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WINNER REGIONAL HEALTHCARE CENTER: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
WINNER REGIONAL HEALTHCARE CENTER (EIN 46-0274380)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-11-11
IRS object ID
202543159349304234
Schema version
2024v5.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-11-11T13:35:54-06:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1EIDE BAILLY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1345 N REID PL STE 400AddressLine1Txt
CitySIOUX FALLSCityNm
State AbbreviationSDStateAbbreviationCd
ZIP571037034ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN460274380EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WINNER REGIONAL HEALTHCARE CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWINNBusinessNameControlTxt
Phone6058427100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1745 E 8TH STAddressLine1Txt
CityWINNERCityNm
State AbbreviationSDStateAbbreviationCd
ZIP57580ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBRIAN WILLIAMSPersonNm
Person TitleCEOPersonTitleTxt
Phone6058427100PhoneNum
Signature2025-11-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLAURIE HANSON CPAPreparerPersonNm
PTINP00851848PTIN
Phone6053391999PhoneNum
Preparation2025-11-12PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerROGER KINGSBURYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1745 E 8TH STAddressLine1Txt
CityWINNERCityNm
State AbbreviationSDStateAbbreviationCd
ZIP57580ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$27,901,855GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.WINNERREGIONAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1961FormationYr
Legal Domicile StateSDLegalDomicileStateCd
Activity Or MissionTO IMPROVE THE QUALITY OF LIFE IN OUR REGION.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee225TotalEmployeeCnt
Total Volunteers9TotalVolunteersCnt
Total Gross UBI$485,951TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$605,804PYContributionsGrantsAmt
CY Contributions Grants$248,429CYContributionsGrantsAmt
PY Program Service Revenue$27,749,920PYProgramServiceRevenueAmt
CY Program Service Revenue$27,329,666CYProgramServiceRevenueAmt
PY Investment Income$14,890PYInvestmentIncomeAmt
CY Investment Income$295,317CYInvestmentIncomeAmt
PY Other Revenue$52,162PYOtherRevenueAmt
CY Other Revenue$28,443CYOtherRevenueAmt
PY Total Revenue$28,422,776PYTotalRevenueAmt
CY Total Revenue$27,901,855CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$10,987,916PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$13,062,344CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$19,082,440PYOtherExpensesAmt
CY Other Expenses$18,922,444CYOtherExpensesAmt
PY Total Expenses$30,070,356PYTotalExpensesAmt
CY Total Expenses$31,984,788CYTotalExpensesAmt
PY Revenues Less Expenses-$1,647,580PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$4,082,933CYRevenuesLessExpensesAmt
Total Assets BOY$28,997,040TotalAssetsBOYAmt
Total Assets EOY$27,571,958TotalAssetsEOYAmt
Total Liabilities BOY$18,951,864TotalLiabilitiesBOYAmt
Total Liabilities EOY$21,638,002TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$10,045,176NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,933,956NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$25,147,445ExpenseAmt
Revenue$26,843,715RevenueAmt
DescWINNER REGIONAL HEALTHCARE CENTER, A 25-BED CRITICAL ACCESS HOSPITAL AND 60 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 1,367 ACUTE PATIENT DAYS; 939 SWING BED PATIENT DAYS; 159 NEWBORN PATIENT DAYS; 106 BIRTHS; 11,218 RESIDENT DAYS; 1,339 HOME HEALTH VISITS; 11,013 RURAL HEALTH CLINIC VISITS; 7,099 OBSERVATION HOURS; 1,828 SPECIALTY OUTREACH VISITS.Desc
Total Program Service Expenses$25,147,445TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document44IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee225EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind0Form8899Filedind
Form1098 C Filed0Form1098CFiledInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AMANDA SOESBEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6058427213PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1745 E 8TH STAddressLine1Txt
CityWINNERCityNm
State AbbreviationSDStateAbbreviationCd
ZIP57580ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
RICK WAGNER MD
DIRECTOR, CHIEF OF STAFF UNTIL 05/2430.00Yes (X)$219,000$0$0
