2020-11-05T15:41:14-06:00 2019-12-31 450250958 EIDE BAILLY LLP 200 E 10TH ST STE 500 SIOUX FALLS SD 571046375 990 2019-01-01 460232450 FREEMAN REGIONAL HEALTH SERVICES FREE 6059254000 PO BOX 370 FREEMAN SD 57029 NICHOLAS BRANDNER CEO 6059254000 2020-11-05 1 LAURIE HANSON CPA P00851848 6053391999 2020-11-05 184.83.199.194 2020-11-05 12:04:42 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 50CCFF325394DF76E401CCE6D67578A0FB45D135 2019 2021-01-29 14:40:06Z NICHOLAS BRANDNER PO BOX 370 FREEMAN SD 57029 12056162 0 X WWW.FREEMANREGIONAL.COM X 1944 SD PROVIDE ACCESSIBLE, COMMUNITY BASED QUALITY CARE THAT IS COMPETENT, CREATIVE AND COMPASSIONATE. 9 8 200 13 0 0 193893 421965 11591628 11280803 107868 76473 84079 134234 11977468 11913475 0 0 0 0 6464458 6374691 0 0 19848 5527262 5157944 11991720 11532635 -14252 380840 12974293 13046971 2808876 2366020 10165417 10680951 THE MISSION OF FREEMAN REGIONAL HEALTH SERVICES IS TO PROVIDE ACCESSIBLE, COMMUNITY-BASED QUALITY CARE THAT IS COMPETENT, CREATIVE AND COMPASSIONATE. 0 0 10120202 11280803 FRHS IS COMPRISED OF A 49 BED NURSING HOME AND A 25 BED CRITICAL ACCESS HOSPITAL WITH A 24/7 EMERGENCY ROOM. THE EMERGENCY ROOM HAS LOCAL PROVIDERS ON CALL AND TELEMEDICINE CAPABILITIES WITH A REGIONAL TRAUMA CENTER. HOSPITAL ACUTE PATIENT DAYS= 418, SWING BED DAYS=410, NURSING HOME RESIDENT DAYS= 16,447. 10120202 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 1 1 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 36 0 1 200 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 9 8 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 X X PHIL HUSHER 6059254000 510 EAST 8TH STREET FREEMAN SD 57029 NICHOLAS BRANDNER CEO 40.00 X 157596 0 11146 ANTHONY MILLER THERAPY MANAGER 40.00 X 119922 0 3551 PHILLIP HUSHER CFO 40.00 X 99503 0 6648 LORI UECKER PRESIDENT 2.00 X X 0 0 0 STEVE FUHRMANN VICE PRESIDENT 2.00 X X 0 0 0 JASON AANENSON TREASURER 2.00 X X 0 0 0 CYNTHIA MUTCHELKNAUS SECRETARY 2.00 X X 0 0 0 CAMERON BECKER TRUSTEE 2.00 X 0 0 0 JAMES JULSON TRUSTEE 2.00 X 0 0 0 DAN CRICK TRUSTEE 2.00 X 0 0 0 GLENN ROTH TRUSTEE 2.00 X 0 0 0 CORY SCHRAG TRUSTEE 2.00 X 0 0 0 377021 0 21345 2 0 1 0 AVERA MCKENNAN HOSPITAL 800 E 21ST ST SIOUX FALLS SD 57105 PHYSICIAN SERVICES 1507093 NORTHERN X-RAY COMPANY 2118 4TH AVE S MINNEAPOLIS MN 55404 X-RAY MACHINE 309100 AVERA SACRED HEART HOSPITAL 501 SUMMIT YANKTON SD 57078 IT SUPPORT 287406 WAPITI MEDICAL GROUP 107 FLYNN DR SUITE 600 MILBANK SD 57252 LOCUMS 214307 CARDINAL HEALTH 7000 CARDINAL PLACE DUBLIN OH 43017 SUPPLIES 166172 11 20712 15690 385563 421965 PATIENT SERVICE REVENUE 622110 10905217 10905217 COLLABORATIVE ARRANGEMENT 900099 330605 330605 MEALS ON WHEELS 624210 