2026-04-10T22:03:16-05:00 2025-06-30 450250958 EIDE BAILLY LLP 345 N REID PL STE 400 SIOUX FALLS SD 571037034 990 2024-07-01 466015787 LANDMANN-JUNGMAN MEMORIAL HOSPITAL CORPORATION LAND 6055832226 600 BILLARS ST SCOTLAND SD 570592026 MELISSA GALE CEO 6055832226 2026-04-10 1 1 LAURIE HANSON CPA P00851848 6053391999 2026-04-10 X 2024 2025-03-06 01:10:19Z MELISSA GALE 600 BILLARS ST SCOTLAND SD 570592026 7511576 0 X WWW.AVERA.ORG/SCOTLAND X 1969 SD OPERATION OF A COMMUNITY CRITICAL ACCESS HOSPITAL. 7 7 56 8 0 0 50441 13832 6839141 7291654 17532 206090 0 0 6907114 7511576 0 1400 0 0 3988353 3300435 0 0 0 3483226 4407401 7471579 7709236 -564465 -197660 5017540 5257086 2159594 2461713 2857946 2795373 LANDMANN-JUNGMAN MEMORIAL HOSPITAL IS COMMITTED TO PROVIDING THE HIGHEST QUALITY HEALTHCARE WITH COMPASSION AND RESPECT. OUR COMMITMENT SHALL BE TO THE ETHICAL TREATMENT OF ALL PEOPLE THROUGHOUT THE CONTINUUM OF LIFE. 0 0 6488745 1400 7291654 LANDMANN-JUNGMAN MEMORIAL HOSPITAL (LJMH) IS A LICENSED CRITICAL ACCESS HOSPITAL WITH 20 ACUTE CARE BEDS, OF WHICH 10 MAY BE USED AS SWING BEDS. THE FACILITY OFFERS EMERGENCY, INPATIENT, OUTPATIENT (THERAPIES, LABORATORY, IMAGING), AND PHYSICIAN CLINIC SERVICES TO RESIDENTS IN AND AROUND THE CITY OF SCOTLAND, SD. SPECIALTY SERVICES SUCH AS MOBILE IMAGING, SLEEP STUDIES, CARDIOVASCULAR AND ULTRASOUND SERVICES PROVIDED TO PATIENTS THROUGH CONTRACTED SERVICES. LJMH IS PROUD OF THE EXCELLENT CARE IT PROVIDES FOR PATIENTS OF THE SERVICE AREA. THE FACILITY IS ALSO NOTED FOR ITS COMMUNITY SERVICE WHICH INCLUDES COMMUNITY HEALTH EDUCATION AND HEALTH CARE SUPPORT. 6488745 1 0 0 0 0 0 0 0 0 0 1 1 0 1 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 29 0 1 56 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X ERIN ODENS 6055836120 600 BILLARS STREET SCOTLAND SD 57059 MELISSA GALE CEO 40.00 X 162523 0 24570 MARK VANVUUREN PHARMACIST 40.00 X 138052 0 20139 KENT MUNGER PHARMACIST 40.00 X 136367 0 18750 LAURIE MCKEE DIRECTOR OF PATIENT SERVICE 40.00 X 123922 0 6145 ERIN ODENS CFO 40.00 X 96542 0 21661 AMY FUERST RN 36.00 X 100701 0 7521 RHONDA BOUZA PRESIDENT 1.00 X X 0 0 0 REBECCA PEDERSEN VICE PRESIDENT UNTIL 04/2025 0.50 X X 0 0 0 CARL FUERST VICE PRESIDENT 0.50 X X 0 0 0 STEVE LOWE TREASURER FROM 12/2024 0.50 X X 0 0 0 DEVIN LUBINUS TREASURER UNTIL 12/2024 0.50 X X 0 0 0 SARAH MEYER SECRETARY 0.50 X X 0 0 0 MARGARET BEHL DIRECTOR 0.50 X 0 0 0 PAM STEWART DIRECTOR 0.50 X 0 0 0 ANTHONY EDWARDS DIRECTOR FROM 05/2025 0.50 X 0 0 0 758107 0 98786 5 0 1 1 AVERA MCKENNAN 1325 S CLIFF AVE PO BOX 5045 SIOUX FALLS SD 571175045 MANAGEMENT/OTHER HEALTHCARE 1139983 HEALTH CAROUSEL LLC PO BOX 714216 CINCINNATI OH 452714216 CONTRACT NURSING 485673 AVERA HEALTH 3900 W AVERA DR STE 301 SIOUX FALLS SD 57108 HEALTH SERVICES 327007 AVEL E-CARE LLC 4500 N LEWIS AVE SIOUX FALLS