2025-05-05T13:28:52-05:00 2024-06-30 450250958 EIDE BAILLY LLP 18081 BURT ST STE 200 OMAHA NE 680224722 990 2023-07-01 391902797 MANNING REGIONAL HEALTHCARE CENTER MANN 7126552072 1550 6TH STREET MANNING IA 51455 AMY MCLAUGHLIN CFO 7126552072 2025-05-05 1 1 MEGAN L KOZIOL CPA P01544037 4023302660 2025-05-01 2023 2025-03-06 01:10:19Z AMY MCLAUGHLIN 1550 6TH STREET MANNING IA 51455 24090946 0 X WWW.MRHCIA.COM X 1997 IA TO PROVIDE HEALTHCARE SERVICES FOR THE MANNING, IA AND SURROUNDING COMMUNITIES. 7 7 164 185 0 0 348145 450507 18144691 22994371 319273 566661 77071 73967 18889180 24085506 4626 5510 0 0 8612635 9066466 0 0 0 9252283 10015628 17869544 19087604 1019636 4997902 35454225 38638158 20665350 18602492 14788875 20035666 X MANNING REGIONAL HEALTHCARE CENTER (MRHC) WILL PROVIDE A COMPASSIONATE, HOLISTIC HEALTH CARE EXPERIENCE THE COMMUNITY CAN TRUST. 0 0 12508888 17435345 THE MANNING REGIONAL HEALTH CARE CENTER IS A 17-BED FACILITY FEDERALLY DESIGNATED AS A CRITICAL ACCESS HOSPITAL. HOSPITAL SERVICES INCLUDE ACUTE AND SKILLED CARE, EMERGENCY CARE, OUTPATIENT SPECIALTY CLINICS, SURGERY, AND ANCILLARY (I.E. - LABORATORY AND RADIOLOGY) SERVICES. 2112240 5510 1196896 MANNING REGIONAL HEALTHCARE CENTER HAS A PRIMARY CARE PHYSICIANS CLINIC TO SERVE PATIENTS' PREVENTATIVE, WELLNESS, AND ACUTE NEEDS. 1358045 4362130 THE MANNING RECOVERY CENTER (RC) PROVIDES SAFE, EFFICIENT, AND EFFECTIVE CHEMICAL DEPENDENCY TREATMENT TO CHEMICALLY DEPENDENT INDIVIDUALS AND THEIR FAMILIES ACROSS IOWA AND NEBRASKA. SERVICES INCLUDE DETOX AND OUTPATIENT CHEMICAL DEPENDENT TREATMENT, CO-DEPENDENCY TREATMENT, AFTERCARE, OUTREACH SERVICES, EMPLOYEE ASSISTANCE PROGRAMMING, AND OWI EVALUATION/EDUCATION. THE RC IS A 16-BED CO-ED MULTI-LEVEL TREATMENT CENTER. 260363 0 OTHER MISCELLANEOUS PROGRAM SERVICES 260363 0 16239536 1 1 0 1 0 0 0 0 0 0 1 0 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 1 0 0 0 0 0 0 0 0 1 58 0 1 164 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X AMY MCLAUGHLIN CFO 7126558123 1550 6TH STREET MANNING IA 51455 BRET RICHARDS PRESIDENT 1.00 X X 0 0 0 LARRY HAGEDORN VICE PRESIDENT 0.50 X X 0 0 0 VIRGINIA RASMUSSEN TREASURER/SECRETARY 0.50 X X 0 0 0 JACOB RANNIGER DIRECTOR 0.50 X 0 0 0 JEAN VOEGE DIRECTOR 0.50 X 0 0 0 DAVE MUHLBAUER DIRECTOR 0.50 X 0 0 0 ASHLEY MOORE DIRECTOR 0.50 X 0 0 0 LINN BLOCK CEO THRU 11/23 40.00 X 215238 0 21025 AMY MCLAUGHLIN CFO 40.00 X 147753 0 155 SHANNON BLACK CEO AS OF 02/24 40.00 X 0 0 0 DR THANG LUONG PHYSICIAN 40.00 X 366680 0 26077 DR DOUGLAS MCLAWS PHYSICIAN 40.00 X 384040 0 37394 TAYA VONNAHME ARNP 40.00 X 219485 0 6362 JENNIFER MORRIS PHARMACY 40.00 X 144790 0 4364 SARA POWERS