16712 16712 28269 28269 11280803 76473 76473 216160 129390 86770 86770 86770 60761 20712 13297 47464 47464 11913475 11280803 0 210707 X 284492 284492 4975510 4461082 514428 101117 92499 8618 631613 533434 98179 381959 325030 56929 6639 6639 59850 59850 2906368 2734409 171959 37340 27168 9389 783 430029 352830 58633 18566 162474 162474 28279 26625 1654 20307 16673 3634 22409 22409 438716 438716 72553 72553 MEDICAL SUPPLIES 715790 715790 EQUIPMENT RENTAL AND MA 133897 132753 1144 ALL OTHER EXPENSES 123293 5757 117037 499 11532635 10120202 1392585 19848 3116136 3191787 1894597 1608356 10417 137500 135610 131001 54872 61658 15196768 9867887 5387414 5328881 1993404 2193144 3245 3249 378598 391395 12974293 13046971 887801 980593 2275 2275 381206 340002 2478 1515 525366 394885 1009750 646750 2808876 2366020 X 10165417 10680951 10165417 10680951 12974293 13046971 380840 134694 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 299251 299251 8675715 5522921 3152794 5162867 4065689 1097178 1058935 279277 779658 5328881 APARTMENT DEPOSITS 646750 646750 X 12190856 134694 134694 12056162 -142687 -142687 11913475 11675322 142687 142687 11532635 0 11532635 PART IV, LINE 2B: THE ORGANIZATION MAINTAINS SEPARATE ACCOUNTS FOR ITS PATIENTS AND USES THE FUNDS FOR PURCHASES AS DIRECTED BY PATIENTS. PART X, LINE 2: THE FACILITY 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 FACILITY 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 RECLASSIFIED -129,390. DIRECT FUNDRAISING EXPENSES -13,297. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES RECLASSIFIED 129,390. DIRECT FUNDRAISING EXPENSES 13,297. GALA 61833 15843 45990 200 590 5233 1000 1988 GOLF TOURNAMENT 19640 4869 14771 491 1380 800 1615 81473 20712 60761 691 1970 6033 1000 3603 13297 47464 1 1 X 1 X 1 X 1 1 1 0 0 25000 25000 0.00220 1191284 1041386 149898 0.01300 1216284 1041386 174898 0.01520 3404235 2662779 741456 0.06430 3404235 2662779 741456 0.06430 4620519 3704165 916354 0.07950 1 0 3210220 3228943 -18723 X 1 1 1 1 FREEMAN REGIONAL HEALTH SERVICES PO BOX 370 FREEMAN SD 57029 WWW.FREEMANREGIONAL.COM 10541 X X X X PROVIDER BASED CLINIC FREEMAN REGIONAL HEALTH SERVICES 1 0 0 1 X X X X X X X X X 19 1 0 0 1 X SEE LINE 7D X X 1 19 1 SEE LINE 7D 0 1 X 150.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X WWW.FREEMANREGIONAL.COM/SERVICES/CHARITY-CARE X WWW.FREEMANREGIONAL.COM/SERVICES/CHARITY-CARE X WWW.FREEMANREGIONAL.COM/SERVICES/CHARITY-CARE X X X X X X 1 X 0 X X X 1 X 0 0 FREEMAN REGIONAL HEALTH SERVICES PART V, SECTION B, LINE 5: THE FOCUS GROUPS UTILIZED FOR THE CHNA WERE COMPRISED OF INVITED COMMUNITY/SERVICE AREA RESIDENTS WHO WERE SELECTED BASED ON OBTAINING AN ADEQUATE CROSS