2026-04-13T11:22:59-05:00 2025-06-30 450250958 EIDE BAILLY LLP 345 N REID PL STE 400 SIOUX FALLS SD 571037034 990 2024-07-01 420932564 HEGG MEMORIAL HOSPITAL D/B/A HEGG HEALTH CENTER HEGG 7124768000 1202 21ST AVENUE ROCK VALLEY IA 51247 CRYSTAL RICHTER CFO 7124768000 2026-04-12 1 1 LAURIE HANSON CPA P00851848 6053391999 2026-04-08 2024 2025-03-06 01:10:19Z GLENN ZEVENBERGEN 1202 21ST AVENUE ROCK VALLEY IA 51247 30387894 0 X HEGGHC.ORG X 1967 IA SERVING THE COMMUNITY THROUGH PROVISION OF HEALTHCARE AND HEALTH/SAFETY EDUCATION. 9 6 356 12 0 0 1171915 380282 28845694 28578394 557645 886021 113485 543197 30688739 30387894 29583 256250 0 0 16025132 17186852 0 0 50850 11936150 12048930 27990865 29492032 2697874 895862 58654759 60421642 18527908 17798443 40126851 42623199 WE SERVE TOGETHER TO HEAL BODY, MIND AND SPIRIT, TO IMPROVE THE HEALTH OF OUR COMMUNITY, AND TO BE GOOD STEWARDS OF THE RESOURCES ENTRUSTED TO US. 0 0 23868498 256250 28578394 HEGG HEALTH CENTER (HHC) OPERATES A 25-BED ACUTE CARE HOSPITAL, A 60-BED NURSING HOME, MEDICAL CLINIC AND AN INDEPENDENT LIVING COMPLEX. HHC ALSO PROVIDES THERAPY SERVICES ON AN OUTPATIENT AND INPATIENT BASIS. THE AMOUNT OF CARE PROVIDED WAS 823 INPATIENT DAYS OF CARE, 20,325 NURSING HOME DAYS OF CARE, 27,195 OUTPATIENT VISITS WHICH INCLUDES 5,400 HOME HEALTH VISITS AND 14,587 CLINIC VISITS. THERE WERE 1,780 ER VISITS IN FISCAL YEAR 2025. THERE WERE 11,508 THERAPY VISITS IN 2025. INDEPENDENT LIVING DAYS WERE 8,708. HHC PROVIDES 24 HOUR EMERGENCY CARE THAT PROVIDES CARE REGARDLESS OF THE PATIENTS' ABILITY TO PAY. 23868498 1 1 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 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 19 0 1 356 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 6 0 0 0 0 1 1 0 1 0 0 0 1 1 1 1 1 1 1 1 0 X CYSTAL RICHTER 7124768012 1202 21ST AVE ROCK VALLEY IA 51247 JASON VANSURKSUM PRESIDENT 0.40 X X 0 0 0 JEREMY VANZEE VICE PRESIDENT 0.40 X X 0 0 0 NANCY DORHOUT SECRETARY 0.40 X X 0 0 0 JOHN HOOGENDOORN MEMBER 0.40 X 0 0 0 JEFF TREINEN MEMBER 0.40 X 0 0 0 BRAD VAN HEUVELEN MEMBER 0.40 X 0 0 0 DEL KNOBLOCH MEMBER 0.40 X 0 0 0 TWILA DEKAM MEMBER 0.40 X 0 0 0 DAVID REINKE MD MEMBER FROM 12/2024 0.40 X 0 0 0 LIZ ARKEMA MEMBER UNTIL 12/2024 0.40 X 0 0 0 GLENN ZEVENBERGEN CEO/ADMINISTRATOR 40.00 X 310718 0 55789 WILLIAM SLATER CFO 40.00 X 156985 0 6279 NICOLLE SAMUELS REHAB DIRECTOR 40.00 X 169145 0 6766 JEREMY MCCLENNEN DIRECTOR OF PATIENT CARE 40.00 X 120875 0 36593 STEVE RING HR DIRECTOR 40.00 X 112700 0 2340 AMBER VANVOORST RN, ANESTHETIST 40.00 X 206633 0 34514 1077056 0 142281 5 0 1 1 AVERA MCKENNAN HOSPITAL 1325 CLIFF AVE SIOUX FALLS SD 57117 PHYSICIANS AND MANAGEMENT 3883674 AVERA HEALTH 3900 W AVERA DR STE 301 SIOUX FALLS SD 57108 IT SERVICES & PROGRAM LICENSES 408298 AVEL ECARE 4500 N LEWIS AVE N SIOUX FALLS SD 57104 TELEMEDICINE SERVICES 160947 REAL RADIOLOGY 101 N 2ND STE 201 OMAHA NE 68114 RADIOLOGY READS 153408 MURPHY & COLLINS PLC 38 1ST AVE NW LE MARS IA 51031 LEGAL SERVICES 145599 6 380282 380282 PATIENT SERVICE REVENUE 621110 25998364 25998364 PHARMACY REVENUE 456110 1641440 1641440 COFFEE BAR 722515 260206 260206 678384 678384 28578394 353229 353229 