ARNP 40.00 X 149268 0 4628 1627254 0 100005 9 0 1 1 MERCYONE HEALTH NETWORK 1449 NW 128TH ST SUITE 200 CLIVE IA 50325 MANAGEMENT SERVICES AGREEMENT, CEO/CFO C 598483 PSYCHIATRIC MEDICAL CARE LLC PO BOX 734606 DALLAS TX 75373 SENIOR LIFE SOLUTIONS PROGRAM: MANAGEMEN 390124 REHABVISIONS 11623 ARBOR STREET OMAHA NE 68144 PROFESSIONAL THERAPY SERVICES (PT, OT, S 276484 K SMITH ANESTHESIA PLC KELLEE SMITH 2331 FOREST ST CARROLL IA 51401 ANESTHESIA SERVICES 193360 WOUND CARE SERVICES 3445 N CAUSEWAY BLVD STE 600 METAIRIE LA 70002 WOUND CARE SERVICES AGREEMENT 152875 11 165984 284523 236048 450507 PATIENT CARE, ACUTE & CLINIC, M'C 624100 16207101 16207101 PATIENT CARE, ACUTE & CLINIC, INS 624100 6010960 6010960 340B PROGRAM 624100 607142 607142 IMMUNIZATION CLINIC REVENUE 624100 1625 1625 167543 167543 22994371 556901 556901 15200 5440 9760 9760 9760 CAFETERIA REVENUE 900099 73967 73967 73967 24085506 22994371 0 640628 X 5510 5510 384172 384172 7229274 6344952 884322 144429 122005 22424 816628 721843 94785 491963 432739 59224 15201 15201 70413 70413 3100792 2725753 375039 87517 87517 881956 854726 27230 391247 374855 16392 79428 62266 17162 631029 604592 26437 1914882 1834657 80225 134857 129207 5650 MEDICAL SUPPLIES 1662367 1662367 MISCELLANEOUS EXPENSES 647917 11917 636000 DUES & SUBSCRIPTIONS 217565 171690 45875 DIETARY/FOOD & SUPPLIES 180457 180457 19087604 16239536 2848068 0 170 148 12111784 15512131 2746333 2296927 328948 360627 129518 164861 32165146 17604037 15688217 14561109 3791199 3900041 358334 259714 299722 1582600 35454225 38638158 729038 775888 21634 3747 17807877 17474470 2106801 348387 20665350 18602492 X 14725419 19974147 63456 61519 14788875 20035666 35454225 38638158 4997902 248889 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 3283 3283 0 PART II-B, LINE 1: MANNING REGIONAL HEALTHCARE CENTER (MRHC) PAYS ASSOCIATION DUES TO THE IOWA HOSPITAL ASSOCIATION (IHA) AND AMERICAN HOSPITAL ASSOCIATION (AHA). PORTIONS OF THE ASSOCIATION DUES ARE EXPENDED BY THE ASSOCIATIONS FOR LOBBYING PURPOSES. 246932 246932 20722756 10446627 10276129 9457300 6334267 3123033 1738158 823143 915015 14561109 CAPITAL LEASE OBLIGATIONS 348387 348387 X 24334395 248889 248889 24085506 0 24085506 19087604 0 19087604 0 19087604 PART X, LINE 2: THE HEALTHCARE CENTER ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN FASB ASC 740, INCOME TAXES. THE HEALTHCARE CENTER RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT JUNE 30, 2024 AND 2023, THE HEALTHCARE CENTER HAD NO UNCERTAIN TAX POSITIONS ACCRUED. 