SECTION OF GENDER AND OCCUPATION. OTHER CRITERIA CONSIDERED DURING THE PROCESS WERE FINDING INDIVIDUALS THAT REPRESENTED TWO MAIN GROUPS: RETIRED SENIORS AND WORKING ADULTS, AND THE BROAD INTEREST OF OUR SERVICE AREA. THESE GROUPS WERE ALSO KEPT TO A REASONABLE NUMBER TO FACILITATE DISCUSSION. THIS PROCESS WAS FACILITATED WITH THE ASSISTANCE OF A COMMUNITY DEVELOPMENT SPECIALIST WITH THE SOUTH DAKOTA PLANNING AND DEVELOPMENT DISTRICT III. FREEMAN REGIONAL HEALTH SERVICES PART V, SECTION B, LINE 7D: WWW.FREEMANREGIONAL.COM/COMMUNITY-NEEDS FREEMAN REGIONAL HEALTH SERVICES PART V, SECTION B, LINE 11: PURSUANT TO THE 2019 IMPLEMENTATION STRATEGY ADOPTED BY FRHS, THE FOLLOWING NEEDS WERE ADDRESSED AS OF THE END OF THE YEAR FOR THIS 990:FREEMAN REGIONAL HEALTH SERVICES REMAINS COMMITTED TO PROMOTING HEALTH AND WELLNESS AND WILL CONTINUE EFFORTS ON MEETING THE NEEDS OF THE COMMUNITY. TO THIS END, FRHS WILL WORK TOWARDS THE FOLLOWING:CONTINUE TO PROMOTE COMMUNITY-BASED EDUCATION PROGRAMS WHICH FOCUS ON HEALTH-RELATED TOPICS OF INTEREST AND WHICH TARGET SPECIFIC COMMON INTEREST GROUPS AND THE COMMUNITY AS A WHOLE.CONTINUE TO WORK WITH THE WELLMARK BLUE CROSS AND BLUE SHIELD COLLABORATIVE ON AN EFFORT TO MAKE FREEMAN A COHESIVE, HIGH ENERGY COMMUNITY WITH AN INFRASTRUCTURE THAT CONNECTS RESIDENTS TO OTHER PEOPLE, PLACES, AND HEALTHY FOODS SO THAT RESIDENTS CAN LIVE ACTIVE, HEALTHY LIFESTYLES. HOW WE ADDRESSED THE ABOVE NEEDS.-HEALTHY HOMETOWN BLUECROSS BLUESHIELD-MARKET IN THE PARK ON AUGUST 7TH, 2019 (ABOUT 200 PEOPLE IN ATTENDANCE) AND "BUMP OUTS" FOR THE MAIN STREET IN OCTOBER WITH FRHS TRAUMA PROGRAM.- HELPING THE LION'S IN FREEMAN FOR FREE VISION SCREENINGS AT THE OCTOBERFEST AT FREEMAN PUBLIC SCHOOL.- BABYSITTING CLINIC IN MAY FOR HIGH SCHOOLERS TO BECOME CPR TRAINED WITH SAFE SLEEP EDUCATION.- BREASTFEEDING FRIENDLY FACILITY - WORKING WITH OTHER AREA COMMUNITIES TO HAVE THEM TAKE THE PLEDGE TO BE BREASTFEEDING FRIENDLY.-CAREER FAIRS FOR NURSING-DAKOTA WESLEYAN UNIVERSITY AND SOUTHEAST TECHNICAL INSTITUTEFRHS RECOGNIZES THE IMPORTANCE OF COMMUNITY OUTREACH AND THE VALUE OUR ORGANIZATION AND ITS EMPLOYEES BRING TO THE COMMUNITY. TO PROMOTE COMMUNITY OUTREACH AND VOLUNTEERISM, FRHS COMMITS TO THE FOLLOWING:FRHS WILL CONTINUE TO UNDERTAKE COMMUNITY OUTREACH INITIATIVES AIMED AT BENEFITING OUR COMMUNITIES. WE WILL CONTINUE TO EVALUATE UNMET COMMUNITY NEEDS AND WILL ORGANIZE EFFORTS, WHEN POSSIBLE, TO ADDRESS THOSE NEEDS. AS A MEANS TO ENCOURAGE COMMUNITY VOLUNTEERISM, FRHS WILL CONTINUE TO SUPPORT AND ADVOCATE TO ITS EMPLOYEES THE VALUE AND IMPORTANCE OF BEING INVOLVED IN THEIR COMMUNITIES. FRHS WILL ENCOURAGE VOLUNTEERISM BY ITS EMPLOYEES AND