SD 57104 E-HEALTH SERVICES 141591 LRS HEALTHCARE PO BOX 7412580 CHICAGO IL 60674 CONTRACT NURSING AND RADIOLOGY 122019 5 13832 13832 NET PATIENT SERVICE RE 621110 5894434 5894434 PHARMACY REVENUE 456110 1274542 1274542 WEST WINDS REVENUE 623990 105750 105750 16928 16928 7291654 32232 32232 173858 0 173858 173858 173858 7511576 7291654 0 206090 X 1400 1400 364190 364190 2516355 2424075 92280 37962 35961 2001 219754 178922 40832 162174 143518 18656 93900 93900 1702917 1602199 100718 6999 6999 72992 19086 53906 169088 169088 93094 93094 16063 14753 1310 13888 12278 1610 77495 55242 22253 369108 297165 71943 57702 57702 MEDICAL SUPPLIES 1498384 1392802 105582 REPAIRS AND MAINTENANCE 217294 209212 8082 18477 2039 16438 7709236 6488745 1220491 0 531992 343648 620520 621750 180648 231899 36055 38644 8588746 5672170 3038780 2916576 594545 620402 15000 9167 0 475000 5017540 5257086 770900 1395770 1063654 1006903 325040 59040 2159594 2461713 X 2857946 2795373 2857946 2795373 5017540 5257086 X -197660 17112 127627 -9652 X 0 1 X 1 1 1 X 36163 36163 5837316 4012546 1824770 2452319 1585337 866982 262948 74287 188661 2916576 INTEREST IN NET ASSETS OF AVERA HEALTH FOUNDATION 106017 F ASSETS LIMITED AS TO USE 514385 F 620402 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 475000 475000 CONDITIONAL ASSET RETIREMENT OBLIGATION 59040 59040 X 7519036 17112 -9652 7460 7511576 0 7511576 7709236 0 7709236 0 7709236 PART X, LINE 2: THE HOSPITAL 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 HOSPITAL 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 2D - OTHER ADJUSTMENTS: CHANGE IN AVERA FOUNDATION -9,652. 1 1 X 1 X 250.000000000000 1 X 1 1 1 0 1 1 9000 9000 0.00120 9000 9000 0.00120 14 5144 31587 7190 24397 0.00320 557096 414313 142783 0.01850 5 575 575 0.00010 19 5144 589258 421503 167755 0.02180 19 5144 598258 421503 176755 0.02300 1 102440 14342 2327558 2345478 -17920 X 1 1 1 1 LANDMANN-JUNGMAN MEMORIAL HOSPITAL CORPORATION 600 BILLARS STREET SCOTLAND SD 57059 WWW.AVERA.ORG/SCOTLAND 10561 X X X X PROVIDER BASED CLINIC LANDMANN-JUNGMAN MEMORIAL HOSPITAL CORPO 1 0 0 1 X X X X X X X X X 24 1 0 0 1 X SEE PART V, LINE 7D X X 1 24 1 SEE PART V, LINE 7D 0 1 X 250.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X SEE 16J NARRATIVE X SEE 16J NARRATIVE X SEE 16J NARRATIVE X X X X X X X 1 X 0 X X X X 1 X 0 0 LANDMANN-JUNGMAN MEMORIAL HOSPITAL CORPORATION PART V, SECTION B, LINE 5: A VARIETY OF INDIVIDUALS FROM VARIOUS GROUPS AND ORGANIZATIONS WERE INVOLVED IN THE CHNA PROCESS FROM SEPTEMBER 2024-FEBRUARY 2025. METHODS TO GATHER DATA INCLUDED: SECONDARY DATA FROM REPUTABLE SOURCES, REVIEW OF SERVICES PROVIDED, ELECTRONIC MEDICAL RECORD EXTRACTION, ANONYMOUS SURVEY, FORMAL INTERVIEWS, AND FOCUS GROUP DISCUSSIONS. ORGANIZATIONS TAKING PART IN THE INTERVIEWS INCLUDED: BON HOMME COUNTY PUBLIC