1 1 X 1 X 1 X 1 1 0 1 1 75 71111 0 71111 0.00370 5177107 8550960 0 0.00000 75 5248218 8550960 71111 0.00370 271 3753 0 3753 0.00020 471 8161 0 8161 0.00040 52955 0 52955 0.00280 742 64869 64869 0.00340 817 5313087 8550960 135980 0.00710 1 261215 18285 7257321 7300516 -43195 X 1 1 1 1 MANNING REGIONAL HEALTHCARE CENTER 1550 6TH STREET MANNING IA 51455 WWW.MRHCIA.COM 140058H X X X X MANNING REGIONAL HEALTHCARE CENTER 1 0 0 1 X X X X X X X X X 21 1 0 1 1 X WWW.MRHCIA.COM/COMMITMENT-TO-COMMUNITY/ X 1 21 1 WWW.MRHCIA.COM/COMMITMENT-TO-COMMUNITY/ 0 1 X 200.000000000000 300.000000000000 X X X X X X X 1 1 X X X 1 X WWW.MRHCIA.COM/FINANCIAL-ASSISTANCE/ X WWW.MRHCIA.COM/FINANCIAL-ASSISTANCE/ X WWW.MRHCIA.COM/FINANCIAL-ASSISTANCE/ X X X X X X 1 X 0 X X X X X 1 X 0 0 MANNING REGIONAL HEALTHCARE CENTER PART V, SECTION B, LINE 5: THE HEALTHCARE CENTER INVITED COMMUNITY MEMBERS TO TOWN HALL MEETINGS REGARDING THE CHNA AND FROM THERE CONDUCTED SURVEYS TO REACH THE MAJORITY OF THE POPULATION. THE FOLLOWING LIST OUTLINES PARTNERS INVITED TO TOWN HALL: LOCAL HOSPITAL, PUBLIC HEALTH COMMUNITY, MENTAL HEALTH COMMUNITY, FREE CLINICS, COMMUNITY-BASED CLINICS, SERVICE PROVIDERS, LOCAL RESIDENTS, COMMUNITY LEADERS, OPINION LEADERS, SCHOOL LEADERS, BUSINESS LEADERS, LOCAL GOVERNMENT, FAITH-BASED ORGANIZATIONS AND PERSONS, PEOPLE WITH CHRONIC CONDITIONS, UNINSURED COMMUNITY MEMBERS, LOW INCOME RESIDENTS, AND MINORITY GROUPS. THE HEALTHCARE CENTER ALSO COLLABORATED WITH MEMBERS OF VARIOUS HEALTH IMPROVEMENT PLAN COMMITTEES FROM CARROLL COUNTY PUBLIC HEALTH. MANNING REGIONAL HEALTHCARE CENTER PART V, SECTION B, LINE 6B: CARROLL COUNTY PUBLIC HEALTH DEPARTMENT MANNING REGIONAL HEALTHCARE CENTER PART V, SECTION B, LINE 11: A COMMITTEE WAS FORMED FOR EACH NEED THAT AROSE FROM THE ASSESSMENT. COMMITTEES SET GOALS AND TIMELINES TO IMPROVE UPON THOSE NEEDS AND MEET ON A REGULAR BASIS TO WORK TOWARDS MEETING THOSE GOALS. ALL SIGNIFICANT NEEDS IDENTIFIED ARE CURRENTLY BEING ADDRESSED BY THE HOSPITAL.MANNING REGIONAL HEALTHCARE CENTER CONTINUED TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED DURING FY24: 1) MENTAL HEALTH/SUICIDE SERVICES: HIRED A MENTAL HEALTH COUNSELOR TO OFFER MENTAL HEALTH OUTPATIENT SERVICES AT MRHC. 2) AMBULANCE STAFFING: PROVIDED CONTINUING EDUCATION TO EXISTING AMBULANCE STAFF, PROVIDED FINANCIAL SUPPORT TO EMS VOLUNTEERS EMPLOYED BY MRHC THAT MEET A CERTAIN VOLUNTEER THRESHOLD PER YEAR, AND CONTINUED TO ALLOW FLEXIBLE WORK SCHEDULES FOR EMS VOLUNTEERS EMPLOYED BY MRHC. 3) LACK OF RURAL HEALTHCARE REIMBURSEMENT: HOSTED HOSPITAL TOURS FOR LOCAL AND STATE LEGISLATORS AND HAD DISCUSSIONS REGARDING THE FUTURE OF HEALTHCARE REIMBURSEMENT AND THEIR HEALTHCARE DELIVERY AGENDA. WE ALSO WORKED IN COLLABORATION WITH THE IOWA HOSPITAL ASSOCIATION AND THE STATE OF IOWA TO ROLL OUT THE MEDICAID DIRECTED PAYMENT PROGRAM. 