112697 0 112697 112697 112697 532792 0 532792 532792 532792 INSURANCE REIMBURSEMENT 900099 430500 430500 430500 30387894 28578394 0 1429218 248500 248500 7750 7750 555005 555005 127404 127404 13292933 11884050 1392265 16618 369520 334736 34317 467 2017451 1761012 253984 2455 824539 706347 117207 985 26297 26297 115123 115123 2626927 1954663 672264 89713 21659 68054 378158 215032 162719 407 551905 142563 409342 458520 396917 61603 33767 28789 4978 41132 34470 6415 247 398225 294907 103318 2146855 1580008 566847 308637 105175 203462 MEDICAL SUPPLIES 3386841 3357733 29108 REPAIR AND MAINTENANCE 594332 441611 152721 EQUIPMENT LEASE/RENTAL 31856 25645 6211 860642 199527 631444 29671 29492032 23868498 5572684 50850 3174519 3422378 123306 102596 2206742 1727669 326820 297741 213485 169086 54967200 29213260 26909520 25753940 24980240 27507961 35417 684710 1440271 58654759 60421642 2409980 2191178 16067450 15549679 50478 57586 18527908 17798443 X 37942607 40308528 2184244 2314671 40126851 42623199 58654759 60421642 X 895862 1600486 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1579853 57 163114 11500 1731524 446402 1104231 29220 1579853 424915 103 21384 446402 459509 175 -34769 424915 285807 16749 156953 459509 0.00000 0.80930 0.19070 1 0 938278 938278 43943713 21475743 22467970 8192706 6573191 1619515 1892503 1164326 728177 25753940 INTEREST IN AVERA HEALTH FOUNDATION 17421525 F ANNUITY CONTRACT 1342961 F ASSETS LIMITED AS TO USE 7830239 F UNDER INDENTURE AGREEMENT 913236 F 27507961 ANNUITY PAYABLE 27042 INSURANCE CLAIMS PAYABLE 30544 57586 X 31988380 1600486 1600486 30387894 0 30387894 29492032 0 29492032 0 29492032 PART V, LINE 4: THE ENDOWMENT FUND WAS CREATED WITH THE INTENTION OF BUILDING UP CASH THAT IS RESTRICTED FOR USE TO HELP SUPPORT THE OPERATIONS IN YEARS TO COME FROM THE INTEREST THAT THIS FUND EARNS. IN ADDITION, A PORTION OF THE ENDOWMENT FUND IS DESIGNATED FOR NURSING SCHOLARSHIPS. PART X, LINE 2: 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. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN INTEREST IN AVERA HEALTH FOUNDATION 1,653,826. NET ASSET RELEASED FROM RESTRICTION -53,340. 1 1 X 1 X 1 X 1 1 1 0 1 1 90000 90000 0.00310 90000 90000 0.00310 125617 111324 14293 0.00050 7500 7500 0.00030 7509851 6115445 1394406 0.04730 18797 18797 0.00060 7661765 6226769 1434996 0.04870 7751765 6226769 1524996 0.05180 1 134 1150 1150 0.00000 1 134 1150 1150 0.00000 1 292257 27063 8744290 8798056 -53766 X 1 1 1 1 HEGG HEALTH CENTER 1202 21ST AVENUE ROCK VALLEY IA 51247 WWW.HEGGHC.ORG 840049H X X X X 1 PROVIDER BASED CLINIC - HEGG MEDICAL CLINIC AVERA HEGG HEALTH CENTER 1 0 0 1 X X X X X X X X X 24 1 1 1 1 X SEE 7D NARRATIVE X SEE 7D NARRATIVE X X 1 24 1 SEE 7D NARRATIVE 0 1 X 150.