CHARITY CARE POLICY IS AVAILABLE FOR THOSE WHO QUALIFY AND A PHONE NUMBER TO CONTACT FOR INFORMATION AND AN APPLICATION IS PROVIDED. ALL PATIENTS ARE ALLOWED 120 DAYS FROM THE FIRST POST DISCHARGE STATEMENT TO APPLY FOR FINANCIAL ASSISTANCE BEFORE INITIATING ANY EXTRAORDINARY COLLECTION ACTIVITIES. ALL PATIENTS ARE ALLOWED 240 DAYS FROM THE FIRST POST DISCHARGE BILLING STATEMENT TO APPLY FOR FINANCIAL ASSISTANCE.IF AN ACCOUNT HAS BEEN TURNED OVER TO COLLECTIONS AFTER 120 DAYS AND A PATIENT APPLIES FOR FINANCIAL ASSISTANCE DURING THE 240 DAY TIME FRAME AND IS ELIGIBLE FOR CHARITY CARE OR ANY OTHER FINANCIAL ASSISTANCE THE COLLECTION AGENCY WILL BE NOTIFIED TO STOP ANY COLLECTION EFFORTS ON THE ACCOUNT AND THE ACCOUNT WILL BE GIVEN BACK TO THE HOSPITAL. PART VI, LINE 2: EUREKA COMMUNITY HEALTH SERVICES CONDUCTS PATIENT SATISFACTION SURVEYS WHICH CAN LEAD TO INFORMATION REGARDING NEEDED SERVICES. IN ADDITION, INTERACTIVE QUESTIONS ARE ASKED ABOUT SERVICES AND ANY FEEDBACK IS THEN REPORTED BACK TO THE OFFICERS AND THE BOARD OF DIRECTORS. ECHS CONDUCTED A CHNA DURING FISCAL YEAR END 6/30/25. PART VI, LINE 3: ECHS HAS SIGNS POSTED THROUGHOUT THE FACILITY REGARDING FINANCIAL ASSISTANCE. A SUMMARY SHEET EXPLAINING FINANCIAL ASSISTANCE IS GIVEN TO DISCHARGED PATIENTS IN THEIR DISCHARGE PACKET AND IT IS ALSO MADE AVAILABLE TO THE PUBLIC THROUGHOUT THE REST OF THE FACILITY. ECHS ALSO POSTS THE AVAILABILITY OF THE FINANCIAL ASSISTANCE POLICY ON ALL STATEMENTS THAT GO OUT TO PATIENTS AND IT IS ALSO POSTED IN THE NEWSPAPER. PART VI, LINE 4: ECHS IS A FOUR BED CRITICAL ACCESS HOSPITAL LOCATED IN THE TOWN OF EUREKA, IN NORTH CENTRAL SOUTH DAKOTA, IN MCPHERSON COUNTY. ACCORDING TO THE US CENSUS BUREAU, IN 2024 MCPHERSON COUNTY HAD 31.5% OF PEOPLE 65 YEARS OF AGE AND OVER. ECHS DEFINES ITS PRIMARY SERVICE AREA AS MCPHERSON COUNTY IN WHICH THE SERVICE AREA INCLUDES THE TOWNS OF EUREKA, LEOLA, AND LONG LAKE. THE HOSPITAL ALSO SERVES A PORTION OF CAMPBELL COUNTY IN WHICH THE COMMUNITY OF HERREID RESIDES.ACCORDING TO THE US CENSUS BUREAU OF 2024, THERE WERE 2,307 PEOPLE AND 896 HOUSEHOLDS RESIDING IN THE COUNTY. ECHS SERVES PEOPLE OF ALL RACES. THE US CENSUS BUREAU REPORTED IN 2024 THERE WAS 96.0% WHITE, 0.8% BLACK, 1.1% AMERICAN INDIAN & ALASKA NATIVE, 0.5% ASIAN, 0.1% NATIVE HAWAIIAN, 1.5% TWO OR MORE RACES, 3.2% HISPANIC OR LATINO. THE US CENSUS BUREAU IN 2024 REPORTED THAT THE MEDIAN INCOME FOR A HOUSEHOLD IN THE COUNTY WAS $62,024 AND ABOUT 15.4% OF THE POPULATION WAS AT OR BELOW THE POVERTY LINE. THE CENSUS IN 2024 ALSO SHOWED THAT WE HAD 179 VETERANS RESIDING IN THE COUNTY. IT WAS ALSO NOTED IN