BETSY PRAVECEK
PRESIDENT1.00Yes (X)$0$0$0Yes (X)
KIM VANNEMAN
VICE PRESIDENT1.00Yes (X)$0$0$0Yes (X)
CASEY HEENAN
TREASURER1.00Yes (X)$0$0$0Yes (X)
SARA HAMMERBECK
SECRETARY1.00Yes (X)$0$0$0Yes (X)
JUSTIN NELSON
DIRECTOR UNTIL 04/20241.00Yes (X)$0$0$0
SARA PETERSEK
DIRECTOR1.00Yes (X)$0$0$0
DIONE ROWE
DIRECTOR1.00Yes (X)$0$0$0
ROGER KINGSBURY
DIRECTOR1.00Yes (X)$0$0$0
CODY HAIRAR
DIRECTOR FROM 05/20241.00Yes (X)$0$0$0
ANORA HENDERSON MD
DIRECTOR,CHIEF OF STAFF FROM 05/202440.00Yes (X)$285,190$0$0
AMANDA SOESBE
CFO40.00$116,875$0$28,184Yes (X)
BRIAN WILLIAMS
CEO40.00$97,785$0$17,910Yes (X)
NICOLE OLSON
DIRECTOR OF CLINIC OPERATION40.00$147,956$0$17,789Yes (X)
MARLA HAYES
PHARMACIST/DIRECTOR OF PHARMACY40.00$183,539$0$7,060Yes (X)
REBECCA OLSON
CNP40.00$161,168$0$6,907Yes (X)
KORIE PRAVECEK
CNP40.00$146,118$0$10,447Yes (X)
KEN NOGUCHI
MD40.00$389,137$0$35,710Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,746,768TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$124,007TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K8IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (1)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ROCK MEDICAL GROUP
PO BOX 31246TAMPAFL33631CONTRACTED NURSING$1,395,935
SANFORD HEALTH
PO BOX 5074SIOUX FALLSSD57117MGMT FEES/SALARY REIMB/IT SUPPORT$962,177
FUSION MEDICAL STAFFING LLC
PO BOX 30131OMAHANE68103CONTRACTED NURSING$828,584
WEATHERBY HEALTHCARE
PO BOX 972633DALLASTX75397CONTRACTED PHYSICIANS$616,505
FASTAFF LLC
PO BOX 911452DENVERCO802911452CONTRACTED NURSING$421,034
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K27CntrctRcvdGreaterThan100KCnt
Government Grants$29,332GovernmentGrantsAmt
All Other Contributions$219,097AllOtherContributionsAmt
Total Contributions$248,429TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT AND RESIDENT SERVICE REVE621110$24,764,436$24,764,436
PHARMACY REVENUE900099$2,119,366$1,633,415$485,951
PHYSICIAN OUTREACH621110$61,627$61,627

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$384,237TotalRevenueColumnAmt
Related Or Exempt Func Income$384,237RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$27,329,666TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$22,880TotalRevenueColumnAmt
Exclusion$22,880ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$28,443RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$28,443RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$28,443TotalRevenueColumnAmt
Exclusion$28,443ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$272,437OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$272,437OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$272,437TotalRevenueColumnAmt
Exclusion$272,437ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,901,855TotalRevenueColumnAmt
Related Or Exempt Func Income$26,843,715RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$485,951UnrelatedBusinessRevenueAmt
Exclusion$323,760ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$765,071TotalAmt
Program Services$504,190ProgramServicesAmt
Management And General$260,881ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$40,971TotalAmt
Program Services$40,971ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$9,978,980TotalAmt
Program Services$7,737,733ProgramServicesAmt
Management And General$2,241,247ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$234,390TotalAmt
Program Services$180,549ProgramServicesAmt
Management And General$53,841ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,355,895TotalAmt
Program Services$932,573ProgramServicesAmt
Management And General$423,322ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$687,037TotalAmt
Program Services$515,592ProgramServicesAmt
Management And General$171,445ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$236,569TotalAmt
Management And General$236,569ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$11,782TotalAmt
Management And General$11,782ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$120,295TotalAmt
Management And General$120,295ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$660TotalAmt
Management And General$660ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$9,411,403TotalAmt
Program Services$8,076,268ProgramServicesAmt
Management And General$1,335,135ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$21,900TotalAmt
Program Services$10ProgramServicesAmt