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X HTTPS://WWW.HEGGHC.ORG/PATIENTS/BILLING-FINANCIAL-ASSISTANCE/ X HTTPS://WWW.HEGGHC.ORG/PATIENTS/BILLING-FINANCIAL-ASSISTANCE/ X HTTPS://WWW.HEGGHC.ORG/PATIENTS/BILLING-FINANCIAL-ASSISTANCE/ X X X X X X X 1 X 0 X X X X X 1 X 0 0 HEGG HEALTH CENTER PART V, SECTION B, LINE 5: THE CHNA WAS CONDUCTED USING A COLLABORATIVE PLANNING AND DATA COLLECTION PROCESS INTEGRATING SECONDARY DATA AND PRIMARY DATA COLLECTED FROM COMMUNITY MEMBERS THROUGH A WEB-BASED QUESTIONNAIRE AND FOCUS GROUP INTERVIEWS. THE WEB-BASED QUESTIONNAIRE WAS PUBLICIZED THROUGH HEALTH SYSTEM AND LOCAL PUBLIC HEALTH AGENCY SOCIAL MEDIA, EMAIL CONTACT LISTS AND RADIO PUBLICITY. A TOTAL OF 670 RESPONSES WERE RECEIVED WITH 485 FULLY COMPLETED SURVEYS. FOCUS GROUPS WERE HELD BY REPRESENTATIVES OF FOUR CRITICAL ACCESS HOSPITALS IN ORANGE CITY, SIOUX CENTER, HAWARDEN AND ROCK VALLEY. THIS COMMUNITY INPUT WAS COLLECTED BETWEEN DECEMBER 2024 AND MARCH 2025. GROUPS REPRESENTED INCLUDED UNDERSERVED, OLDER ADULTS, MINORITIES, LOW INCOME, AND PATIENTS WITH DISABILITIES. ADDITIONALLY, WE REVIEWED, ANALYZED AND COMPILED AVAILABLE DATA FROM A VARIETY OF EXISTING DATA SETS FROM NATIONAL, STATE AND LOCAL SOURCES, PRIORITIZING U.S. CENSUS DATA, COMMUNITY HEALTH RANKINGS DATA, AND DATA FROM THE IOWA HEALTH AND HUMAN SERVICES TRACKING PORTAL. HEGG HEALTH CENTER PART V, SECTION B, LINE 6A: ORANGE CITY HOSPITALHAWARDEN HOSPITALSIOUX CENTER HOSPITAL HEGG HEALTH CENTER PART V, SECTION B, LINE 6B: COMMUNITY HEALTH PARTNERS OF SIOUX COUNTY, THE LOCAL PUBLIC HEALTH AGENCY FOR SIOUX COUNTYPROMISE COMMUNITY HEALTH CENTER HEGG HEALTH CENTER PART V, SECTION B, LINE 7D: THE CHNA REPORT IS AVAILABLE AT HTTPS://WWW.HEGGHC.ORG/WP-CONTENT/UPLOADS/2025/07/HEGG-2025-CHNA-.PDFTHE INPLEMENTATION STRATEGY IS AVAILABLE ATHTTPS://WWW.HEGGHC.ORG/WP-CONTENT/UPLOADS/2025/10/2025_CHNA_IMPLEMENTATION_PLAN.PDF HEGG HEALTH CENTER PART V, SECTION B, LINE 11: WHILE OUR COMMUNITY HAS COUNTLESS POSITIVE QUALITIES, THERE ARE NEEDS THAT EXIST IN OUR COMMUNITY. THE PRIORITIZED NEEDS, LISTED BELOW, WERE IDENTIFIED IN THE FY2025 COMMUNITY HEALTH NEEDS ASSESSMENT AND WILL BE ADDRESSED BY HEGG HEALTH CENTER. THESE ARE MENTAL HEALTH, OVERWEIGHT AND OBESITY, AND NAVIGATING SYSTEMS. THE NEEDS THAT WERE IDENTIFIED BUT NOT BEING ADDRESSED WERE LOCAL ACCESS TO CARE. THIS IS IN REFERENCE TO SERVICES SUCH AS DERMATOLOGY, NEUROLOGY, AND RHEUMATOLOGY. THIS IS NOT BEING ADDRESSED CURRENTLY DUE TO THE HIGH COST OF THESE, EVEN FOR PARTICIPANTS WHO HAVE INSURANCE. FUTURE CAPACITY FOR LONG-TERM CARE WAS ALSO IDENTIFIED. STAFFING IS A MAJOR CONCERN FOR NOT ADDRESSING THIS CONCERN. AFFORDABLE AND SAFE HOUSING WAS ALSO A NEED IDENTIFIED IN SIOUX COUNTY. DUE TO RECENT FLOODING, WHICH TOOK THE HOMES OF MANY FAMILIES, IT IS DIFFICULT TO PROVIDE ALL NEW HOUSING AND HOUSING GOODS FOR THOSE THAT LOST EVERYTHING. HEGG HAS IDENTIFIED MENTAL HEALTH AS A NEED. HEGG HEALTH CENTER PARTNERS WITH FLOWSTATE HEALTH, A BEHAVIORAL HEALTH ORGANIZATION THAT ASSISTS WITH CRISIS EVALUATIONS AND IDENTIFYING APPROPRIATE PLACEMENTS FOR INDIVIDUALS IN NEED OF INPATIENT BEHAVIORAL HEALTH OR ADDICTION SERVICES. THIS PARTNERSHIP SUPPORTS TIMELY ACCESS TO SPECIALIZED CARE THROUGH COLLABORATION WITH THE REGIONAL BEHAVIORAL HEALTH SYSTEM. THE HOSPITAL ALSO PROVIDES A ONE-PAGE HANDOUT LISTING COMMUNITY RESOURCES AVAILABLE IN SIOUX COUNTY, INCLUDING BEHAVIORAL HEALTH PROVIDERS AND SUBSTANCE ABUSE TREATMENT OPTIONS. THIS TOOL HELPS PATIENTS AND FAMILIES NAVIGATE AVAILABLE LOCAL SERVICES.OVERWEIGHT AND OBESITY, HEGG OFFERS A FULLY EQUIPPED WELLNESS CENTER WITH A VARIETY OF