2021-11-12T12:43:41-06:00 2020-12-31 450250958 EIDE BAILLY LLP 200 E 10TH ST STE 500 SIOUX FALLS SD 571046375 990 2020-01-01 460274380 WINNER REGIONAL HEALTHCARE CENTER WINN 6058427100 745 E 8TH ST WINNER SD 57580 AMANDA SOESBE CFO 6058427100 2021-11-11 1 AMANDA SOESBE 999009999 LAURIE HANSON CPA P00851848 6053391999 2021-11-12 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z KEVIN COFFEY 745 E 8TH ST WINNER SD 57580 25986474 0 X WWW.WINNERREGIONAL.ORG X 1961 SD TO IMPROVE THE QUALITY OF LIFE IN OUR REGION. 9 7 265 9 361992 0 296866 3550579 23426971 22385846 -51294 23875 -40432 -45050 23632111 25915250 0 0 0 0 10655318 10582383 0 0 0 16428924 14606369 27084242 25188752 -3452131 726498 30674378 34350216 20274084 23206155 10400294 11144061 X TO IMPROVE THE QUALITY OF LIFE IN OUR REGION BY PROVIDING COMPREHENSIVE HEALTHCARE IN A LOCAL, NURTURING ENVIRONMENT. THROUGH PROFESSIONALS WHO CONSIDER HEALTHCARE A CALLING, WE WILL EXCEED THE EXPECTATIONS OF THOSE WE SERVE. OUR ROLE AS A COMMITTED STEWARD TO OUR REGION WILL BE SUSTAINED THROUGH FISCAL RESPONSIBILITY, ENSURING PERSONALIZED HEALTHCARE FOR GENERATIONS TO COME. 0 0 20931683 22023854 WINNER REGIONAL HEALTHCARE CENTER, A 25-BED CRITICAL ACCESS HOSPITAL AND 79 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 NEWBORN CARE. THE FACILITY ALSO OPERATES A HOME HEALTH AGENCY, HOMEMAKER PROGRAM, A PROVIDER BASED RURAL HEALTH CLINIC, A RETAIL PHARMACY AVAILABLE TO ANYONE IN THE PUBLIC, A COMMUNITY HEALTH PROGRAM AND PROVIDES COMMUNITY EDUCATION PROGRAMS THROUGHOUT THE SERVICE AREA. WINNER REGIONAL HEALTHCARE CENTER HAD 1,360 ACUTE PATIENT DAYS; 1,582 SWING BED PATIENT DAYS; 262 NEWBORN PATIENT DAYS; 156 BIRTHS; 15,403 RESIDENT DAYS; 2,769 HOME HEALTH VISITS; 9,343 RURAL HEALTH CLINIC VISITS; 391 OBSERVATION DAYS; AND 335 LABOR AND DELIVERY DAYS. 20931683 1 1 0 1 0 0 0 0 1 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 1 0 0 0 0 0 0 0 0 0 0 1 21 0 1 265 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 7 0 1 0 0 0 0 0 1 0 0 0 1 1 1 1 0 1 1 0 0 X X KEVIN COFFEY 6058427213 745 EAST 8TH STREET WINNER SD 57580 DR JONATHON TAYLOR DO DIRECTOR, CHIEF OF STAFF 40.00 X 282903 0 29778 ROGER KINGSBURY VICE PRES; PRESIDENT BEG 02/2020 1.00 X X 0 0 0 NEIL LANTZ DIRECTOR; VICE PRESIDENT BEG 02/2020 1.00 X X 0 0 0 KIM VANNEMAN TREASURER 1.00 X X 0 0 0 BETSY PRAVECEK DIRECTOR; SECRETARY BEG 02/2020 1.00 X X 0 0 0 JUSTIN NELSON DIRECTOR 1.00 X 0 0 0 REBECCA LITTAU DIRECTOR 1.00 X 0 0 0 DIONE ROWE DIRECTOR BEG 05/2020 1.00 X 0 0 0 CASEY HEENAN DIRECTOR 1.00 X 0 0 0 EARL PIERCE CFO UNTIL 07/2020 40.00 X 58601 0 6754 KEVIN COFFEY CEO 40.00 X 0 0 0 AMANDA SOESBE CFO FROM 07/2020 40.00 X 32826 0 2628 RHONDA JORGENSEN CRNA 40.00 X 197319 0 14893 MARLA HAYES PHARMACIST 40.00 X 156381 0 4887 NAKAYLA BURNHAM CNP 40.00 X 115175 0 11725 KORIE PRAVECEK CNP 40.00 X 134702 0 8313 REBECCA OLSON CNP 40.00 X 128226 0 4210 