THE REPORT THAT 11.7% OF THE POPULATION IN THE COUNTY UNDER THE AGE OF 65 HAD NO HEALTH INSURANCE. PART VI, LINE 5: THE FACILITY IS GOVERNED BY A SEVEN-MEMBER VOLUNTARY BOARD OF TRUSTEES COMPRISED OF PEOPLE LIVING WITHIN THE SERVICE AREA. THESE MEMBERS HAVE NO BUSINESS OR FAMILY TIES TO THE ORGANIZATION. ECHS EXTENDS MEDICAL STAFF PRIVILEGES TO QUALIFIED PHYSICIANS IN THE SERVICE AREA. ALL FUNDS GENERATED BY THE FACILITY ARE REINVESTED INTO THE FACILITY THROUGH THE CONTINUED PROVISION OF HEALTHCARE SERVICES. ECHS IS A CRITICAL ACCESS HOSPITAL WITH 24HR EMERGENCY ROOM SERVICES AND IS OPEN TO ALL PEOPLE REGARDLESS OF ABILITY TO PAY. PART VI, LINE 6: ECHS IS A MANAGED FACILITY OF AVERA HEALTH. AVERA HEALTH AND ECHSA WORK COOPERATIVELY TO ENHANCE HEALTHCARE THROUGHOUT THE COMMUNITY SERVED BY THE HOSPITAL. ECHS ALSO HAS ACCESS TO "BACK OFFICE" SUPPORT SERVICES, SUCH AS LEGAL CONSULTATION, QUALITY BENCHMARKING, CODING, COMPUTER SERVICES, CONTRACT NEGOTIATIONS, ADMINISTRATIVE CONSULTATION, GROUP PURCHASING, HUMAN RESOURCE ASSISTANCE AND MANY OTHER SERVICES. AVERA HEALTH IS ABLE TO PROVIDE THESE SERVICES TO ECHS AT A COST BELOW THAT WHICH THE HOSPITAL COULD NOT OTHERWISE ACHIEVE. LOCAL CAREGIVERS ARE ABLE TO DEVOTE MORE RESOURCES TO PATIENT AND RESIDENT CARE AS A RESULT. AVERA HEALTH AND ECHS DEDICATE RESOURCES TO ENDEAVORS THAT MAKE A POSITIVE DIFFERENCE TO IMPROVE THE HEALTH OF THE COMMUNITIES THEY SERVE. THESE ACTIVITIES INCLUDE LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS, ECONOMIC DEVELOPMENT, PHYSICAL IMPROVEMENTS IN THE COMMUNITY, CONTRIBUTIONS TO NONPROFIT COMMUNITY ORGANIZATIONS, NONPROFIT EVENT SPONSORSHIPS, DONATED MEDICAL SUPPLIES, COMMUNITY HEALTH EDUCATION AND SUPPORT GROUPS, HEALTH SCREENINGS, FLU SHOT CLINICS, COMMUNITY EDUCATION AND VARIOUS OTHER ACTIVITIES. X X 0 0 0 0 0 0 0 0 1 0 CORY HEISER PHYSICIAN ASSISTANT 211729 0 0 0 100 0 4237 0 27476 0 243542 0 0 0 BRIANA DALCHOW PHYSICIAN ASSISTANT 149800 0 10996 0 0 0 697 0 0 0 161493 0 0 0 CARMEN WEBER ADMINISTRATOR 72534 0 200 0 137 0 3907 0 18322 0 95100 0 0 0 PART I, LINE 8 BRIANNA DALCHOW RECEIVED A BONUS FOR RECRUITEMENT TO A RURAL HEALTH SHORTAGE AREA UNDER A BINDING WRITTEN CONTRACT BETWEEN THE STATE, THE HOSPITAL, AND THE PROVIDER. FORM 990 PART VII, LINE 5 CARMEN WEBER, ADMINISTRATOR, IS COMPENSATED THROUGH AN ARRANGEMENT WITH AVERA ST. LUKE'S HOSPITAL, 305 S STATE ST, ABERDEEN, SD 57401. FORM 990, PAGE 1, LINE J ORGANIZATION WEBSITE: HTTPS://WWW.AVERA.ORG/LOCATIONS/PROFILE/ EUREKA-COMMUNITY-HEALTH-SERVICES-AVERA/ FORM 990, PART III, LINE 3 WE DISCONTINUED OUR HOME HEALTH/HOMEMAKER SERVICES DEPARTMENT IN APRIL OF 2025. FORM 990, PART VI, SECTION A, LINE 8B THE HOSPITAL BOARD DOES NOT HAVE COMMITTEES. FORM 990, PART VI, SECTION B, LINE 11B THE ADMINISTRATOR AND FINANCE OFFICER REVIEW THE 990 IN DETAIL. AFTER THEIR REVIEW, THE 990 IS PROVIDED TO EACH BOARD MEMBER. THE 990 IS FILED AFTER EACH BOARD MEMBER HAS RECEIVED A COPY. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY INCLUDES ALL BOARD MEMBERS AND OFFICERS OF THE ORGANIZATION. THE ADMINISTRATOR TAKES KNOWN CONFLICTS TO THE BOARD. THE BOARD IS RESPONSIBLE FOR THE REVIEW AND DETERMINATION OF WHETHER A CONFLICT EXISTS. IF A PERSON IS DETERMINED TO HAVE A CONFLICT, HE/SHE IS REQUIRED TO ABSTAIN FROM DISCUSSION, DELIBERATION AND VOTING ON THE MATTER CAUSING THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD FILLS OUT A WRITTEN EVALUATION ON THE ADMINISTRATOR, AND MEETS WITH AVERA ST. LUKE'S TO DISCUSS THE EVALUATION. DETERMINATION OF COMPENSATION IS A COLLABORATIVE EFFORT BETWEEN THE ORGANIZATION AND AVERA ST. LUKE'S. THIS PROCESS IS DONE EVERY YEAR. THE ADMINISTRATOR REVIEWS RATES FOR PERSONS IN THE FINANCE OFFICER POSITION ACROSS THE REGION, AND ALSO REVIEWS WITH THE HR DEPT AT ST LUKE'S TO DETERMINE THE AMOUNT OF THE AGGREGATE INCREASE TO APPLY TO THE SALARY OF THE FINANCE OFFICER WHICH IS THEN APPROVED BY THE BOARD OF DIRECTORS. THIS PROCESS IS DONE EVERY YEAR. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE AVAILABLE FOR VIEWING ON-SITE ONLY. FORM 990, PART IX, LINE 11G MEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 211,140. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 211,140. LABORATORY PURCHASE LAB: PROGRAM SERVICE EXPENSES 77,931. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 77,931. PT FINANCIAL SVC COLLECTION FEES-AM: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 22,785. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,785. CONSULTING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 82,469. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 82,469. ADMINISTRATION FINANCE SVC CHARGES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,072. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,072. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 609. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 609. MEDICAL UNIT PURCHASED SERVICE: PROGRAM SERVICE EXPENSES 613,366. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 613,366. NUTRITION SERVICE PURCHASED SERVICE: PROGRAM SERVICE EXPENSES 68,280. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 68,280. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN NET ASSETS OF AVERA HEALTH FOUNDATION 62,063.