AMENITIES, INCLUDING LOCKER ROOMS WITH SHOWERS AND LOCKERS, A MULTIPURPOSE ROOM FOR WORKOUT CLASSES, AND A WIDE RANGE OF CARDIOVASCULAR, WEIGHT TRAINING AND FITNESS EQUIPMENT. THE CENTER IS STAFFED BY A KNOWLEDGEABLE WELLNESS MANAGER AND TEAM MEMBERS WHO PROVIDE GUIDANCE, ANSWER QUESTIONS, AND SUPPORT INDIVIDUALS AT ANY STAGE OF THEIR FITNESS JOURNEY. HEGG HEALTH CENTER HAS A FULL-TIME REGISTERED DIETITIAN (RD), LICENSED NUTRITIONIST (LN) AND CERTIFIED DIABETES CARE AND EDUCATION SPECIALIST (CDCES) AVAILABLE TO ASSIST WITH DIABETES MANAGEMENT AND NUTRITION COUNSELING. IN ADDITION TO DIABETES EDUCATION CLASSES, SERVICES INCLUDE SUPPORT FOR INDIVIDUALS WITH GESTATIONAL DIABETES, POLYCYSTIC OVARIAN SYNDROME, PREDIABETES AND GENERAL NUTRITION CONCERNS. THE RD ALSO PROVIDES EDUCATION THROUGH COMMUNITY SCREENINGS AND INDIVIDUALIZED COUNSELING FOR GOALS SUCH AS WEIGHT LOSS, CHOLESTEROL MANAGEMENT, BLOOD PRESSURE CONTROL, DIGESTIVE HEALTH AND MORE.NAVIGATING SYSTEMS - HEGG HEALTH CENTER HAS A FULL-TIME MEDICAL INTERPRETER AVAILABLE TO ASSIST PATIENTS IN UNDERSTANDING THEIR CARE, IMPROVING COMMUNICATION AND ENSURING A MORE ACCESSIBLE EXPERIENCE FOR NON-ENGLISH SPEAKERS. STREAMLINED REFERRAL PROCESS: ALL REFERRALS ARE HANDLED ELECTRONICALLY THROUGH THE EMR SYSTEM, ALLOWING FOR A SMOOTH AND EFFICIENT PROCESS THAT HELPS PATIENTS EASILY CONNECT WITH SPECIALISTS AND OTHER SERVICES. PATIENT BILLING STATEMENTS INCLUDE INFORMATION ABOUT FINANCIAL ASSISTANCE OPTIONS AND AVAILABLE PAYMENT PLANS. A DIRECT LINK IS ALSO PROVIDED TO THE BILLING AND FINANCIAL ASSISTANCE PAGE ON THE HEGG HEALTH CENTER WEBSITE: HEGGHEALTH.ORG/PATIENTS/BILLING-FINANCIAL-ASSISTANCE. HEGG HEALTH CENTER PART V, SECTION B, LINE 13H: PRESUMPTIVE ELIGIBILITY MAY BE USED AS A LAST RESORT TO DETERMINE IF PATIENTS QUALIFY FOR FINANCIAL ASSISTANCE. HEGG HEALTH CENTER PART V, SECTION B, LINE 16J: SUMMARY OF THE POLICY AND CONTACT INFORMATION IS LOCATED ON EACH BILL/STATEMENT AND A CARD WITH CONTACT INFORMATION IS GIVEN WITH EACH BILL.FAP AND SUMMARY ARE LOCATED ON THE WEBSITE AND ARE HANDED OUT TO PATIENTS WHO STATE THEIR INABILITY TO PAY OR MAKE PAYMENTS.COMMUNITY HEALTH PARTNERS OF SIOUX COUNTY IS AWARE OF HEGG HEALTH CENTER'S FINANCIAL ASSISTANCE POLICY AND THAT WE PROVIDE THIS TO OUR PATIENTS. HEGG HEALTH CENTER PART V, SECTION B, LINE 20E: PROCEDURES HAVE BEEN IMPLEMENTED GIVING OUTPATIENT SERVICE PATIENTS THE CAPABILITY TO APPLY FOR FINANCIAL ASSISTANCE PRIOR TO HAVING SERVICES COMPLETED. A SIGN IS POSTED AT THE ADMISSIONS DESK. HEGG HEALTH CENTER 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 - WHISPERING HEIGHTS 2116 14TH STREET ROCK VALLEY IA 51247 LONG-TERM CARE FACILITY 2 - FOUR SEASONS 1202 21ST AVENUE ROCK VALLEY IA 51247 INDEPENDENT LIVING FACILITY PART I, LINE 3C: HEGG HEALTH CENTER (HHC) UTILIZES FPG AND AN ASSET TEST, AND CONSIDERS MEDICAL INDIGENCY, INSURANCE STATUS, AND UNDERINSURANCE STATUS IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. PRESUMPTIVE ELIGIBILITY MAY BE USED AS A LAST RESORT TO DETERMINE IF PATIENTS QUALIFY FOR FINANCIAL ASSISTANCE. PART I, LINE 6A: THE COMMUNITY BENEFIT REPORT IS AVAILABLE THROUGH THE ORGANIZATIONS' WEBSITE AND REQUESTED MAILING AND IS FILED WITH THE CATHOLIC HEALTH ASSOCIATION. HHC ALSO REPORTS TO THE IOWA HOSPITAL ASSOCIATION (IHA) FOR THE STATE'S REPORTING ON COMMUNITY BENEFITS, AND FILES THEIR OWN COMMUNITY BENEFIT REPORT. 