1106133 0 83188 12 0 1 1 SANFORD HEALTH PO BOX 5074 SIOUX FALLS SD 57117 MGMT FEES/SALARY REIMB/IT SUPPORT 734828 GLOBAL MEDICAL STAFFING PO BOX 733375 DALLAS TX 75397 CONTRACT PHYSICIANS FOR ER COVERAGE 676324 FOCUSONE SOLUTIONS LLC PO BOX 3037 OMAHA NE 681030037 CONTRACTED NURSING 451028 RURAL PARTNERS IN MEDICINE LLC PO BOX 772519 STEAMBOAT SPRINGS CO 80477 ORTHOPEADIC SERVICES 420019 ALLIANCE MEDICAL STAFFING INC PO BOX 641906 OMAHA NE 68164 CONTRACTED NURSING 386565 15 3336038 214541 3550579 PATIENT AND RESIDENT SERVICE REVE 621110 20196653 20196653 PHARMACY REVENUE 900099 1760979 1398987 361992 PHYSICIAN OUTREACH 621110 60176 60176 368038 368038 22385846 23875 23875 26174 71224 -45050 -45050 -45050 25915250 22023854 361992 -21175 X 417036 316173 100863 86321 86321 8184894 6808385 1376509 150760 124003 26757 1138858 890224 248634 604514 501699 102815 206295 206295 3460 3460 127226 10471 116755 2229 2229 6385039 6074475 310564 79455 79455 433854 192735 241119 504240 27269 476971 600603 366256 234347 305333 301434 3899 39292 16931 22361 445923 295752 150171 1640722 1285882 354840 194131 106760 87371 MEDICAL SUPPLIES 3263743 3263743 FOOD 194428 194428 LICENSES,DUES & SUBSCRI 50124 29748 20376 130272 38994 91278 25188752 20931683 4257069 0 628895 1212229 4440630 3129280 5000 241781 197785 648628 719124 20005 38751 36869502 15512180 22282750 21357322 745527 6453218 1086162 1085507 575000 157000 30674378 34350216 4862214 5030977 2705168 9549 4470 15117982 15465540 284339 0 20274084 23206155 X 9214132 9958554 1186162 1185507 10400294 11144061 30674378 34350216 X 726498 17924 -655 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2229 2229 0 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. 0 1 X 24638 24638 29606463 10527970 19078493 5418982 4402189 1016793 1819419 582021 1237398 21357322 X 25986474 0 25986474 -71224 -71224 25915250 25259976 71224 71224 25188752 0 25188752 PART IV, LINE 2B: LONG-TERM CARE RESIDENTS REQUEST THE FACILITY TO HANDLE THEIR FINANCIAL AFFAIRS. THIS IS DIRECTED BY A WRITTEN AGREEMENT BETWEEN THE FACILITY AND THE RESIDENT. SOME EXAMPLES OF FINANCIAL AFFAIRS ARE SOCIAL SECURITY CHECKS, NURSING HOME PAYMENTS, AND HAIRCUTS. 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 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -71,224. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 71,224. 1 1 X 1 X 1 X 150.000000000000 1 1 0 0 134000 134000 0.00530 3475533 2299096 1176437 0.04670 3609533 2299096 1310437 0.05200 48529 50750 0 0.00000 9067988 5724164 3343824 0.13280 3600 3600 0.00010 9120117 5774914 3347424 0.13290 12729650 8074010 4657861 0.18490 1 1529157 304302 6349196 6323376 25820 X 1 1 1 1 WINNER REGIONAL HEALTHCARE CENTER 745 E 8TH ST WINNER SD 57580 WWW.WINNERREGIONAL.ORG 10713 X X X X PROVIDER BASED RHC-WINNER REGIONAL CLINIC WINNER REGIONAL HEALTHCARE CENTER 1 0 0 1 X X X X X X X X X 19 1 1 0 1 X SEE LINE 7D