4) OBESITY/NUTRITION: SPONSORED COMMUNITY ACTIVITIES THAT PROMOTE PHYSICAL FITNESS, PROVIDED SPORTS PHYSICALS AND WELLNESS EXAMINATIONS, CONTINUED MEDICARE WELLNESS OUTREACH, AND PROVIDED OCCUPATIONAL HEALTH OFFERINGS TO EMPLOYERS. 5) SENIOR CARE: PARTICIPATED IN SENIOR SERVICES COMMUNITY COHORT TO SUPPORT SENIOR ACTIVITIES, CONTINUED TO OFFER SENIOR LIFE SOLUTIONS SERVICES AT MRHC, EXPLORED PROVIDING PT OFFERINGS AT THE SENIOR CENTER. 6) CHRONIC DISEASE MANAGEMENT: WORKED TO IMPROVE PROCESSES FOR GENERATING REMINDERS TO PATIENTS FOR PREVENTATIVE SERVICES AND OFFERED WELLNESS SCREENINGS AT MRHC. 7) DRUG / SUBSTANCE ABUSE: HIRED A DRUG PREVENTION COUNSELOR WHO BUILT A PREVENTION PROGRAM AND PRESENTED IT TO SCHOOLS IN OUR SURROUNDING COMMUNITIES, CONTINUED TO PROVIDE COUNSELING AND SUPPORT FOR DRUG ABUSE, PROMOTED PROPER DISCARD OF PRESCRIPTION DRUGS, CONTINUED SOCIAL MEDIA CAMPAIGN TO COMBAT DRUG ABUSE AND BUILD AWARENESS ON DRUG ABUSE RESOURCES. MANNING REGIONAL HEALTHCARE CENTER PART V, SECTION B, LINE 13B: PATIENTS WHOSE FAMILY INCOME EXCEEDS 300% OF THE FEDERAL POVERTY GUIDELINES MAY BE ELIGIBLE FOR DISCOUNTED CARE ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE. THIS DETERMINATION IS AT THE DISCRETION OF MANNING REGIONAL HEALTH CARE; HOWEVER THE DISCOUNTED RATES SHALL NOT BE GREATER THAN THE AMOUNTS GENERALLY BILLED TO COMMERCIALLY INSURED OR MEDICARE PATIENTS. SUCH FINANCIAL ASSISTANCE SHALL BE REVIEWED AND APPROVED BY THE CFO. MANNING REGIONAL HEALTHCARE CENTER PART V, SECTION B, LINE 13H: IN EVALUATING ELIGIBILITY FOR FREE OR DISCOUNTED CARE, FAMILY SIZE IS A FACTOR TAKEN INTO ACCOUNT IN ADDITION TO INCOME LEVEL, INSURANCE STATUS, ETC. MANNING REGIONAL HEALTHCARE CENTER PART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTANCE POLICY IS ALSO MADE PUBLICLY AVAILABLE BY MANNING REGIONAL HEALTHCARE CENTER'S DESIGNATION OF DEPARTMENTS OR INDIVIDUALS WHO CAN EXPLAIN THE FINANCIAL ASSISTANCE AND PAYMENT PROGRAMS, AND BY INSTRUCTING STAFF WHO INTERACT WITH PATIENTS TO DIRECT QUESTIONS REGARDING ANY FINANCIAL ASSISTANCE OR PAYMENT PROGRAM TO THE PROPER RESPRESENTATIVE. MANNING REGIONAL HEALTHCARE CENTER PART V, SECTION B, LINE 20E: MANNING REGIONAL HEALTHCARE CENTER CONTRACTS WITH A THIRD PARTY ORGANIZATION (MED-PLAN SERVICES, LTD), AS AN EARLY OUT COLLECTION VENDOR. PART OF THE PROCESS MED-PLAN PERFORMS ON BEHALF OF MRHC IS TO CALL PATIENTS, INFORM THEM OF THE OPTION OF FINANCIAL ASSISTANCE, AND SEND PATIENTS THE APPLICATION SHOULD THEY BE QUALIFIED OR IF THEY REQUEST IT. MED-PLAN DOCUMENTS THE PATIENT COMMUNICATIONS WITHIN OUR PATIENT