WILL CONTINUALLY EXPLORE OPPORTUNITIES THAT SERVE AS A BENEFIT TO THE COMMUNITY. HOW WE ADDRESSED THE ABOVE NEEDS.SEPT 5TH, 2019 FRHS DECON/HAZ-MAT DRILL - FULL SCALE DRILL EXERCISE INCLUDED STAFF FROM FREEMAN REGIONAL HEALTH SERVICES, HUTCHINSON AND TURNER COUNTY EMERGENCY MANAGERS, AVERA MCKENNAN EMERGENCY MANAGEMENT COORDINATOR AND SOUTH DAKOTA HIGHWAY PATROL. A DECONTAMINATION TENT WAS SET UP WITH STAFF BEING ABLE TO RUN THROUGH THE SCENARIO OF A HAZ-MAT CASUALTY INCIDENT. STAFF WERE ABLE TO WORK WITH COMMUNITY RESPONDERS AND AGENCIES TO BRING RESOLUTION TO THE INCIDENT.FRHS RECOGNIZES THE CHANGING DYNAMICS OF THE DIVERSE POPULATION WITHIN OUR SERVICE AREA. WE REMAIN COMMITTED TO PROVIDING SERVICES AIMED DIRECTLY AT MEETING THE CHANGING NEEDS OF THE COMMUNITIES WE SERVE. OUR EFFORTS WILL INCLUDE:CONTINUE TO UPDATE AND REMODEL OUR FACILITY TO MEET THE NEEDS AND PREFERENCES OF INCOMING PATIENTS AND RESIDENTS. DEVELOP COLLABORATIVE EFFORTS WITH THE SALEM MENNONITE HOME TO PROVIDE PROGRAMS AND SERVICES FOCUSED SPECIFICALLY ON THE NEEDS AND INTERESTS OF THE ELDERLY. HOW WE ADDRESSED THE ABOVE NEEDS.FREEMAN REGIONAL HEALTH SERVICES CONTINUES TO WORK WITH THE SALEM MENNONITE HOME ASSISTED LIVING CENTER ON A JOINT PROJECT TO PROVIDE THE AREA WITH A FULL CONTINUUM OF CARE. THE SALEM MENNONITE HOME CURRENTLY PROVIDES ASSISTED LIVING SERVICES. FREEMAN REGIONAL PROVIDES CLINIC, HOSPITAL, AND LONG-TERM CARE SERVICES. THE PLAN FOR THE FUTURE IS TO BUILD ON A NEW SITE TOGETHER TO PROVIDE EASIER ACCESS PHYSICALLY AND OFFER BROADER HEALTHCARE SERVICES FROM ONE LOCATION. THE MISSION OF FRHS IS TO PROVIDE ACCESSIBLE, COMMUNITY BASED QUALITY CARE THAT IS COMPETENT, CREATIVE AND COMPASSIONATE. TO MEET THESE NEEDS, FRHS WILL:CONTINUE TO RECRUIT AND EMPLOY QUALITY PROVIDERS WHO ARE COMPETENT AND COMPASSIONATE TO MEET THE HEALTH CARE NEEDS OF THOSE WITHIN OUR SERVICE AREA.PROVIDE PRIMARY CARE SERVICES THAT ARE APPROPRIATE FOR OUR RURAL SETTING.HOW WE ADDRESSED THE ABOVE NEEDS.FREEMAN REGIONAL HEALTH SERVICES HAS RECRUITED AND SUCCESSFULLY ENGAGED TWO PHYSICIANS WITH START DATES OF OCTOBER 2019 AND AUGUST 2020. IN ADDITION, WE HAVE CONTINUED TO EMPLOY TWO PHYSICIANS, ONE PHYSICIAN ASSISTANT, AND 4 CERTIFIED NURSE PRACTITIONERS TO SERVE THE GREATER FREEMAN AREA AND OUR SATELLITE CLINIC LOCATIONS. THESE PROVIDERS MEET MONTHLY TO REVIEW THE SERVICES THEY PROVIDE TO THE AREAS. THE GOAL OF THE MEETINGS ARE TO ADJUST SERVICES TO MEET THE NEEDS OF THE FREEMAN AREA RURAL COMMUNITIES. FRHS RECOGNIZES THE INCREASING DIFFICULTY IN FINDING THE RESOURCES REQUIRED TO STAFF THE VARIOUS DEPARTMENTS OF THE HOSPITAL, CLINIC, AND NURSING HOME. TO MEET THESE NEEDS FRHS WILL:CONTINUE