NARRATIVE X X 1 19 1 SEE LINE 7D NARRATIVE 0 1 X 100.000000000000 150.000000000000 X X X X X X 1 1 X X X X 1 X SEE PART V, LINE 16J NARRATIVE X SEE PART V, LINE 16J NARRATIVE X SEE PART V, LINE 16J NARRATIVE X X X X X X 1 X 0 X X X X 1 X 0 0 WINNER REGIONAL HEALTHCARE CENTER PART V, SECTION B, LINE 5: AN ONLINE SURVEY WAS CONDUCTED WITH IDENTIFIED COMMUNITY KEY STAKEHOLDERS. RESPONDENTS WERE ASKED TO RANK COMMUNITY NEEDS BASED ON A SCALE OF 1-5, WITH 5 BEING THE GREATEST NEEDS. THE STUDY CONCENTRATED ON THE STAKEHOLDER'S CONCERNS FOR THE COMMUNITY SPECIFIC TO ECONOMIC WELL-BEING, TRANSPORTATION, CHILDREN AND YOUTH, THE AGING POPULATION, SAFETY, HEALTH CARE AND WELLNESS, MENTAL HEALTH AND SUBSTANCE ABUSE. THE STUDY WAS CONDUCTED THROUGH A PARTNERSHIP BETWEEN SANFORD HEALTH AND THE CENTER FOR SOCIAL RESEARCH (CSR) AT NORTH DAKOTA STATE UNIVERSITY. THE CSR DEVELOPED AND MAINTAINED LINKS TO THE ONLINE SURVEY TOOL. SANFORD HEALTH DISTRIBUTED THE SURVEY LINK VIA EMAIL TO STAKEHOLDERS AND KEY LEADERS IN TRIPP COUNTY. DATA COLLECTION OCCURRED DURING DECEMBER 2017 AND JANUARY 2018. A TOTAL OF 7 COMMUNITY STAKEHOLDERS PARTICIPATED IN THE SURVEY. THE RESIDENT SURVEY TOOL INCLUDED QUESTIONS ABOUT THE RESPONDENT'S PERSONAL HEALTH. AN ONLINE SURVEY WAS DEVELOPED IN PARTNERSHIP WITH PUBLIC HEALTH EXPERTS FROM ACROSS THE SANFORD FOOTPRINT. THE MINNESOTA HEALTH DEPARTMENT REVIEWED AND ADVISED SANFORD ABOUT KEY QUESTIONS THAT THEY REQUEST FOR THE SHIP SURVEYS AND THOSE QUESTIONS WERE INCLUDED IN THE RESIDENT SURVEY. QUESTIONS SPECIFIC TO AMERICAN INDIAN RESIDENTS WERE DEVELOPED BY THE NORTH DAKOTA PUBLIC HEALTH ASSOCIATION. THE SURVEY WAS POSTED ON FACEBOOK AND A LINK TO THE SURVEY WAS PUBLISHED IN THE LOCAL NEWSPAPER. A TOTAL OF 35 COMMUNITY RESIDENTS PARTICIPATED IN THE SURVEY. WINNER REGIONAL HEALTHCARE CENTER PART V, SECTION B, LINE 6A: WINNER REGIONAL WORKED IN PARTNERSHIP WITH SANFORD HEALTH. WINNER REGIONAL HEALTHCARE CENTER PART V, SECTION B, LINE 7D: BOUND COPIES ARE DISPLAYED IN OPEN SITTING AREAS THROUGHOUT THE FACILITY FOR READING BY ANY CUSTOMER OR EMPLOYEE. THE CHNA REPORT AND IMPLEMENTATION STRATEGY ARE AVAILABLE AT HTTPS://WINNERREGIONAL.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ WINNER REGIONAL HEALTHCARE CENTER PART V, SECTION B, LINE 11: THE GOAL FOR THE 2020-2022 COMMUNITY HEALTH NEEDS ASSESSMENT IS TWO-FOLD. PRIORITY 1 IS TO FOCUS ON CHILDREN AND YOUTH AND PRIORITY 2 IS TO FOCUS ON HEALTHCARE AND WELLNESS.DUE TO COVID, PROVIDING EDUCATION WITH STUDENTS ON MAKING HEALTHY FOOD CHOICES AND LIVING AN ACTIVE LIFESTYLE, HAS NOT BEEN ACCOMPLISHED.THE HEALTH AND WELLNESS COMMITTEE HAS BEEN VERY ACTIVE WITH WINNER REGIONAL STAFF. THERE HAVE BEEN SEVERAL ACTIVITIES THROUGHOUT THE YEAR. MOST RECENTLY HEALTHY SMOOTHIES WERE AVAILABLE FOR STAFF TO PURCHASE, A POKER RUN/WALK EVENT OCCURRED AND WE CELEBRATED NATIONAL NUTRITION MONTH. EVERY EMPLOYEE BATHROOM