2020-11-13T11:30:44-06:00 2019-12-31 450250958 EIDE BAILLY LLP 200 E 10TH ST STE 500 SIOUX FALLS SD 571046375 990 2019-01-01 460274380 WINNER REGIONAL HEALTHCARE CENTER WINN 6058427100 745 E 8TH ST WINNER SD 57580 AMANDA SOESBE CFO 6058427100 2020-11-13 1 LAURIE HANSON CPA P00851848 6053391999 2020-11-14 184.83.199.194 2020-11-13 10:39:34 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 50CCFF325394DF76E401CCE6D67578A0FB45D135 2019 2021-01-29 14:40:06Z KEVIN COFFEY 745 E 8TH ST WINNER SD 57580 23775797 0 X WWW.WINNERREGIONAL.ORG X 1961 SD TO IMPROVE THE QUALITY OF LIFE IN OUR REGION. 9 7 271 8 0 0 677738 296866 26187324 23426971 33907 -51294 46633 -40432 26945602 23632111 0 0 0 0 10143178 10655318 0 0 10239 15425341 16428924 25568519 27084242 1377083 -3452131 26884271 30674378 13060036 20274084 13824235 10400294 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. 1 0 22625390 23426971 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 NEW BORN CARE. THE FACILITY ALSO OPERATES A HOME HEALTH AGENCY, HOMEMAKER PROGRAM, A PROVIDER BASED RURAL HEALTH CLINIC, A COMMUNITY HEALTH PROGRAM AND PROVIDES COMMUNITY EDUCATION PROGRAMS THROUGHOUT THE SERVICE AREA. WINNER REGIONAL HEALTHCARE CENTER HAD 1,540 ACUTE PATIENT DAYS; 1,282 SWING BED PATIENT DAYS; 332 NEWBORN PATIENT DAYS; 184 BIRTHS; 19,642 RESIDENT DAYS; 1,771 HOME HEALTH VISITS; 10,259 RURAL HEALTH CLINIC VISITS; 417 OBSERVATION DAYS; AND 147 LABOR AND DELIVERY DAYS. 22625390 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 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 70 0 1 271 1 0 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 300878 0 33150 RHONDA JORGENSEN CRNA 40.00 X 216714 0 16368 MARLA HAYES PHARMACIST 40.00 X 156003 0 4680 NAKAYLA BURNHAM CNP 40.00 X 132026 0 12347 KORIE PRAVECEK CNP 40.00 X 134175 0 9866 REBECCA OLSON CNP 40.00 X 130856 0 3926 EARL PIERCE CFO 40.00 X 107328 0 2385 BRIAN SCHAEFFER PRESIDENT 1.00 X X 0 0 0 ROGER KINGSBURY VICE PRESIDENT 1.00 X X 0 0 0 KIM VANNEMAN TREASURER 1.00 X X 0 0 0 KEVIN OREL SECRETARY 1.00 X X 0 0 0 NEIL LANTZ DIRECTOR 1.00 X 0 0 0 REBECCA LITTAU DIRECTOR 1.00 X 0 0 0 BETSY PRAVECEK DIRECTOR 1.00 X 0 0 0 CASEY HEENAN DIRECTOR 1.00 X 0 0 0 KEVIN COFFEY CEO 40.00 X 0 0 0 1177980 0 82722 13 0 1 1 PRIME TIME HEALTHCARE LLC PO BOX 3544 OMAHA NE 681030544 CONTRACTED NURSING 1751753 ALLIANCE MEDICAL STAFFING INC PO BOX 641906 OMAHA NE 68164 CONTRACTED NURSING 888986 FOCUSONE SOLUTIONS LLC PO BOX 3037 OMAHA NE 681030037 CONTRACTED NURSING 753061 SANFORD HEALTH PO BOX 5074 SIOUX FALLS SD 571175074 MGMT FEES/SALARY REIMB/IT SUPPORT 698084 RURAL PARTNERS IN MEDICINE LLC PO BOX 772519 STEAMBOAT SPRINGS CO 80477 ORTHOPEADIC SERVICES 611491 14 11866 285000 296866 PATIENT AND RESIDENT SERVICE REVE 621110 22211431 22211431 PHARMACY REVENUE 900099 705540 705540 PHYSICIAN OUTREACH 621110 67681 67681 442319 442319 23426971 22392 22392 29568 70000 -40432 -40432 -40432 73686 -73686 -73686 -73686 23632111 23426971 0 -91726 X 447031 337318 109713 81525 81525 8106690 6654615 1451176 899 144420 115213 29207 1278095 894661 383426 8 597557 493583 103898 76 310742 310742 93461 2865 90596 79543 1334 78209 2730 2730 8700704 8439714 260990 194997 59744 135051 202 499711 261511 238151 49 493972 43658 450314 696879 403882 292997 282575 276269 6306 90468 48853 41615 351252 244283 106969 1070196 885228 184968 157285 112386 44899 MEDICAL SUPPLIES 2961806 2953917 7889 FOOD 274268 274268 LICENSES, DUES & SUBSCR 81675 29177 43493 9005 86660 11386 75274 27084242 22625390 4448613 10239 40707 628895 5184220 4440630 5000 221089 241781 478544 648628 50255 20005 36510499 14227749 18091867 22282750 1758715 745527 1057972 1086162 902 0 0 575000 26884271 30674378 3319420 4862214 8945 9549 9397332 15117982 284339 284339 50000 0 13060036 20274084 X 12666263 9214132 1157972 1186162 13824235 10400294 26884271 30674378 X -3452131 28190 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2730 2730 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 REPRESENTS 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 29069272 9213948 19855324 5756979 4512893 1244086 1659610 500908 1158702 22282750 X 23702111 0 23702111 -70000 -70000 23632111 27154242 70000 70000 27084242 0 27084242 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 -70,000. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 70,000. 1 1 X 1 X 1 X 150.000000000000 1 1 0 0 225000 225000 0.00830 3814288 2630331 1183957 0.04370 4039288 2630331 1408957 0.05200 2500 2500 11409090 6416068 4993022 0.18440 1659 1659 0.00010 11413249 6418568 4994681 0.18450 15452537 9048899 6403638 0.23650 1 2365001 470635 5971966 5989926 -17960 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: DURING THE MOST RECENT CHNA CONDUCTED THE FOLLOWING NEEDS WERE IDENTIFIED:ECONOMICS: COST OF AFFORDABLE HOUSING WAS THE HIGHEST RANKED ECONOMIC CONCERN AT 4.00SKILLED LABOR WORKFORCE AT 3.29EMPLOYMENT OPTIONS AT 3.00CHILDREN AND YOUTH:CHILDHOOD OBESITY RANKS HIGHEST OF THE CONCERNS FOR CHILDREN AND YOUTH AT 2.86EDUCATION ABOUT BIRTH CONTROL AT 2.8TEEN PREGNANCY AT 2.8HEALTH CARE AND WELLNESSACCESS TO AFFORDABLE PRESCRIPTION DRUGS AT 3.33ACCESS TO AFFORDABLE HEALTH INSURANCE COVERAGE AT 3.29ACCESS TO AFFORDABLE HEALTH CARE AT 3.29AGING POPULATIONCOST OF IN-HOME SERVICES AT 2.80COST OF LONG-TERM CARE AT 2.80COST OF MEMORY CARE AT 2.80MENTAL HEALTH/BEHAVIORAL HEALTHDEPRESSION AT 2.86ALCOHOL AT 2.71DRUG USE AND ABUSE AT 2.71WRHC WILL NOT ADDRESS ECONOMICS, AGING POPULATION, OR MENTAL/BEHAVIORAL HEALTH. ALTHOUGH ALL OF THESE AREAS ARE IMPORTANT, THE ASSESSMENT COMMITTEE RANKED AS A HIGHER PRIORITY THE CHILDREN AND YOUTH AND HEALTH CARE AND WELLNESS AREAS TO FOCUS ON.THE FOLLOWING WERE DONE TO ADDRESS THE NEEDS FROM THE MOST RECENT CHNA:ACTIONS WITH CHILDREN AND YOUTH: PROMOTE HEALTH AND WELL-BEING BY EDUCATING LOCAL STUDENTS ON 1) HEALTHY FOOD CHOICES, AND 2) THE BENEFITS OF LIVING AN ACTIVE LIFESTYLE.ACTIONS WITH HEALTH CARE AND WELLNESS: THE WELLNESS COMMITTEE WILL DEVELOP ACTIVITIES TO HELP REDUCE EMPLOYEE STRESS.DUE TO THE COMPLETION OF THE CHNA IN THE CURRENT YEAR, FEW ACTIONS WERE TAKEN TO ADDRESS THE NEEDS OF THE MOST RECENT CHNA. 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: 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, FAMILY SIZE, 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 7E 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 $2,526,072 AND COSTS OF $3,822,322 ARE INCLUDED ON LINE 7G FOR A NET COMMUNITY BENEFIT OF $1,296,250. 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 12/31/2019. 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: 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. 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. 0 0 0 0 0 0 0 0 0 DR JONATHON TAYLOR DO DIRECTOR, CHIEF OF STAFF 300878 0 0 0 0 0 13678 0 22761 0 337317 0 0 0 RHONDA JORGENSEN CRNA 206347 0 66 0 10301 0 6502 0 9866 0 233082 0 0 0 MARLA HAYES PHARMACIST 142234 0 65 0 13704 0 4680 0 0 0 160683 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 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. EARL PIERCE CFO SIGN ON BONUS X 10000 5000 0 1 1 5000 JENNA LITTAU FAMILY MEMBER OF REBECCA LITTAU, BOARD MEMBER 49801 BASE WAGES AND BENEFITS 0 KYLE COFFEY FAMILY MEMBER OF KEVIN COFFEY, CEO 31723 BASE WAGES AND BENEFITS 0 FORM 990, PART III, LINE 2 WINNER REGIONAL HEALTH NOW HAS A RETAIL PHARMACY, WINNER FAMILY DRUG, AS OF MAY 2019. 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 $227,643 AND $27,181 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 2019 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 414,862. MANAGEMENT AND GENERAL EXPENSES 83,869. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 498,731. OUTSIDE MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 558,552. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 558,552. PURCHASED STAFFING: PROGRAM SERVICE EXPENSES 5,157,714. MANAGEMENT AND GENERAL EXPENSES 46,601. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,204,315. CONTRACT PHYSICIANS: PROGRAM SERVICE EXPENSES 2,230,495. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,230,495. CONSULTING AND OTHER: PROGRAM SERVICE EXPENSES 24,947. MANAGEMENT AND GENERAL EXPENSES 110,134. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 135,081. REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 53,144. MANAGEMENT AND GENERAL EXPENSES 20,386. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 73,530. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 28,190.