2025-11-11T13:35:54-06:00 2024-12-31 450250958 EIDE BAILLY LLP 345 N REID PL STE 400 SIOUX FALLS SD 571037034 990 2024-01-01 460274380 WINNER REGIONAL HEALTHCARE CENTER WINN 6058427100 745 E 8TH ST WINNER SD 57580 BRIAN WILLIAMS CEO 6058427100 2025-11-11 1 1 LAURIE HANSON CPA P00851848 6053391999 2025-11-12 2024 2025-03-06 01:10:19Z ROGER KINGSBURY 745 E 8TH ST WINNER SD 57580 27901855 0 X WWW.WINNERREGIONAL.ORG X 1961 SD TO IMPROVE THE QUALITY OF LIFE IN OUR REGION. 9 8 225 9 485951 0 605804 248429 27749920 27329666 14890 295317 52162 28443 28422776 27901855 0 0 0 0 10987916 13062344 0 0 0 19082440 18922444 30070356 31984788 -1647580 -4082933 28997040 27571958 18951864 21638002 10045176 5933956 X TO IMPROVE THE QUALITY OF LIFE IN OUR REGION BY PROVIDING COMPREHENSIVE HEALTHCARE IN A LOCAL, NURTURING ENVIRONMENT. THROUGH PROFESSIONALS WHO CONSIDER HEALTHCARE A CALLING, WE WILL EXCEED THE EXPECTATIONS OF THOSE WE SERVE. OUR ROLE AS A COMMITTED STEWARD TO OUR REGION WILL BE SUSTAINED THROUGH FISCAL RESPONSIBILITY, ENSURING PERSONALIZED HEALTHCARE FOR GENERATIONS TO COME. 0 0 25147445 26843715 WINNER 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. 25147445 1 1 0 1 0 0 0 0 1 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 44 0 1 225 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 8 0 1 0 0 0 0 0 1 0 0 0 1 1 1 1 0 1 1 0 0 X X AMANDA SOESBE 6058427213 745 E 8TH ST WINNER SD 57580 X RICK WAGNER MD DIRECTOR, CHIEF OF STAFF UNTIL 05/24 30.00 X 219000 0 0 BETSY PRAVECEK PRESIDENT 1.00 X X 0 0 0 KIM VANNEMAN VICE PRESIDENT 1.00 X X 0 0 0 CASEY HEENAN TREASURER 1.00 X X 0 0 0 SARA HAMMERBECK SECRETARY 1.00 X X 0 0 0 JUSTIN NELSON DIRECTOR UNTIL 04/2024 1.00 X 0 0 0 SARA PETERSEK DIRECTOR 1.00 X 0 0 0 DIONE ROWE DIRECTOR 1.00 X 0 0 0 ROGER KINGSBURY DIRECTOR 1.00 X 0 0 0 CODY HAIRAR DIRECTOR FROM 05/2024 1.00 X 0 0 0 ANORA HENDERSON MD DIRECTOR,CHIEF OF STAFF FROM 05/2024 40.00 X 285190 0 0 AMANDA SOESBE CFO 40.00 X 116875 0 28184 BRIAN WILLIAMS CEO 40.00 X 97785 0 17910 NICOLE OLSON DIRECTOR OF CLINIC OPERATION 40.00 X 147956 0 17789 MARLA HAYES PHARMACIST/DIRECTOR OF PHARMACY 40.00 X 183539 0 7060 REBECCA OLSON CNP 40.00 X 161168 0 6907 KORIE PRAVECEK CNP 40.00 X 146118 0 10447 KEN NOGUCHI MD 40.00 X 389137 0 35710 1746768 0 124007 8 0 1 1 ROCK MEDICAL GROUP PO BOX 31246 TAMPA FL 33631 CONTRACTED NURSING 1395935 SANFORD HEALTH PO BOX 5074 SIOUX FALLS SD 57117 MGMT FEES/SALARY REIMB/IT SUPPORT 962177 FUSION MEDICAL STAFFING LLC PO BOX 30131 OMAHA NE 68103 CONTRACTED NURSING 828584 WEATHERBY HEALTHCARE PO BOX 972633 DALLAS TX 75397 CONTRACTED PHYSICIANS 616505 FASTAFF LLC PO BOX 911452 DENVER CO 802911452 CONTRACTED NURSING 421034 27 29332 219097 248429 PATIENT AND RESIDENT SERVICE REVE 621110 24764436 24764436 PHARMACY REVENUE 900099 2119366 1633415 485951 PHYSICIAN OUTREACH 621110 61627 61627 384237 384237 27329666 22880 22880 28443 0 28443 28443 28443 272437 0 272437 272437 272437 27901855 26843715 485951 323760 X 765071 504190 260881 40971 40971 9978980 7737733 2241247 234390 180549 53841 1355895 932573 423322 687037 515592 171445 236569 236569 11782 11782 120295 120295 660 660 9411403 8076268 1335135 21900 10 21890 538811 307040 231771 839391 323284 516107 258075 241931 16144 41112 18628 22484 580792 385201 195591 1722497 1215702 506795 379343 140334 239009 MEDICAL SUPPLIES 4182785 4154768 28017 FOOD 294861 294861 LICENSES, DUES & SUBSCR 72353 52396 19957 SALES TAX 28869 7270 21599 180946 18144 162802 31984788 25147445 6837343 0 10385 374078 6838768 6403895 156828 14368 657798 511492 30717 44348 38510811 21445281 18848555 17065530 1025777 1058322 1399313 1371026 28899 728899 28997040 27571958 3927460 4895787 10433 10433 6524 5444 14610768 14275297 2145499 396679 305542 18951864 21638002 X 8645863 4562930 1399313 1371026 10045176 5933956 28997040 27571958 X -4082933 -28287 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 660 0 0 0 660 0 PART II-B, LINE 1: THE ORGANIZATION IS A MEMBER OF CERTAIN ORGANIZATIONS RELATED TO THE INDUSTRY WHICH HAVE LOBBYING EXPENSES. THE AMOUNT LISTED IS THE PERCENTAGE OF DUES THAT WERE USED FOR LOBBYING. ORGANIZATION OFFICERS AND DIRECTORS WILL ALSO FROM TIME TO TIME CONTACT LEGISLATORS CONCERNING HEALTH CARE ISSUES AND BILLS. 