STALL IN THE FACILITY HAS A FRAME THAT GETS SWITCHED OUT EACH QUARTER THAT TALKS ABOUT DIFFERENT HEALTH AND WELLNESS TOPICS. WINNER REGIONAL HEALTHCARE CENTER PART V, SECTION B, LINE 13B: PATIENTS WHOSE FAMILY INCOME IS OVER 100% AND BELOW 150% OF THE FPL ARE ELIGIBLE FOR UP TO A 50% DISCOUNT. WINNER REGIONAL HEALTHCARE CENTER PART V, SECTION B, LINE 13H: IN ADDITION TO UTILIZING THE FACTORS IDENTIFIED IN LINE 13, THE ORGANIZATION CONSIDERS THE INDIVIDUAL'S LIABILITIES, NET WORTH, EMPLOYMENT STATUS OR EARNING CAPACITY, OTHER FINANCIAL OBLIGATIONS, FREQUENCY OF HEALTH SERVICES AND OTHER SOURCES OF PAYMENT FOR HEALTHCARE SERVICES RENDERED.PATIENTS WHOSE FAMILY INCOME EXCEEDS 150% OF THE FPL MAY BE ELIGIBLE TO RECEIVE DISCOUNTED RATES ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE, AT THE DISCRETION OF WINNER REGIONAL HEALTHCARE. HOWEVER, THE DISCOUNTED RATES SHALL NOT BE LESS THAN THE AMOUNTS GENERALLY BILLED COMMERCIALLY INSURED PATIENTS. ONCE THE PATIENT HAS BEEN DEEMED ELIGIBLE, WINNER REGIONAL WILL APPLY THE FAP DISCOUNT TO THE PATIENT'S ACCOUNT. PRESUMPTIVE ELIGIBILITY MAY ALSO BE USED IF OTHER AVENUES FOR FINANCIAL ASSISTANCE HAVE BEEN EXHAUSTED. WINNER REGIONAL HEALTHCARE CENTER PART V, SECTION B, LINE 16J: PART V, SECTION B, LINE 16A-C: THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION, AND FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY ARE POSTED AT HTTP://WINNERREGIONAL.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/.PART V, SECTION B, LINE 16I: PLEASE REFER TO THE NARRATIVE PROVIDED IN PART VI, LINE 3 REGARDING ADDITIONAL MEANS OF EDUCATING PATIENTS ABOUT OUR CHARITY CARE POLICY. WINNER REGIONAL HEALTHCARE 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. 1 1 - WINNER REGIONAL NURSING HOME 745 EAST 8TH STREET WINNER SD 575802631 SKILLED NURSING FACILITY PART I, LINE 3C: IN ADDITION TO UTILIZING FEDERAL POVERTY GUIDELINES, 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, OTHER FINANCIAL OBLIGATIONS, FREQUENCY OF HEALTH SERVICES, INSURANCE STATUS, UNDERINSURANCE STATUS 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. PRESUMPTIVE ELIGIBILITY MAY ALSO BE USED IF OTHER AVENUES FOR FINANCIAL ASSISTANCE HAVE BEEN EXHAUSTED. 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 7F AND 7I WERE OBTAINED UTILIZING THE ACTUAL GENERAL LEDGER SYSTEM. LINES 7B AND 7G WERE DETERMINED USING THE COST REPORTS. PART I, LINE 7G: PHYSICIAN CLINIC NET REVENUE OF $2,274,042 AND COSTS OF $3,539,972 ARE INCLUDED ON LINE 7G FOR A NET COMMUNITY BENEFIT OF $1,265,930. 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 PATIENTS. PART III, LINE 3: THE ESTIMATED AMOUNT RELATED TO CHARITY CARE IS 19.9% OF IMPLICIT PRICE CONCESSIONS, WHICH IS BASED ON THE POVERTY LEVEL OF THE SERVICE AREA. PART III, LINE 4: FOOTNOTE FROM FINANCIAL STATEMENT: PLEASE SEE FINANCIAL STATEMENT NOTE 2 - PATIENT AND RESIDENT SERVICE REVENUE ON PAGES 15-17 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 12/31/2020. 