MANAGEMENT SYSTEM. PART I, LINE 3C: FEDERAL POVERTY GUIDELINES, ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS, UNDER INSURANCE STATUS, RESIDENCY AND FAMILY SIZE ARE USED TO DETERMINE ELIGIBILITY FOR PROVIDING FREE AND DISCOUNTED CARE TO LOW INCOME INDIVIDUALS. IN ADDITION, PATIENTS WHOSE FAMILY INCOME EXCEEDS 300% OF THE FEDERAL POVERY GUIDELINES MAY BE ELIGIBLE FOR DISCOUNTED CARE ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE. THIS DETERMINATION IS AT THE DISCRETION OF MANNING REGIONAL HEALTH CARE; HOWEVER THE DISCOUNTED RATES SHALL NOT BE GREATER THAN THE AMOUNTS GENERALLY BILLED TO COMMERCIALLY INSURED OR MEDICARE PATIENTS. SUCH FINANCIAL ASSISTANCE SHALL BE REVIEWED AND APPROVED BY THE CFO. 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. UNREIMBURSED MEDICAID ON LINE 7B WAS CALCULATED USING THE COSTING METHODS TO PREPARE THE COST REPORTS. OTHER COMMUNITY BENEFIT EXPENSES, INCLUDING LINE 7E, COMMUNITY HEALTH IMPROVEMENT SERVICES, LINE 7F, HEALTH PROFESSIONS EDUCATION, AND LINE 7I, CASH AND IN-KIND CONTRIBUTIONS, ARE STATED AT COST AS DERIVED FROM MANNING REGIONAL HEALTHCARE CENTER'S INTERNAL ACCOUNTING RECORDS. PART III, LINE 2: THE HEALTHCARE CENTER DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON HISTORICAL COLLECTION EXPERIENCE WITH VARIOUS CLASSES OF PATIENTS. FOR THE YEAR, IMPLICIT PRICE CONCESSIONS TOTALED $261,215. 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 AN APPROXIMATE 7.0% OF INDIVIDUALS LIVING BELOW THE POVERTY LEVEL IN THE SERVICE AREA. PART III, LINE 4: THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES IMPLICIT PRICE CONCESSIONS IS LOCATED IN FOOTNOTE 1 ON PAGES 11 AND 12 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: THE MEDICARE SHORTFALL IS BASED ON THE INFORMATION FROM THE COST REPORT. THESE COSTS ARE MEDICARE REIMBURSABLE COSTS, NOT ALL COSTS. THESE MEDICARE REIMBURSABLE COSTS SHOULD BE TREATED AS A COMMUNITY BENEFIT TO THE EXTENT THAT MEDICARE REVENUES DO NOT COVER THE COSTS, THEREFORE THE ENTIRE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT. WE DO NOT USE ANY NEGOTIATION TOOL WITH MEDICARE FOR OUR RATES; THE RATES THAT WE ARE PAID ARE MANDATED. HENCE, THIS DOES NOT GIVE US THE ABILITY AS A PROVIDER TO RECEIVE SUFFICIENT REVENUES TO COVER THE MEDICARE COSTS. AS A FACILITY WE ARE WORKING TOWARD COSTS SAVINGS. PART III, LINE 9B: FOR PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE AND WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR DISCOUNTED HOSPITAL BILLS, THE HEALTHCARE CENTER MAY OFFER PAYMENT PLANS, WILL NOT SEND UNPAID BILLS TO OUTSIDE COLLECTION AGENCIES, AND WILL CEASE ALL COLLECTION EFFORTS. THE