Management And General$21,890ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$538,811TotalAmt
Program Services$307,040ProgramServicesAmt
Management And General$231,771ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$839,391TotalAmt
Program Services$323,284ProgramServicesAmt
Management And General$516,107ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$258,075TotalAmt
Program Services$241,931ProgramServicesAmt
Management And General$16,144ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$41,112TotalAmt
Program Services$18,628ProgramServicesAmt
Management And General$22,484ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$580,792TotalAmt
Program Services$385,201ProgramServicesAmt
Management And General$195,591ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,722,497TotalAmt
Program Services$1,215,702ProgramServicesAmt
Management And General$506,795ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$379,343TotalAmt
Program Services$140,334ProgramServicesAmt
Management And General$239,009ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$4,182,785$4,154,768$28,017
FOOD$294,861$294,861
LICENSES, DUES & SUBSCR$72,353$52,396$19,957
SALES TAX$28,869$7,270$21,599

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$180,946TotalAmt
Program Services$18,144ProgramServicesAmt
Management And General$162,802ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$31,984,788TotalAmt
Program Services$25,147,445ProgramServicesAmt
Management And General$6,837,343ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$10,385BOYAmt
EOY$374,078EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,838,768BOYAmt
EOY$6,403,895EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$156,828BOYAmt
EOY$14,368EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$657,798BOYAmt
EOY$511,492EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$30,717BOYAmt
EOY$44,348EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$38,510,811LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$21,445,281LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$18,848,555BOYAmt
EOY$17,065,530EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,025,777BOYAmt
EOY$1,058,322EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$1,399,313BOYAmt
EOY$1,371,026EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$28,899BOYAmt
EOY$728,899EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$28,997,040BOYAmt
EOY$27,571,958EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,927,460BOYAmt
EOY$4,895,787EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$10,433BOYAmt
EOY$10,433EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$6,524BOYAmt
EOY$5,444EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$14,610,768BOYAmt
EOY$14,275,297EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
EOY$2,145,499EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$396,679BOYAmt
EOY$305,542EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$18,951,864BOYAmt
EOY$21,638,002EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,645,863BOYAmt
EOY$4,562,930EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,399,313BOYAmt
EOY$1,371,026EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,045,176BOYAmt
EOY$5,933,956EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$28,997,040BOYAmt
EOY$27,571,958EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$4,082,933ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$28,287OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$660GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$660TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE 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.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,638OtherCostOrOtherBasisAmt
Book Value$24,638BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$30,666,683OtherCostOrOtherBasisAmt
Depreciation$15,230,199DepreciationAmt
Book Value$15,436,484BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,999,510OtherCostOrOtherBasisAmt
Depreciation$5,296,790DepreciationAmt
Book Value$702,720BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,819,980OtherCostOrOtherBasisAmt
Depreciation$918,292DepreciationAmt
Book Value$901,688BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$17,065,530TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescFINANCE LEASE LIABILITIESDesc