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. 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." IF A PATIENT IS IN COMPLIANCE WITH FINANCIAL ARRANGEMENTS MADE DURING THE FINANCIAL ASSISTANCE PROCESS, THEIR ACCOUNT WILL NOT BE SENT TO COLLECTION. IF A PATIENT IS FOUND TO POTENTIALLY QUALIFY FOR FINANCIAL ASSISTANCE AND THE ACCOUNT IS IN COLLECTION, COLLECTION ACTIVITY WILL CEASE WHILE THE PATIENT COMPLETES THE APPLICABLE PAPERWORK. PART VI, LINE 2: WRHC HOLDS PUBLIC AFFAIRS MEETINGS THREE TIMES PER YEAR IN WHICH IT REQUESTS INPUT FROM PROFESSIONALS AND COMMUNITY MEMBERS REGARDING NEEDS OF THE COMMUNITY. 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, LYMAN AND TODD COUNTIES IN SOUTH DAKOTA AND INCLUDES THE CITIES OF PRESHO, MISSION, WOOD, WHITE RIVER, GREGORY, BURKE, DALLAS, HERRICK, BONESTEEL AND FAIRFAX. THE SERVICE AREA INCLUDES NORTHERN CHERRY, BROWN AND KEYA PAHA COUNTIES IN NEBRASKA AND ENCOMPASSES THE CITIES OF SPRINGVIEW, SPARKS, AINSWORTH AND VALENTINE. FARMING AND RANCHING ARE THE PRIMARY INDUSTRIES IN THIS RURAL AREA. THE POPULATION OF TRIPP COUNTY, THE PRIMARY SERVICE AREA, IS 5,441. THE AVERAGE MEDIAN INCOME IS $51,027. PERCENTAGE OF RESIDENTS BELOW THE POVERTY LEVEL IS 19.9%. 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.THE DATA ABOVE IS FROM 2018. THE COMMUNITY DEMOGRAPHICS REMAIN STABLE. PART VI, LINE 5: THE WINNER REGIONAL GOVERNING BOARD IS A 9 MEMBER VOLUNTEER BOARD COMPRISED OF BOTH MEN AND WOMEN THAT RESIDE IN THE WINNER REGIONAL HEALTHCARE CENTER SERVICE AREA. WINNER REGIONAL HEALTHCARE CENTER EXTENDS PRIVILEGES TO PHYSICIANS IN THE IMMEDIATE AREA. WINNER REGIONAL HEALTHCARE CENTER UTILIZES SURPLUS FUNDS TO FUND BUILDING IMPROVEMENTS AND TO ENHANCE SERVICES TO PATIENTS. VARIOUS SURGICAL EQUIPMENT WAS PURCHASED TO SUPPORT THE ADDITION OF ORTHOPEDIC AND UROLOGIC SURGERIES AT WINNER REGIONAL. WRHC NOW HAS A RETAIL PHARMACY WHERE PATIENTS CAN PICK UP THEIR PRESCRIPTIONS AND ALSO MAKE OTHER HEALTH AND PERSONAL ITEM PURCHASES. X 1 0 0 0 0 0 0 0 0 DR JONATHON TAYLOR DO DIRECTOR, CHIEF OF STAFF 282903 0 0 0 0 0 12248 0 21021 0 316172 0 0 0 RHONDA JORGENSEN CRNA 190777 0 600 0 5942 0 6580 0 8313 0 212212 0 0 0 MARLA HAYES PHARMACIST 154489 0 600 0 1292 0 4887 0 0 0 161268 0 0 0 PART I, LINE 3 THE CEO IS COMPENSATED THROUGH A MANAGEMENT AGREEMENT WITH SANFORD HEALTH NETWORK, AN UNRELATED ORGANIZATION. SANFORD HEALTH NETWORK USES THE PROCESSES DESCRIBED IN PART I, QUESTION 3 TO DETERMINE APPROPRIATE COMPENSATION FOR THE CEO. PART I, LINE 4A EARL PIERCE RECEIVED SEVERANCE PAYMENT $15,346 IN 2020. PART II, LINE 1 DR. JONATHON TAYLOR IS A BOARD MEMBER OF WINNER REGIONAL HEALTHCARE CENTER AND CHIEF OF STAFF AT THE WINNER REGIONAL CLINIC. HE IS EMPLOYED BY SANFORD HEALTH NETWORK, BUT WINNER REGIONAL HEALTHCARE CENTER REIMBURSES SANFORD DOLLAR