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. LINE 7G WAS OBTAINED FROM THE MEDICARE COST REPORT. PART II, COMMUNITY BUILDING ACTIVITIES: ASSISTANCE WAS PROVIDED TO A FLOOD VICTIM SUPPORT GROUP. 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: HEGG HEALTH CENTER ESTIMATES THAT APPROXIMATELY 9.26% OF IMPLICIT PRICE CONCESSION COULD BE REASONABLY ATTRIBUTABLE TO PATIENTS WHO WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IF SUFFICIENT INFORMATION HAD BEEN AVAILABLE TO THE FACILITY TO MAKE A DETERMINATION OF THEIR ELIGIBILITY. PART III, LINE 4: THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES IMPLICIT PRICE CONCESSION IS LOCATED IN THE AUDITED FINANCIAL STATEMENT ON PAGES 14-15. PART III, LINE 8: 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.MEDICARE ALLOWABLE COST OF CARE WAS CALCULATED FROM THE MEDICARE COST REPORT FOR FISCAL YEAR ENDING 6/30/2025. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY THE CENTERS FOR MEDICAID AND MEDICARE SERVICES. PART III, LINE 9B: PERSONS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE DO NOT ENTER INTO COLLECTIONS UNLESS THE AMOUNT OWED AFTER FINANCIAL ASSISTANCE IS NOT PAID. IF, DURING THE COLLECTION PROCESS, IT IS DETERMINED THAT A PATIENT MAY QUALIFY FOR FINANCIAL ASSISTANCE, THE COLLECTION AGENCY IS DIRECTED TO REFER THE PATIENT BACK TO HEGG HEALTH CENTER TO ASSESS FINANCIAL ASSISTANCE ELIGIBILITY. IF THE PATIENT IS DEEMED TO QUALIFY FOR FINANCIAL ASSISTANCE, THE COLLECTION AGENCY WILL CEASE COLLECTION EFFORTS AND SEND THE ACCOUNT BACK TO THE HEALTH CENTER. PRIOR TO SENDING TO A COLLECTION AGENCY, HEGG HEALTH CENTER WILL PROVIDE THE PATIENT WITH A STATEMENT OR FINAL NOTE. THE LANGUAGE USED ON STATEMENTS OR BILLING NOTICES IS: "ACCOUNTS WITH NO PAYMENTS, INCONSISTENT PAYMENTS, OR NOT IN THE FINANCIAL ASSISTANCE APPLICATION PROCESS WILL BE TURNED OVER TO A COLLECTION AGENCY 120 DAYS AFTER THE FIRST POST DISCHARGE STATEMENT." HEGG HEALTH CENTER ALLOWS ALL INDIVIDUALS 120 DAYS FROM THE FIRST POST DISCHARGE STATEMENT TO APPLY FOR FINANCIAL ASSISTANCE BEFORE INITIATING ANY EXTRAORDINARY COLLECTION ACTIVITIES (ECA). HEGG HEALTH CENTER CONSIDERS PLACEMENT AT A COLLECTION AGENCY AN ECA. HEGG HEALTH CENTER ALLOWS 240 DAYS FROM THE FIRST POST DISCHARGE BILLING STATEMENT FOR INDIVIDUALS TO APPLY FOR FINANCIAL ASSISTANCE. PART VI, LINE 2: IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT, THE BOARD OF DIRECTORS, ADMINISTRATION, AND PHYSICIANS HOLD STRATEGIC PLANNING SESSIONS EVERY THREE YEARS IN AN EFFORT TO IDENTIFY COMMUNITY NEEDS AND DETERMINE HOW THE FACILITY CAN BEST MEET THOSE NEEDS. THE ORGANIZATION ALSO SENDS OUT PATIENT SATISFACTION SURVEYS TO DETERMINE HOW WELL THEY ARE DOING BASED ON THE PATIENT'S PERSPECTIVE. PART VI, LINE 3: ALL PATIENTS RECEIVE A STATEMENT THAT INDICATES IF THE PATIENT MEETS CERTAIN INCOME REQUIREMENTS THE PATIENT MAY BE ELIGIBLE FOR A GOVERNMENT-SPONSORED PROGRAM OR FINANCIAL ASSISTANCE FROM THE ORGANIZATION. THEY