Amt$305,542Amt
FieldValueIRS element (for citing)
Total Liability$305,542TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$27,901,855TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$27,901,855RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$27,901,855TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$31,984,788TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$31,984,788ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$31,984,788TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other150.000000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$105,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$105,000NetCommunityBenefitExpnsAmt
Total Expense0.00330TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,009,600TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,786,853DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,222,747NetCommunityBenefitExpnsAmt
Total Expense0.03820TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,114,600TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,786,853DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,327,747NetCommunityBenefitExpnsAmt
Total Expense0.04150TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,250TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,250NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,221,464TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,607,098DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,614,366NetCommunityBenefitExpnsAmt
Total Expense0.08170TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,240,714TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,624,098DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,616,616NetCommunityBenefitExpnsAmt
Total Expense0.08180TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,355,314TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,410,951DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,944,363NetCommunityBenefitExpnsAmt
Total Expense0.12330TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$2,699,736BadDebtExpenseAmt
Bad Debt Expense Attributable$376,074BadDebtExpenseAttributableAmt
Reimbursed By Medicare$8,320,885ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$8,406,008CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$85,123MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WINNER REGIONAL HEALTHCARE CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1745 E 8TH STAddressLine1Txt
CityWINNERCityNm
State AbbreviationSDStateAbbreviationCd
ZIP57580ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.WINNERREGIONAL.ORGWebsiteAddressTxt
State License51775StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherPROVIDER BASED RHC-WINNER REGIONAL CLINICOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1WINNER REGIONAL HEALTHCARE CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE LINE 7D NARRATIVEOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE LINE 7D NARRATIVEStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care150.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, LINE 16J NARRATIVEFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, LINE 16J NARRATIVEFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, LINE 16J NARRATIVEFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
WINNER REGIONAL HEALTHCARE CENTERPART V, SECTION B, LINE 5: COMMUNITY MEMBERS INVOLVED IN COLLECTING THE DATA AND PREPARING THE REPORT INCLUDED ONE REPRESENTATIVE FROM THE GOVERNING BOARD, THE EXECUTIVE DIRECTOR OF THE CHAMBER OF COMMERCE, AND THE PRESIDENT OF THE TRIPP COUNTY ECONOMIC DEVELOPMENT BOARD. THOSE INDIVIDUALS, IN ADDITION TO SURVEY RESPONDENTS, OTHER HEALTHCARE EMPLOYEES, WRHC ADMINISTRATION, AND SECONDARY DATA SOURCES HELPED REPRESENT ALL INDIVIDUALS IN THE TRIPP COUNTY COMMUNITY, GIVING THEM AN OPPORTUNITY TO PROVIDE INSIGHT ON THE AREAS NEEDING THE BIGGEST IMPROVEMENTS TO CARE.
WINNER REGIONAL HEALTHCARE CENTERPART V, SECTION B, LINE 6A: WINNER REGIONAL WORKED IN PARTNERSHIP WITH SANFORD HEALTH.
WINNER REGIONAL HEALTHCARE CENTERPART 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://WWW.SANFORDHEALTH.ORG/-/MEDIA/ORG/FILES/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/2022/WINNER-CHNA-REPORT-2022-2024.PDF