FOR DOLLAR FOR DR. TAYLOR'S COMPENSATION AND BENEFITS. JENNA LITTAU FAMILY MEMBER OF REBECCA LITTAU, BOARD MEMBER 57471 BASE WAGES AND BENEFITS 0 KYLE COFFEY FAMILY MEMBER OF KEVIN COFFEY, CEO 28850 BASE WAGES AND BENEFITS 0 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION HAS A MANAGEMENT AGREEMENT WITH SANFORD HEALTH NETWORK. THE CEO IS AN EMPLOYEE OF THE MANAGEMENT COMPANY. SANFORD HEALTH IS LOCATED AT 1305 W 18TH STREET, SIOUX FALLS, SD. WRHC PAID SANFORD HEALTH NETWORK FOR SERVICES PROVIDED BY KEVIN COFFEY, CEO. COMPENSATION AND BENEFITS FOR THE CEO WERE $221,879 AND $27,388 RESPECTIVELY. THE CEO IS RESPONSIBLE FOR LOCAL PLANNING AND MANAGEMENT OF ALL ACTIVITIES IN THE ORGANIZATION, INCLUDING TASKS SUCH AS MANAGING HUMAN AND FINANCIAL RESOURCES, DIRECTING STAFF, AND CONTROLLING THE OPERATIONS. 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 11B A COPY OF THE 2020 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 INVESTIGATE AND MAKE A DETERMINATION REGARDING ALL CONFLICTS THAT MAY ARISE. FORM 990, PART VI, SECTION B, LINE 15A CEO: SANFORD PRESENTS A COMPARATIVE SCHEDULE ON CEO SALARIES WITH MEDIAN AND HIGH/LOW SALARIES, FOR COMPARABLE POSITIONS AND AREAS OF RESPONSIBILITIES. THE CURRENT MARKET AND LONGEVITY IS ALSO INCLUDED IN THE EVALUATION OF COMPENSATION. THE SANFORD NETWORK VICE PRESIDENT PRESENTS THE COMPENSATION SUBSTANTIATION TO THE BOARD OF DIRECTORS AT A MEETING THAT EXCLUDES THE CEO. PERFORMANCE EVALUATIONS ARE COMPLETED BY EACH BOARD MEMBER, THE VICE PRESIDENT AND CEO SELF EVALUATION. ADMINISTRATIVE STAFF (CFO, DIRECTOR OF HR/MATERIALS, DIRECTOR OF SUPPORT SERVICES, HOSPITAL DON, LTC DON): THE CEO COMPARES COMPENSATION TO SDAHO SALARY SURVEY. SALARY INCREASES ARE PRESENTED TO THE BOARD OF DIRECTORS AS PART OF THE BUDGET APPROVAL PROCESS. THIS PROCESS WAS LAST UNDERTAKEN IN THE CURRENT YEAR. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST FORM 990, PART IX, LINE 11G SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 396,617. MANAGEMENT AND GENERAL EXPENSES 129,179. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 525,796. OUTSIDE MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 501,812. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 501,812. PURCHASED STAFFING: PROGRAM SERVICE EXPENSES 2,788,959. MANAGEMENT AND GENERAL EXPENSES 59,575. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,848,534. CONTRACT PHYSICIANS: PROGRAM SERVICE EXPENSES 2,196,191. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,196,191. CONSULTING AND OTHER: PROGRAM SERVICE EXPENSES 69,999. MANAGEMENT AND GENERAL EXPENSES 100,716. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 170,715. REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 120,897. MANAGEMENT AND GENERAL EXPENSES 21,094. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 141,991. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION -655.