TO WORK WITH LOCAL SCHOOLS AND CHURCHES TO PROMOTE AN INTEREST IN HEALTHCARE CAREERS. -THIS INCLUDES PARTICIPATING IN THE SD HOSA PROGRAM; A COMPREHENSIVE, RIGOROUS, AND RELEVANT PROGRAM THAT ENGAGES STUDENTS INTERESTED IN HEALTH CARE CAREERS, AS WELL AS AN EVALUATION SYSTEM THAT HAS BEEN CONTINUOUSLY TESTED, REFINED, AND VALIDATED OVER THREE DECADES OF USE. 2019 MARKED THE 1ST YEAR OF PARTICIPATION OF THIS PROGRAM. FRHS ALSO HOSTS AN ANNUAL SCRUBS CAMP IN FEBRUARY TO STIMULATE STUDENTS' INTERESTS IN THE HEALTH CARE FIELD. COLLEGES AND TECHNICAL INSTITUTIONS PRESENT ON CERTAIN HEALTH FIELDS TO HELP ASSIST WHAT TYPES OF HEALTHCARE CAREERS CAN BE EXPLORED. PROMOTE FRHS TO THE PUBLIC AS AN EXCELLENT PLACE TO WORK AND TO RECEIVE SERVICES. - EMPLOYMENT: ADVERTISE JOB OPPORTUNITIES TO LOCAL PAPERS, SOCIAL MEDIA, AND UTILIZE EXISTING STAFF TO PROMOTE FRHS IN THE PUBLIC. FRHS ALSO HOSTS A JOB FAIR IN FEBRUARY DURING THE ANNUAL SCRUBS CAMP TO PROMOTE RECRUITMENT. - SERVICES: FRHS PROMOTES SERVICES THROUGH AVERA HEALTH, LOCAL NEWSPAPERS AND SOCIAL MEDIA, AS WELL AS WITHIN THE OUTREACH PROVIDERS THAT VISIT FRHS. A ROUTINE CALENDAR OF OUTREACH SERVICES IS AVAILABLE ON WWW.FREEMANREGIONAL.COM. CONDUCT COMMUNITY RELATED HEALTH ACTIVITIES THAT ATTRACT PEOPLE TO THE COMMUNITY. - ANNUAL FUNDRAISERS WITHIN THE COMMUNITY; FRHS GOLF EVENT IN JUNE AND FRHS GALA IN JANUARY. COLLABORATE WITH THE LOCAL COMMUNITY TO PROMOTE AFFORDABLE HOUSING FOR THE REQUIRED WORKFORCE.- CEO AND CNO ARE CURRENT MEMBERS OF THE FREEMAN COMMUNITY DEVELOPMENT CORPORATION, AN ORGANIZATION DEDICATED TO PROMOTING THE ECONOMIC VITALITY OF THE COMMUNITY AND PROMOTING THE HIGHEST QUALITY OF LIFE FOR RESIDENTS AND THOSE WHO VISIT THE FREEMAN COMMUNITY. FREEMAN REGIONAL HEALTH SERVICES PART V, SECTION B, LINE 13H: THE FACILITY MAY USE PRESUMPTIVE ELIGIBILITY IF ALL OTHER AVENUES HAVE BEEN EXHAUSTED. FREEMAN REGIONAL 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. 4 1 - OAKVIEW TERRACE 510 E 8TH STREET FREEMAN SD 57029 LONG TERM CARE FACILITY 2 - MENNO CLINIC 301 SOUTH HIGH STREET MENNO SD 57045 RURAL MEDICAL CLINIC 3 - MARION CLINIC 307 STATE MARION SD 57043 RURAL MEDICAL CLINIC 4 - BRIDGEWATER CLINIC 209 N MAIN BRIDGEWATER SD 57319 RURAL MEDICAL CLINIC PART I, LINE 3C: FREEMAN REGIONAL HEALTH SERVICES (FRHS) REQUIRES THAT THE PATIENT COMPLETE A FINANCIAL ASSISTANCE APPLICATION SHOWING HIS/HER INCOME AND EXPENSES. THE APPLICATION IS REVIEWED TO SEE WHAT FUNDS AND ASSETS THE PATIENT HAS AND WHETHER THE PATIENT HAS THE RESOURCES TO PAY HIS/HER MEDICAL BILLS. FOR SOME PATIENTS, FRHS USES DOCUMENTATION FROM OTHER GOVERNMENT BASED AGENCIES OF THE PATIENT'S FINANCIAL SITUATION AND RESOURCES