ALSO RECEIVE A STATEMENT THAT PROVIDES THE PATIENT WITH AN ORGANIZATION CONTACT RESOURCE FOR GUIDANCE ON HOW TO OBTAIN INFORMATION ON THE FINANCIAL ASSISTANCE POLICY AND HOW TO APPLY. NOTICES AND CONTACT INFORMATION IS ALSO PRINTED ON THE BILLING STATEMENTS THAT ARE SENT OUT TO THE PATIENT STATING THERE IS FINANCIAL ASSISTANCE AND WHO TO CONTACT. HHC ALSO CONTACTS THE PATIENT REGARDING PAYMENT CONCERNS (UNLESS THE ORGANIZATION IS CONTACTED BY THE PATIENT) RELATED TO THEIR ABILITY TO MAKE REQUIRED PAYMENTS. PAYMENT OPTIONS, FINANCIAL ASSISTANCE AND GOVERNMENTAL BENEFITS ARE DISCUSSED WITH THE PATIENT BY PHONE, MAIL, OR IN PERSON. A FINANCIAL ASSISTANCE POLICY AND APPLICATION FORM IS MAILED OUT (UPON REQUEST), PICKED UP BY THE PATIENT, OR ACCESSED ONLINE. HHC DISCUSSES THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS WITH THE PATIENT, AND ASSISTS THE PATIENT WITH QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE. INFORMATION REGARDING OUR PAYMENT POLICY, WHICH INCLUDES APPLYING FOR FINANCIAL ASSISTANCE, IS STATED ON THE BACK OF EACH HOSPITAL STATEMENT. A CARD IS INSERTED IN EVERY PATIENT STATEMENT THAT INFORMS THE PATIENT THAT WE HAVE A FINANCIAL ASSISTANCE POLICY, WHERE TO LOCATE IT, AND WHO TO CONTACT FOR MORE INFORMATION. HHC ALSO HAS POSTED SIGNS TO INFORM THE PATIENT WHEN THEY ARE IN THE FACILITY. PART VI, LINE 4: IN 2024, ROCK VALLEY HAD A POPULATION OF APPROXIMATLYE 4,000 PEOPLE WITH A MEDIAN AGE OF 35.1 AND MEDIAN HOUSEHOLD INCOME OF 76,250. ROCK VALLEY'S POPULATION IS CURRENTLY DECLINING AT A RATE OF -.03% ANNUALLY AND ITS POPULATION HAS DECREASED BY -1.82% SINCE THE MOST RECENT CENSUS, WHICH RECORDED A POPULATION OF 4,073 IN 2020. THE LARGEST ETHNIC GROUPS IN ROCK VALLEY ARE WHITE AND HISPANIC. IN 2024, THE MEDIAN PROPERTY VALUE IN ROCK VALLEY WAS $231,200 AND THE HOMEOWNERSHIP RATE WAS 63%. THE LARGEST INDUSTRIES IN ROCK VALLEY ARE MANUFACTURING, CONSTRUCTION, AND HEALTH CARE AND SOCIAL ASSISTANCE. THE HIGHEST PAYING INDUSTRIES ARE AGRICULTURE, FORESTRY, FISHING & HUNTING, & MINING. 9.26%OF THE POPULATION IS ESTIMATED TO BE AT OR BELOW POVERTY LEVEL. THE UNEMPLOYMENT RATE IN ROCK VALLEY, IA IS APPROXIMATELY 4%. PART VI, LINE 5: HEGG HEALTH CENTER FEELS THAT THE HEALTH AND WELLNESS OF ITS SERVICE AREA/COMMUNITY ARE OF UTMOST IMPORTANCE. AS THE LARGEST HEALTHCARE PROVIDER IN THE COMMUNITY, HHC IS A CENTRALIZED RESOURCE THAT NOT ONLY PROVIDES COMPASSIONATE PATIENT CARE, BUT ALSO OFFERS LIFE SKILLS CLASSES AND HEALTH EDUCATION WEBINARS FOR THE COMMUNITY.EDUCATION OF OTHERS IN HEALTH CAREERS IS VERY IMPORTANT TO HEGG HEALTH CENTER. WE PROVIDE AN ANNUAL DONATION TO NCC (NORTHWEST IOWA COMMUNITY COLLEGE) TO SUPPORT THEIR HEALTH PROGRAMS, WELCOME INTERNS/STUDENTS/SHADOWS OF ALL AREAS FROM NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS, PRE-MED DEGREES, PHYSICAL/OCCUPATIONAL THERAPISTS, NURSING, AND OTHER AREAS IN THE OFFICE FIELDS OF HEALTHCARE.HEGG HEALTH CENTER ENCOURAGES EMPLOYEE PARTICIPATION IN CHAMBER ACTIVITIES, ROTARY, AND KIWANIS TO SHARE INFORMATION WITH THE COMMUNITY AND TO HELP WITHIN THE COMMUNITY IN THE ACTIVITIES OF THESE CLUBS/ORGANIZATIONS.HEGG HEALTH CENTER HAS GIVEN SENIOR CITIZENS FIRST