WINNER REGIONAL HEALTHCARE CENTERPART V, SECTION B, LINE 11: SIGNIFICANT NEEDS IDENTIFIED: AFFORDABLE HOUSING; EMPLOYMENT AND ECONOMIC OPPORTUNITIES; LONG TERM CARE, NURSING HOMES, SENIOR HOUSING; ACCESS TO HEALTH CARE PROVIDERS; HEALTHY LIVING.THE ORGANIZATION WILL NOT ADDRESS THE FOLLOWING NEEDS AND WHY:- AFFORDABLE HOUSING WILL NOT BE ADDRESSED WITH THIS CHNA DUE TO DISCUSSION AT THE STAKEHOLDER MEETING WHERE EVERYONE AGREED THE RENTAL OPTIONS HAVE SOMEWHAT IMPROVED THE PAST FEW YEARS AND WRH WILL CONTINUE TO WATCH FOR OPPORTUNITIES TO PARTNER WITH OTHER COMMUNITY ENTITIES AS ALL RECOGNIZE THE MARKET IS STILL VERY CHALLENGING. - EMPLOYMENT AND ECONOMIC OPPORTUNITIES WILL NOT BE ADDRESSED WITH THIS CHNA DUE TO DISCUSSION AT THE STAKEHOLDER MEETING THAT ITEMS SUCH AS JOB OPPORTUNITIES, DAYCARE, PRE-SCHOOL, AND OTHER ECONOMIC ITEMS WILL REQUIRE BROAD COMMUNITY BASED SUPPORT AND PARTNERSHIP BEYOND WHAT A LOCAL HOSPITAL CAN DO ON ITS OWN. THIS INFORMATION WILL BE SHARED WITH COMMUNITY MEMBERS. - HEALTHY LIVING WILL NOT BE ADDRESSED WITH THIS CHNA DUE TO DISCUSSION AT THE STAKEHOLDER MEETING STATING THAT WRH ALREADY HELPS PROMOTE HEALTH WITH EDUCATIONAL OPPORTUNITIES SUCH AS BETTER CHOICES BETTER HEALTH AND MATTER OF BALANCE CLASSES IMPLEMENTED RECENTLY.LONG TERM CARE, NURSING HOMEWINNER REGIONAL HEALTH ADMINISTRATION AND BOARD OF DIRECTORS REVIEWED MULTIPLE PRO-FORMAS AND OPTIONS FOR DELIVERING LONG TERM CARE AND STAYING VIABLE AS A FACILITY. IN ORDER TO CONTINUE TO OPERATE THE LONG TERM CARE FACILITY, MANY CHANGES NEEDED TO BE MADE SUCH AS DECREASING CONTRACTED LABOR BY INCREASING STARTING WAGE FOR CNA'S AND OTHER CARE GIVERS IN THE LTC SPACE. THE FACILITY ALSO WORKED EXTENSIVELY ON ENSURING ALL MDS REPORTING AND BILLING PRACTICES WERE ACCURATE AND CORRECT. THIS HELPED DRASTICALLY DECREASE EXPENSES, SO THE FACILITY WAS CLOSER TO A BREAK-EVEN POINT. THE FACILITY ALSO INVESTED FUNDRAISED DOLLARS IN RENOVATIONS TO THE APPEARANCE OF THE LONG TERM CARE FACILITY AND REFRESHING NEW PAINT IN RESIDENT ROOMS AND DESIGN FOR LARGER PRIVATE SUITES. ACCESS TO HEALTH CARE PROVIDERSWINNER REGIONAL HEALTH ALSO SUCCESSFULLY RECRUITED ANOTHER MALE MD IN THE CLINIC AND HOSPITAL WHICH WAS SUCH A HIGH NEED AS MOST PROVIDERS WERE FEMALE AND THERE WAS A SHORTAGE OF PROVIDERS ABLE TO SEE THE PATIENTS NEEDED.
WINNER REGIONAL HEALTHCARE CENTERPART 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 CENTERPART 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 CENTERPART 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 WINNERREGIONAL.ORG/FINANCIAL-ASSISTANCEPART 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 CENTERPART 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.
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line11 - WINNER REGIONAL NURSING HOMEBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1745 EAST 8TH STREETAddressLine1Txt
CityWINNERCityNm
State AbbreviationSDStateAbbreviationCd
ZIP575802631ZIPCd
FieldValueIRS element (for citing)
FacilitySKILLED NURSING FACILITYFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:IN ADDITION TO UTILIZING FEDERAL POVERTY LEVELS (FPL), THE ORGANIZATION REVIEWS INCOME LEVEL OTHER THAN FPL, ASSET LEVEL, MEDICAL INDIGENCY, INSURANCE STATUS AND UNDERINSURANCE STATUS. THIS INFORMATION IS REVIEWED AND A DETERMINATION OF ELIGIBILITY FOR ASSISTANCE IS MADE BY THE PATIENT SERVICES REPRESENTATIVE AND THE CFO. 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.
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 DETERMINED USING THE COST REPORTS. LINE 7F WAS DETERMINED FROM THE GENERAL LEDGER SYSTEM.
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 13.93% OF IMPLICIT PRICE CONCESSIONS, WHICH IS BASED ON THE POVERTY LEVEL OF TRIPP COUNTY SD (PORTION OF THE SERVICE AREA) FOR 2024.
PART III, LINE 4:FOOTNOTE FROM FINANCIAL STATEMENT: PLEASE SEE FINANCIAL STATEMENT NOTE 2 - PATIENT AND RESIDENT SERVICE REVENUE ON PAGES 13-15 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 12/31/2024. 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 KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE AND 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 HAS STAFF INVOLVED WITH VARIOUS COMMITTEES, PROGRAMS, AND BOARDS THROUGHOUT THE COMMUNITY. THIS GETS THE FACILITY ENGAGED WITH THE COMMUNITY AND ALLOWS FOR THE COMMUNITY TO COMMUNICATE AREAS OF CONCERN AND CREATES AN INCREASED AWARENESS OF NEEDS. THE FACILITY THEN WORKS WITH THOSE INDIVIDUALS AND/OR WRHC STAFF TO ALLOW FOR BETTER PARTNERSHIP ON HEALTHCARE NEEDS.