AS A WAY TO HELP DETERMINE THE PATIENT'S FINANCIAL SITUATION. THE CHIEF FINANCIAL OFFICER REVIEWS ALL APPLICATIONS AND MAKES THE DETERMINATION OF ASSISTANCE OFFERED. THE FACILITY MAY USE PRESUMPTIVE ELIGIBILITY IF ALL OTHER AVENUES 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 7B AND 7G WERE OBTAINED FROM THE MEDICAID AND MEDICARE COST REPORTS, RESPECTIVELY. PART I, LN 7 COL(F): PAGES 15-16 OF THE ATTACHED AUDITED FINANCIAL STATEMENT DISCUSSES IMPLICIT PRICE CONCESSION AND BAD DEBT EXPENSE. BAD DEBT EXPENSE FOR THE YEAR ENDED DECEMBER 31, 2019 WAS NOT SIGNIFICANT. PART III, LINE 8: MEDICARE ALLOWABLE COSTS OF CARE WAS CALCULATED FROM THE MEDICARE COST REPORT FOR FISCAL YEAR ENDING 12/31/2019. 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: 30-DAY NOTICE- OUR STATEMENTS INCLUDING THE FIRST STATEMENT HAVE A CHARITY CARE/FINANCIAL ASSISTANCE WEB SITE LISTED AT THE BOTTOM. THE SITE PROVIDES THE FINANCIAL ASSISTANCE POLICY AND FOLLOWS THE 30-DAY NOTICE GUIDELINES. 120 DAY NOTICE-FREEMAN REGIONAL DOES NOT INITIATE ANY ECA'S UNTIL AFTER THE 4TH MONTHLY STATEMENT. 240 DAY NOTICE-IF THE APPLICATION IS COMPLETE WE MAKE A DETERMINATION BY 240 DAYS. IF THE DETERMINATION IS AVERSE A 30-DAY NOTICE IS AGAIN GIVEN OUT. PART V, LINE 7, COMMUNITY HEALTH NEEDS ASSESSMENT DESCRIPTION OF FAILURETYPE OF FAILURE: 501(R)(3) - THE HOSPITAL DID NOT POST ITS 2019 COMMUNITY HEALTH NEEDS ASSESSMENT TO THEIR WEBSITE ON OR BEFORE DECEMBER 31, 2019.CAUSE OF THE FAILURE: THE HOSPITAL WAS IN A TIME OF TRANSITION AS THE MARKETING DIRECTOR AT THE TIME RESIGNED. THE DIRECTOR HAD EXCLUSIVE ACCESS TO THE WEB SITE AND WEB SITE CHANGES. WE WERE ALSO CONSIDERING A WEBSITE VENDOR CHANGE AS COSTS WERE RUNNING HIGH WITH THIS SITE. FACILITY OR FACILITIES WHERE THE FAILURE OCCURRED: THE FAILURE OCCURRED AT FREEMAN REGIONAL HEALTH SERVICES.THE DATE(S) OF THE FAILURE AND ITS DISCOVERY: DECEMBER 31, 2019 AND MARCH 26, 2020, RESPECTIVELY.DESCRIPTION OF THE CORRECTION OF THE FAILUREMETHOD OF CORRECTION: THE COMMUNITY HEALTH NEEDS ASSESSMENT HAS BEEN MADE AVAILABLE ON THE WEBSITE.DATE OF CORRECTION: 03/27/2020DESCRIPTION OF THE PRACTICES OR PROCEDURES PUT INTO PLACETHE COMMUNITY HEALTH NEEDS ASSESSMENT WAS POSTED ON THE WEBSITE AT: HTTPS://WWW.FREEMANREGIONAL.COM/COMMUNITY-NEEDS PART VI, LINE 2: ANNUALLY, ON THE 4TH MONDAY OF FEBRUARY, FREEMAN REGIONAL HEALTH SERVICES (FRHS) HAS A COMMUNITY MEETING THAT IS ADVERTISED IN THE LOCAL NEWSPAPERS INVITING THE COMMUNITY TO ATTEND AND PROVIDE INPUT REGARDING ITS NEEDS AND IDEAS ON HOW FRHS CAN IMPROVE ITS SERVICES. ON A QUARTERLY BASIS, FRHS MEETS WITH THE MEDICAL STAFF TO DISCUSS OPERATIONS AND ANY SUGGESTIONS THEY MAY HAVE ON SERVICES