PRIORITY ACCESS TO THE SENIOR CENTER OVER THE PAST 15 YEARS. COMMUNITY HEALTH SCREENINGS THAT FOCUS ON CHOLESTEROL MANAGEMENT AS WELL AS DIABETES SCREENING WERE OFFERED TO COMMUNITY MEMBERS AT A REDUCED RATE. MANY OTHER EVENTS TOUCH ON TEACHING THE BASICS OF CERTAIN HEALTH RELATED ISSUES THAT MAY EITHER NEGATIVELY OR POSITIVELY AFFECT THE LIVES OF THE COMMUNITY MEMBERS THAT WE SERVE. HEGG HEALTH CENTER ALSO PROMOTES HEALTH AND WELLNESS THROUGH GLOW RUN IN THE FALL, A PICKLE BALL TOURNAMENT IN THE SUMMER AND PROGRAMS THAT FOCUS ON NUTRITION AND OBESTIY PREVENTION.CPR AND FIRST AID CLASSES ARE OFFERED TO HEALTH CARE WORKERS, DAYCARE PROVIDERS, FOSTER/ADOPTIVE PARENTS, AND THE GENERAL PUBLIC AT A REDUCED COST.THE COMMUNITY EDUCATION DEPARTMENT STRIVES TO OFFER A WIDE ARRAY OF SERVICES AT A FREE OR REDUCED RATE. THE GOAL OF THE DEPARTMENT IS TO FURTHER THE MISSION OF THE HEALTH CENTER THROUGH CARING FOR OTHERS, BODY, MIND, AND SOUL.HHC HAS A NINE MEMBER BOARD COMPRISED OF CITIZENS THAT LIVE IN THE PRIMARY SERVICE AREA. HHC EXTENDS PRIVILEGES TO PHYSICIANS IN THE IMMEDIATE AREA. HHC USES SURPLUS FUNDS TO FUND BUILDING IMPROVEMENTS TO ENHANCE SERVICES TO OUR PATIENTS.HHC OFFERS A 24/7 EMERGENCY DEPARTMENT THAT IS AVAILABLE TO THE COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY. PART VI, LINE 6: HEGG HEALTH CENTER (HHC) IS A MANAGED FACILITY OF AVERA HEALTH. AVERA HEALTH AND HHC WORK COOPERATIVELY TO ENHANCE HEALTHCARE THROUGHOUT THE COMMUNITY SERVED BY HHC.HHC 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 HHC AT A COST BELOW THAT WHICH HHC COULD OTHERWISE ACHIEVE. IN TURN, LOCAL CAREGIVERS ARE ABLE TO DEVOTE MORE RESOURCES TO PATIENT AND RESIDENT CARE.AVERA HEALTH AND HHC 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 NON-PROFIT COMMUNITY ORGANIZATIONS, NON-PROFIT EVENT SPONSORSHIPS, DONATED MEDICAL SUPPLIES, COMMUNITY HEALTH EDUCATION AND SUPPORT GROUPS, HEALTH SCREENINGS, FLU-SHOT CLINICS, AND VARIOUS OTHER ACTIVITIES. PART VI, LINE 7, REPORTS FILED WITH STATES IA 0 IOWA HOSPITAL EDUCATION & RESEARCH FOUNDATION 100 E GRAND AVE DES MOINES IA 50309 420706508 501(C)(3) 179000 0 FLOOD ASSISTANCE 1 0 CASH 79 7750 X X X 0 0 0 0 0 0 0 1 0 GLENN ZEVENBERGEN CEO/ADMINISTRATOR 291943 0 15650 0 3125 0 14180 0 43272 0 368170 0 0 0 AMBER VANVOORST RN, ANESTHETIST 206633 0 0 0 0 0 8793 0 26755 0 242181 0 0 0 NICOLLE SAMUELS REHAB DIRECTOR 169145 0 0 0 0 0 6766 0 1533 0 177444 0 0 0 WILLIAM SLATER CFO 156985 0 0 0 0 0 6279 0 1525 0 164789 0 0 0 JEREMY MCCLENNEN DIRECTOR OF PATIENT CARE 120875 0 0 0 0 0 5277 0 37061 0 163213 0 0 0 PART I, LINE 3 COMPENSATION IS SET BY AVERA MCKENNAN HOSPITAL BY USING IHA AND AVERA NETWORK SURVEYS ON SETTING THE AVERAGE RATE OF PAY. THIS RATE IS COMPARED TO THE ACTUAL AND IS BROUGHT TO THE BOARD FOR CONSIDERATION AND APPROVAL. THE BOARD RECOMMENDS AND APPROVES ANY ADDITIONAL BONUS COMPENSATION THAT IS GIVEN TO THE CEO/ADMINISTRATOR. PART I, LINE 7 CEO, GLENN ZEVENBERGEN'S BONUS IS DISCRETIONARY AND IS DETERMINED BY THE BOARD OF DIRECTORS. SCHEDULE J, PART II: THE HOSPITAL HAS A MANAGEMENT AGREEMENT WITH AVERA MCKENNAN HOSPITAL IN WHICH SERVICES OF THE CEO/ADMINISTRATOR, GLENN ZEVENBERGEN, ARE PAID