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 5,569. THE AVERAGE MEDIAN INCOME IS $54,054. PERCENTAGE OF RESIDENTS BELOW THE POVERTY LEVEL IS 19.3%. 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 2020. 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.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KEN NOGUCHI
MD$389,137$0$0$0$0$0$12,951$0$22,852$0$424,940$0$0$0
ANORA HENDERSON MD
DIRECTOR,CHIEF OF STAFF FROM 05/2024$285,190$0$0$0$0$0$0$0$0$0$285,190$0$0$0
RICK WAGNER MD
DIRECTOR, CHIEF OF STAFF UNTIL 05/24$219,000$0$0$0$0$0$0$0$0$0$219,000$0$0$0
MARLA HAYES
PHARMACIST/DIRECTOR OF PHARMACY$183,539$0$0$0$0$0$7,060$0$93$0$190,692$0$0$0
REBECCA OLSON
CNP$161,168$0$0$0$0$0$6,375$0$625$0$168,168$0$0$0
NICOLE OLSON
DIRECTOR OF CLINIC OPERATION$147,956$0$0$0$0$0$4,796$0$13,086$0$165,838$0$0$0
KORIE PRAVECEK
CNP$146,118$0$0$0$0$0$0$0$10,540$0$156,658$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationTHE CEO WAS COMPENSATED THROUGH A MANAGEMENT AGREEMENT WITH SANFORD HEALTH NETWORK, AN UNRELATED ORGANIZATION, THROUGH JULY, 2024. SANFORD HEALTH NETWORK USES THE PROCESSES DESCRIBED IN PART I, QUESTION 3 TO DETERMINE APPROPRIATE COMPENSATION FOR THE CEO. THE CEO BECAME AN EMPLOYEE OF WINNER REGIONAL HEALTHCARE CENTER EFFECTIVE AUGUST 1, 2024.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonLORI KINGSBURYPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionFAMILY MEMBER OF ROGER KINGSBURY, BOARD PRESIDENTRelationshipDescriptionTxt
Transaction$40,971TransactionAmt
TransactionINDEPENDENT CONTRACTOR PAYMENTSTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3THE ORGANIZATION HAD 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 IAN WILLIAMS, CEO. COMPENSATION AND BENEFITS FOR BRIAN WILLIAMS WERE $193,905. 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. THE MANAGEMENT AGREEEMNT WAS ENDED ON AUGUST 1, 2024 AND CEO BECAME EMPLOYEE OF WRHC.
FORM 990, PART VI, SECTION A, LINE 8BCOMMITTEES 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 11BA COPY OF 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 12CCOMPLIANCE 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 15ACEO: 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 IS UNDERTAKEN ANNUALLY.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTS ARE AVAILABLE UPON REQUEST
FORM 990, PART VIIBRIAN WILLIAMS, CEO, BECAME AN EMPLOYEE OF THE ORGANIZATION EFFECTIVE 8/1/2024. HE WAS PAID THROUGH A MANAGEMENT AGREEMENT WITH SANFORD HEALTH PRIOR TO 8/1/2024. DR. RICK WAGNER WAS A BOARD MEMBER OF WINNER REGIONAL HEALTHCARE CENTER AND CHIEF OF STAFF AT THE WINNER REGIONAL CLINIC UNTIL MAY, 2024 . HIS COMPENSATION INCLUDES SERVICES PROVIDED AS A GENERAL SURGEON THROUGHOUT 2024. DR. ANORA HENDERSON BECAME A MEMBER OF THE BOARD OF DIRECTORS AND CHIEF OF STAFF IN MAY, 2024.
FORM 990, PART IX, LINE 11GSERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 582,454. MANAGEMENT AND GENERAL EXPENSES 402,977. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 985,431. OUTSIDE MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 464,772. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 464,772. REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 24,830. MANAGEMENT AND GENERAL EXPENSES 29,708. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 54,538. CONSULTING: PROGRAM SERVICE EXPENSES 23,862. MANAGEMENT AND GENERAL EXPENSES 24,873. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 48,735. OTHER: PROGRAM SERVICE EXPENSES 609. MANAGEMENT AND GENERAL EXPENSES 126,875. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 127,484. SOFTWARE MAINTENANCE: PROGRAM SERVICE EXPENSES 70,760. MANAGEMENT AND GENERAL EXPENSES 430,614. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 501,374. PURCHASED STAFFING/CONTRACT PHYSICIANS: PROGRAM SERVICE EXPENSES 6,908,981. MANAGEMENT AND GENERAL EXPENSES 320,088. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,229,069.
FORM 990, PART XI, LINE 9:CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION -28,287.