PROVIDED BY FRHS AND THE NEEDS OF THE COMMUNITY. FRHS HAS A MONTHLY DEPARTMENT MANAGER MEETING WHERE THE NEEDS OF THE COMMUNITY AND OTHER ISSUES CAN BE DISCUSSED. COMMUNITY MEMBERS ARE ENCOURAGED TO COME TO THE FACILITY AT ANY TIME TO DISCUSS CONCERNS OR ISSUES WITH THE ADMINISTRATION.IN ADDITION, FRHS PREPARED A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2019. PLEASE SEE PART V, SECTION B, LINE 3 FOR MORE INFORMATION. PART VI, LINE 3: FRHS HAS POSTED SIGNAGE ABOUT CHARITY CARE AND FINANCIAL ASSISTANCE PROGRAMS IN ADMISSIONS AREAS, EMERGENCY ROOMS, AND OTHER AREAS OF THE ORGANIZATION'S FACILITIES IN WHICH ELIGIBLE PATIENTS ARE LIKELY TO BE PRESENT. FRHS ADDRESSES THE FINANCIAL ASSISTANCE PROGRAM AND PROVIDES INFORMATION ON HOW TO APPLY FOR ASSISTANCE AT DISCHARGE AND IN PATIENT BILLS. THE BUSINESS OFFICE AND SOCIAL WORKERS ADVISE PATIENTS ON THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, AND ASSIST THE PATIENT WITH QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE. A NOTICE RELATED TO AVAILABLE CHARITY CARE IS PRINTED AT THE BOTTOM OF ALL SERVICE STATEMENTS. PART VI, LINE 4: FRHS IS A HEALTHCARE FACILITY THAT PRIMARILY SERVES RESIDENTS IN RURAL HUTCHINSON, MCCOOK AND TURNER COUNTIES IN SOUTHEASTERN SOUTH DAKOTA. SERVICE AREA DEMOGRAPHICS HUTCHINSON MCCOOK TURNERPOPULATION (2019 DATA) 7,291 5,586 8,384HOUSEHOLDS 2,862 2,209 3,470AVERAGE HOUSEHOLD SIZE (PEOPLE) 2.43 2.38 2.33MEDIAN HOUSEHOLD INCOME $54,868 $62,234 $55,380MEDIAN AGE 43.8 40 43% OF POPULATION UNDER 18 25.3% 27.8% 24.4%% OF POPULATION 19-64 51.8% 53.3% 54.2%% OF POPULATION 65+ 22.9% 18.9% 21.4%% OF POPULATION BELOW POVERTY INCOME LEVEL 11.5% 9.6% 9.4%A MAJORITY OF THE EMPLOYERS IN THESE AREAS ARE SMALL EMPLOYERS WHO OFFER LITTLE TO NO EMPLOYEE BENEFITS. OF THE EMPLOYERS WHO DO OFFER HEALTH INSURANCE TO THEIR EMPLOYEES, DEDUCTIBLES AND CO-PAYS HAVE RISEN FROM 300-500% OVER THE PAST 10 YEARS. MANY EMPLOYERS HAVE PASSED THE INCREASE IN HEALTH INSURANCE PREMIUMS TO THEIR EMPLOYEES MAKING PAYING THE HIGHER DEDUCTIBLES AND CO-PAYS VERY DIFFICULT. PART VI, LINE 5: FRHS'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. FRHS EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PROVIDERS IN ITS COMMUNITY AND SURROUNDING AREA. FRHS REINVESTS SURPLUS FUNDS TO IMPROVEMENTS IN PATIENT CARE, INCLUDING BUT NOT LIMITED TO EXPANSION OF SERVICES OFFERED, PATIENT EDUCATION, EMPLOYEE EDUCATION, AND EQUIPMENT AND FACILITY RENOVATIONS. FRHS IS COMPRISED OF A 49 BED NURSING HOME AND A 25 BED CRITICAL ACCESS HOSPITAL WITH A 24/7 EMERGENCY ROOM. THE EMERGENCY ROOM HAS LOCAL PROVIDERS ON CALL AND TELEMEDICINE CAPABILITIES WITH A REGIONAL TRAUMA CENTER. PART VI, LINE 7, REPORTS FILED WITH STATES SD X X 0 0 0 0 0 0 0 0 0 NICHOLAS BRANDNER CEO 157596 0 0 0 0 0 4702 0 6444 0 168742 0 0 0 A CITY OF FREEMAN 466000164 2006-09-29 750000 TO HELP FINANCE CONGREGATE LIVING UNITS. 