THROUGH AVERA MCKENNAN HOSPITAL, 1325 S CLIFF AVENUE, SIOUX FALLS, SD 57117-5045. HHC IS BILLED FROM AVERA MCKENNAN HOSPITAL FOR HIS COMPENSATION. AS THE EMPLOYEE IS CONSIDERED A COMMON LAW EMPLOYEE OF HHC, COMPENSATION IS SHOWN AS PAID BY THE ORGANIZATION ON PART VII OF THE 990 AND ON SCHEDULE J, PART II. DENISE VANZEE FAMILY MEMBER OF CURRENT BOARD MEMBER 55372 COMPENSATION 0 ALYSSA VANBEEK FAMILY MEMBER OF CURRENT BOARD MEMBER 33908 COMPENSATION 0 BROOKE HEERINGA FAMILY MEMBER OF CURRENT BOARD MEMBER 38124 COMPENSATION 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS ONE CLASS OF MEMBERSHIP AVAILABLE TO ANY PERSON WHO MAKES A DONATION OF AT LEAST $300. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS VOTE ON VACANCIES AT THE ANNUAL MEETING. THE BOARD OF DIRECTORS NOMINATES ONE CANDIDATE FOR EACH VACANCY. THE ELECTED DIRECTOR MUST RECEIVE A MAJORITY OF THE VOTES OF THE MEMBERSHIP. ONE MEMBER OF THE GOVERNING BODY IS APPOINTED BY AVERA MCKENNAN. FORM 990, PART VI, SECTION A, LINE 8B THE COMMITTEES BRING RECOMMENDATIONS TO THE BOARD; THE FULL BOARD VOTES ON RECOMMENDATIONS. COMMITTEES DON'T HAVE FULL AUTHORITY TO ACT ON BEHALF OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE CEO/ADMINISTRATOR AND CFO REVIEW THE 990 IN DETAIL. UPON COMPLETION OF THE REVIEW, THE 990 IS PROVIDED TO EACH BOARD MEMBER. THE CEO/ADMINISTRATOR AND CFO PRESENT THE 990 TO THE BOARD OF DIRECTORS AT THE MEETING HELD PRIOR TO ITS FILING IF SO REQUESTED BY ANY BOARD MEMBER. WHETHER PRESENTED IN A BOARD MEETING OR NOT, THE 990 IS NOT FILED UNTIL EACH BOARD MEMBER HAS BEEN GIVEN A COPY. FORM 990, PART VI, SECTION B, LINE 12C A STATEMENT IS GIVEN TO BOARD MEMBERS, THE CEO/ADMINISTRATOR, AND THE CFO, ASKING FOR ANY POTENTIAL ISSUES THAT COULD GIVE RISE TO A CONFLICT. THEY ARE REQUIRED TO DISCLOSE ANY CONFLICTS AND SIGN OFF ON THE STATEMENT ANNUALLY. THE BOARD DETERMINES AND REVIEWS ANY POSSIBLE CONFLICT OF INTERESTS THAT MAY ARISE. IF ANY CONFLICTS ARISE, THE AFFECTED PERSON(S) MUST REFRAIN FROM DISCUSSION AND VOTING ON ANYTHING DEALING WITH THE ITEM CAUSING CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 CEO - THE REGIONAL MANAGER AT AVERA MCKENNAN HOSPITAL EVALUATES THE CEO/ADMINISTRATOR ANNUALLY AND MEETS WITH THE BOARD OF DIRECTORS FROM HEGG HEALTH CENTER. THE REGIONAL MANAGER RECOMMENDS A SALARY ADJUSTMENT FOR THE CEO/ADMINISTRATOR. THE BOARD OF DIRECTORS IS RESPONSIBLE FOR APPROVAL OF THE SALARY ADJUSTMENT. THE REGIONAL MANAGER USES POLICIES AND PROCEDURES AS SET FORTH BY AVERA MCKENNAN HOSPITAL. THE DELIBERATION AND DECISION IS DOCUMENTED AT AVERA MCKENNAN HOSPITAL AND IN THE BOARD MINUTES. CFO - THE HUMAN RESOURCES DIRECTOR USES THE IHA SURVEY FROM THE PREVIOUS YEAR TO DETERMINE A MINIMUM AND MAXIMUM RANGE FOR MARKET SALARY ADJUSTMENTS. A RECOMMENDATION IS MADE TO THE BOARD. MERIT INCREASES ARE DETERMINED THROUGH A REVIEW PROCESS. THE PROCESS IS COMPLETED ANNUALLY AND IS DOCUMENTED IN THE PERSONNEL FILE. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST WITH THE APPROVAL OF THE BOARD. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN NET ASSETS OF AVERA HEALTH FOUNDATION 1,653,826. NET ASSETS RELEASED FROM RESTRICTIONS -53,340.