HEALTHCARE CENTER WILL NOT IMPOSE EXTRAORDINARY COLLECTIONS ACTIONS, INCLUDING WAGE GARNISHMENTS, LIENS ON PRIMARY RESIDENCES, FORECLOSURES, ATTACHMENTS OR SEIZING BANK ACCOUNTS, CIVIL ACTIONS, WRITS OF ATTACHMENT, REPORTS TO CREDIT AGENCIES, OR OTHER LEGAL ACTIONS FOR ANY PATIENT WITHOUT FIRST MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THAT PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR CHARITY CARE, ANY COLLECTION ACTIONS WILL CEASE. ANY PATIENT PAY BALANCE IS SUBJECT TO NORMAL COLLECTION ACTIONS. PART VI, LINE 2: IN ORDER TO PROMOTE MAXIMUM TREATMENT BENEFITS AND ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY, MANNING REGIONAL HEALTH CENTER INCLUDES INPUT AND INFORMATION FROM REPRESENTATIVES OF THE MEDICAL STAFF, BOARD COMMITTEE, AND HOSPITAL ADMINISTRATIVE STAFF TO REVIEW THE TREATMENT OF PATIENTS. THIS GROUP OVERSEES THE QUALITY OF PATIENT CARE, ASSURING RESOURCES ARE USED APPROPRIATELY TO PROMOTE OPTIMAL PATIENT CARE. PART VI, LINE 3: PATIENTS ARE MADE AWARE THROUGH A FINANCIAL ASSISTANCE INFORMATION PACKET, USUALLY OBTAINED AT ADMISSION. THOSE WITHOUT INSURANCE ARE PROVIDED THE INFORMATION PACKET AT ADMISSION, AND THE PACKET IS PROVIDED AS PART OF THE DISCHARGE PROCESS FOR ER SERVICES. ADDITIONALLY, MANNING REGIONAL HEALTH CARE CENTER HAS CONTRACTED WITH A THIRD-PARTY VENDOR FOR BILLINGS AND COLLECTIONS. THE VENDOR CONTACTS FORMER PATIENTS BY TELEPHONE DURING THE 2ND 30 DAYS THAT AN INVOICE IS PAST DUE. PATIENTS ARE SCREENED FOR FINANCIAL ASSISTANCE NEEDS WITH THAT TELEPHONE CALL.THE FINANCIAL ASSISTANCE INFORMATION PACKET, INCLUDING THE APPLICATION, ARE ALSO AVAILABLE ON THE HEALTH CENTER'S WEBSITE. PART VI, LINE 4: THE COMMUNITY INCLUDES THE CITIES OF MANNING (POPULATION 1500), TEMPLETON (POPULATION 350), AND MANILLA (POPULATION 900) ALONG WITH OTHER SURROUNDING RURAL COMMUNITIES IN WEST CENTRAL IOWA. MANNING, IOWA IS 90 MILES NORTHWEST OF DES MOINES, IOWA, 80 MILES NORTHEAST OF OMAHA, NEBRASKA AND 80 MILES SOUTHEAST OF SIOUX CITY, IOWA. PART VI, LINE 5: MANNING REGIONAL HEALTHCARE CENTER PROVIDES OUTPATIENT CLINICS IN WHICH SPECIALTY DOCTORS COME TO MANNING ON A REGULAR BASIS. THE HOSPITAL ALSO SPONSORS FREE EDUCATIONAL SEMINARS ON VARIOUS HEALTH TOPICS TO THE COMMUNITY. PART VI, LINE 6: MANNING REGIONAL HEALTHCARE CENTER IS AFFILIATED WITH MERCYONE. MERCYONE OPERATES AN INTEGRATED SYSTEM OF HOSPITALS, CLINICS AND OTHER HEALTH CARE FACILITIES IN IOWA COMMUNITIES, PROVIDING ACCESSIBLE CARE, TRAINING THE NEXT GENERATION OF CARE GIVERS AND WORKING TO IMPROVE THE OVERALL WELL-BEING OF THEIR COMMUNITIES. PART VI, LINE 7, REPORTS FILED WITH STATES IA 0 0 0 0 0 0 0 0 0 DR DOUGLAS MCLAWS