0 1 X 24638 24638 30666683 15230199 15436484 5999510 5296790 702720 1819980 918292 901688 17065530 FINANCE LEASE LIABILITIES 305542 305542 X 27901855 0 27901855 0 27901855 31984788 0 31984788 0 31984788 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. 1 1 X 1 X 1 X 150.000000000000 1 1 0 0 105000 105000 0.00330 4009600 2786853 1222747 0.03820 4114600 2786853 1327747 0.04150 19250 17000 2250 0.00010 8221464 5607098 2614366 0.08170 8240714 5624098 2616616 0.08180 12355314 8410951 3944363 0.12330 1 2699736 376074 8320885 8406008 -85123 X 1 1 1 1 WINNER REGIONAL HEALTHCARE CENTER 745 E 8TH ST WINNER SD 57580 WWW.WINNERREGIONAL.ORG 51775 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 22 1 1 0 1 X SEE LINE 7D NARRATIVE X X 1 22 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: 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 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://WWW.SANFORDHEALTH.ORG/-/MEDIA/ORG/FILES/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/2022/WINNER-CHNA-REPORT-2022-2024.PDF WINNER REGIONAL HEALTHCARE CENTER PART 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 CENTER PART V, SECTION B, LINE 13B: PATIENTS WHOSE FAMILY INCOME IS OVER 100% AND BELOW 150% OF THE FPL ARE ELIGIBLE FOR UP TO A 50% DISCOUNT. WINNER REGIONAL HEALTHCARE CENTER PART V, SECTION B, LINE 13H: IN ADDITION TO UTILIZING THE FACTORS IDENTIFIED IN LINE 13, THE ORGANIZATION CONSIDERS THE INDIVIDUAL'S LIABILITIES, NET WORTH, EMPLOYMENT STATUS OR EARNING CAPACITY, OTHER FINANCIAL OBLIGATIONS, FREQUENCY OF HEALTH SERVICES AND OTHER SOURCES OF PAYMENT FOR HEALTHCARE SERVICES RENDERED.PATIENTS WHOSE FAMILY INCOME EXCEEDS 150% OF THE FPL MAY BE ELIGIBLE TO RECEIVE DISCOUNTED RATES ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE, AT THE DISCRETION OF WINNER REGIONAL HEALTHCARE. HOWEVER, THE DISCOUNTED RATES SHALL NOT BE LESS THAN THE AMOUNTS GENERALLY BILLED COMMERCIALLY INSURED PATIENTS. ONCE THE PATIENT HAS BEEN DEEMED ELIGIBLE, WINNER REGIONAL WILL APPLY THE FAP DISCOUNT TO THE PATIENT'S ACCOUNT. PRESUMPTIVE ELIGIBILITY MAY ALSO BE USED IF OTHER AVENUES FOR FINANCIAL ASSISTANCE HAVE BEEN EXHAUSTED. WINNER REGIONAL HEALTHCARE CENTER PART V, SECTION B, LINE 16J: PART V, SECTION B, LINE 16A-C: THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION, AND FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY ARE POSTED AT 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 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 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. X 0 0 0 0 0 0 0 0 0 KEN NOGUCHI MD 389137 0 0 0 0 0 12951 0 22852 0 424940 0 0 0 ANORA HENDERSON MD DIRECTOR,CHIEF OF STAFF FROM 05/2024 285190 0 0 0 0 0 0 0 0 0 285190 0 0 0 RICK WAGNER MD DIRECTOR, CHIEF OF STAFF UNTIL 05/24 219000 0 0 0 0 0 0 0 0 0 219000 0 0 0 MARLA HAYES PHARMACIST/DIRECTOR OF PHARMACY 183539 0 0 0 0 0 7060 0 93 0 190692 0 0 0 REBECCA OLSON CNP 161168 0 0 0 0 0 6375 0 625 0 168168 0 0 0 NICOLE OLSON DIRECTOR OF CLINIC OPERATION 147956 0 0 0 0 0 4796 0 13086 0 165838 0 0 0 KORIE PRAVECEK CNP 146118 0 0 0 0 0 0 0 10540 0 156658 0 0 0 PART I, LINE 3 THE 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. LORI KINGSBURY FAMILY MEMBER OF ROGER KINGSBURY, BOARD PRESIDENT 40971 INDEPENDENT CONTRACTOR PAYMENTS 0 FORM 990, PART VI, SECTION A, LINE 3 THE 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 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 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 IS UNDERTAKEN ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST FORM 990, PART VII BRIAN 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 11G SERVICE 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.