0 0 0 A 409998 750000 750000 2006 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 1 0 0 0 0 0 0 A 0 UECKER PHARMACY OWNED BY LORI UECKER, BOARD MEMBER 119374 PHARMACY SUPPLIES AND SERVICES PURCHASED 0 FORM 990, PART VI, SECTION A, LINE 8B FREEMAN REGIONAL HEALTH SERVICES DOES NOT UTILIZE COMMITTEES. FORM 990, PART VI, SECTION B, LINE 11B THE CEO AND CFO REVIEW THE FORM 990 IN DETAIL, IT IS THEN PRESENTED AND REVIEWED BY THE BOARD AT A BOARD MEETING PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C FRHS REQUIRES ANNUAL COMPLIANCE WITH AND DISCLOSURE OF CONFLICTS IN ACCORDANCE WITH THE WRITTEN POLICY. CONFLICTS OF INTEREST OR POTENTIAL CONFLICTS OF INTEREST MUST BE REPORTED TO THE COMPLIANCE OFFICER. IF A CONFLICT IS DEEMED TO EXIST, APPROPRIATE ACTION IS TAKEN SUCH AS A BOARD MEMBER MAY BE REQUIRED TO ABSTAIN FROM DISCUSSION, DELIBERATION, AND VOTING ON THE ISSUE AT HAND. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION IS INITIALLY SET BY THE BOARD AND/OR ADMINISTRATION FOLLOWING A REVIEW AND ASSESSMENT OF THE SDAHO COMPARABILITY STUDY. THE ANNUAL INCREASES ARE SUBJECT TO THE APPROVAL OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST FORM 990, PART IX, LINE 11G COLLECTION FEES: PROGRAM SERVICE EXPENSES 4,256. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,256. PURCHASE OTHER CLINIC: PROGRAM SERVICE EXPENSES 1,298,652. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,298,652. MEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 588,020. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 588,020. PURCHASE COURIER: PROGRAM SERVICE EXPENSES 16,502. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,502. CONSULTING FEES: PROGRAM SERVICE EXPENSES 23,038. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,038. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 658,548. MANAGEMENT AND GENERAL EXPENSES 2,750. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 661,298. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 83,945. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 83,945. ULTRASOUND AND MRI CONTRACTS: PROGRAM SERVICE EXPENSES 61,448. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 61,448. PT FINANCIAL SVC COLLECTION FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 25,617. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,617. ADMINISTRATION CONSULTING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 143,592. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 143,592.