PHYSICIAN 384040 0 0 0 0 0 10093 0 27301 0 421434 0 0 0 DR THANG LUONG PHYSICIAN 348443 0 18237 0 0 0 11237 0 14840 0 392757 0 0 0 LINN BLOCK CEO THRU 11/23 215238 0 0 0 0 0 0 0 21025 0 236263 0 0 0 TAYA VONNAHME ARNP 219485 0 0 0 0 0 6340 0 22 0 225847 0 0 0 SARA POWERS ARNP 149268 0 0 0 0 0 4608 0 20 0 153896 0 0 0 FORM 990, PART VII, SECTION A, LINE 5: THE COMPENSATION FOR LINN BLOCK, CEO, AND AMY MCLAUGHLIN, CFO, WAS PAID BY MERCY HOSPITAL MEDICAL CENTER OF DES MOINES, AN UNRELATED ORGANIZATION. MS. BLOCK RECEIVED COMPENSATION AND BENEFITS OF $236,263 FOR 2023. MS. MCLAUGHLIN RECEIVED COMPENSATION AND BENEFITS OF $147,909 FOR 2023. X WALKING TRAIL CONSTRUCTION 1 236048 COST 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE, COMPRISED OF THE PRESIDENT, VICE PRESIDENT, TREASURER/SECRETARY, HAS THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 3 MANAGED CONTRACT AFFILIATION AGREEMENT WITH MERCY HOSPITAL MEDICAL CENTER OF DES MOINES, IOWA - THE ADMINISTRATOR OF MANNING REGIONAL HEALTHCARE CENTER (MRHC) IS AN EMPLOYEE OF MERCY BUT REPORTS TO THE MRHC BOARD OF DIRECTORS. THE CFO IS ALSO AN EMPLOYEE OF MERCY AND REPORTS TO THE CEO. FORM 990, PART VI, SECTION B, LINE 11B THE FINANCIAL STATEMENT PREPARATION AND RECORDING PROCESSES OF MRHC ARE THE PRIMARY RESPONSIBILITIES OF THE CFO. UPON RECEIVING THE FORM 990 ORGANIZER DURING THE AUDIT, THE CFO BEGINS TO PREPARE DOCUMENTATION FOR THE FORM 990. UPON THE SUBMISSION OF THE FORM 990 ORGANIZER TO THE PREPARER, ANY QUESTIONS ARE CLARIFIED AND ANSWERED. PRIMARY REVIEWING RESPONSIBILITY OF THE FORM 990 LIES WITH THE CFO AND CEO. IT IS ALWAYS THE INTENT TO HAVE THE FORM 990 PREPARED AND REVIEWED PRIOR TO THE INITIAL FILING DEADLINE, BUT IF FOR ANY REASON THIS CANNOT BE ACHIEVED, REQUESTS TO EXTEND THE FILING DEADLINE ARE FILED. EACH MEMBER OF THE BOARD OF DIRECTORS IS GIVEN A COPY OF THE FORM 990 TO REVIEW BEFORE FILING IS COMPLETED. FORM 990, PART VI, SECTION B, LINE 12C THROUGHOUT THE YEAR, ANY ISSUE THAT INVOLVES A CONFLICT OF INTEREST WITH A TRUSTEE, DIRECTOR, OFFICER, OR KEY EMPLOYEE WOULD REQUIRE THAT THE INDIVIDUAL BE SEPARATED FROM THE DECISION-MAKING PROCESS RELATED TO THE POTENTIAL CONFLICT OF INTEREST. IN REGARD TO ANNUAL COMPLIANCE, THE REFERENCE TO THE CONFLICT OF INTEREST POLICY OUTLINES CURRENT PRACTICES. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON: HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY AND UNDERSTANDS THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. FULFILLMENT OF THIS OBJECTIVE WILL FALL UNDER THE MRHC ADMINISTRATIVE POLICY REVIEW PROCESS. FORM 990, PART VI, SECTION B, LINE 15 MANNING REGIONAL HEALTHCARE CENTER (MRHC) DETERMINES COMPENSATION FOR ITS OFFICERS AND KEY EMPLOYEES BY CONSULTING THE CURRENT IOWA HOSPITAL ASSOCIATION (IHA) SALARY SURVEY. THIS SURVEY IS DONE ANNUALLY WITH THE HOPE OF 100% PARTICIPATION OF ALL IOWA HOSPITALS. MRHC USES THE INFORMATION FROM ITS PEER GROUP AS COMPARATIVE DATA FOR DETERMINING WAGES. THE PEER GROUP IS SELECTED BY MRHC AND CONSISTS OF HOSPITALS IN THE VICINITY OF MRHC AND HOSPITALS THAT ARE APPROXIMATELY THE SAME SIZE AS MRHC. MRHC WILL ALSO FACTOR IN YEARS OF EXPERIENCE WHEN DETERMINING WAGES FOR NEWLY HIRED EMPLOYEES OR WHETHER OR NOT MARKET INCREASES ARE NEEDED FOR EXISTING KEY EMPLOYEES OR OFFICERS. IN ADDITION TO ASSESSING MARKET INFORMATION, ANY ANNUAL COMPENSATION INCREASES (I.E. - MERIT RAISES) ARE DETERMINED BY ASSESSING FACILITY-WIDE FINANCIAL PERFORMANCE AND INSTITUTED CONSISTENTLY FOR ALL POSITIONS FACILITY-WIDE. FOR THE CEO POSITION SPECIFICALLY, AS THAT POSITION IS MANAGED THROUGH MERCY HOSPITAL MEDICAL CENTER OF DES MOINES, THE SALARY AND COMPENSATION IS DETERMINED BY THE MERCY NETWORK VICE PRESIDENT, IN CONJUNCTION WITH THE MRHC BOARD OF DIRECTORS. TO DETERMINE THE SALARY, THE IHA SALARY SURVEY IS FIRST REVIEWED, WHICH RECOGNIZES SALARY RANGES BASED ON HOSPITAL REVENUES, NUMBER OF FTE'S AND ALSO BASED ON CAH. A CHICAGO-BASED COMPANY, HR ADVANTAGE, IS ALSO USED IN A SURVEY COMPILING COMMUNITY DEMOGRAPHICS. FORM 990, PART VI, SECTION C, LINE 19 MRHC PROVIDES INFORMATION REGARDING THESE DOCUMENTS TO INDIVIDUALS AND BUSINESSES UPON REQUEST. AS THE ORGANIZATION IS A NOT-FOR-PROFIT ENTITY, IRS FILINGS ARE AVAILABLE VIA PUBLIC PORTALS (I.E. GUIDESTAR) THAT FACILITATE THE PRESENTATION OF THIS DATA. FORM 990, PART IX, LINE 11G ANESTHESIA FEES: PROGRAM SERVICE EXPENSES 202,305. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 202,305. LAB FEES: PROGRAM SERVICE EXPENSES 216,908. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 216,908. PHARMACY FEES: PROGRAM SERVICE EXPENSES 69,785. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 69,785. EMERGENCY ROOM FEES: PROGRAM SERVICE EXPENSES 150,428. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 150,428. OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 1,492,445. MANAGEMENT AND GENERAL EXPENSES 375,039. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,867,484. RADIOLOGY FEES: PROGRAM SERVICE EXPENSES 81,119. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 81,119. SPECIALTY PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 512,763. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 512,763. FORM 990, PART XI, LINE 2C: THE BOARD OF DIRECTORS TAKES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.