HEALTH NURSE, SCOTLAND GOOD SAMARITAN SOCIETY LTC, BON HOMME COUNTY DEPARTMENT OF SOCIAL SERVICES, SCOTLAND SCHOOL DISTRICT, PARENT TEACH ASSOCIATION, PEO CHAPTER AE, SCOTLAND YOUTH CENTER, SCOTLAND RODEO CLUB, SCOTLAND TRAP SHOOTING CLUB, WEST WINDS WELLNESS CENTER, BRIGHT START CHILDCARE CENTER, CITY OF SCOTLAND, SCOTLAND FIRE DEPARTMENT, THE GOOD STUFF, MEALS ON WHEELS, VFW AUXILIARY, SCOTLAND HARDWARE STORE, FLOWERS AND MORE, SCOTLAND RUMMAGE STORE & A DEEP CLEAN, AND MAXWELL COLONY. RESPONDENTS INCLUDED REPRESENTATION FROM LOW-INCOME, UNDERSERVED POPULATIONS. LANDMANN-JUNGMAN MEMORIAL HOSPITAL CORPORATION PART V, SECTION B, LINE 7D: CHNA: HTTPS://WWW.AVERA.ORG/APP/FILES/PUBLIC/4A23EB45-54A6-4201-A91F-F051B0D79809/LANDMANN-JUNGMAN-MEMORIAL-HOSPITAL-CHNA-2025.PDFIMPLEMENTATION STRATEGY: WWW.AVERA.ORG/APP/FILES/PUBLIC/428FAB7D-9AAF-447D-B8B8-D882D262D8F2/LANDMANN-JUNGMAN-MEMORIAL-HOSPITAL-IMPLEMENTATION-PLAN-2025.PDF LANDMANN-JUNGMAN MEMORIAL HOSPITAL CORPORATION PART V, SECTION B, LINE 11: LANDMANN JUNGMAN MEMORIAL HOSPITAL CONDUCTED A CHNA FROM SEPTEMBER 2024-FEBRUARY 2025. THE PRIORITIES FROM THE NEEDS ASSESSMENT WERE ACCESS TO HEALTH CARE ACROSS THE LIFESPAN, BEHAVIORAL AND MENTAL HEALTH SERVICES, HEALTH EDUCATION AND PREVENTIVE SERVICES, AND SOCIAL DETERMINANTS OF HEALTH. TO ADDRESS THESE NEEDS, AN IMPLEMENTATION PLAN WAS APPROVED WITH MANY GOALS IN EACH AREA AND CORRESPONDING ACTION PLANS. ALTHOUGH MANY SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED AS IMPORTANT, THEY ARE NOT FEASIBLE FOR THE HOSPITAL TO DIRECTLY ADDRESS DUE TO LIMITATIONS IN RESOURCES, SCOPE, STAFFING, OR FUNDING. DUE TO SIZE AND SCOPE OF LANDMANN-JUNGMAN OPERATIONS, SIGNIFICANT COMMUNITY HEALTH NEEDS THAT CANNOT BE ADDED TO THE HOSPITAL'S SCOPE OF SERVICE INCLUDE OB DELIVERY, DENTAL, AND EYE CARE. CHALLENGES RELATED TO AFFORDABILITY OF CARE, WORKFORCE SHORTAGES AND TRANSPORTATION BARRIERS THAT EXTEND BEYOND CURRENT ACTION PLANS REMAIN. IN BEHAVIORAL HEALTH, GAPS REMAIN IN CRISIS STABILIZATION AND CONSISTENT LOCAL FACE-TO-FACE COUNSELING THAT CANNOT BE ADDRESSED BY THE HOSPITAL ITSELF. COMMUNITY-LEVEL CHALLENGES SUCH AS POVERTY, FOOD INSECURITY, HEALTHY FOOD CHOICES, HOUSING SHORTAGES, CHILDCARE SHORTAGES, YOUTH EMPLOYMENT OPPORTUNITIES, RECREATIONAL FACILITIES, AND LOCAL DOMESTIC VIOLENCE SHELTER SERVICES ALSO PERSIST. WHILE THESE ISSUES DIRECTLY IMPACT HEALTH AND WELL-BEING, THEY REQUIRE LONG-TERM INVESTMENT, INFRASTRUCTURE DEVELOPMENT, AND CROSS-SECTOR COLLABORATION THAT EXTEND BEYOND THE HOSPITAL'S CAPACITY. LJMH CONTRIBUTES BY MAINTAINING REPRESENTATION IN COMMUNITY AND ECONOMIC DEVELOPMENT DISCUSSIONS WHERE THESE CONCERNS ARE RAISED AND BY OFFERING A HEALTHCARE PERSPECTIVE, BUT LEADERSHIP FROM LOCAL GOVERNMENT, NONPROFITS, AND OTHER ORGANIZATIONS IS ESSENTIAL TO DEVELOP SUSTAINABLE SOLUTIONS.SOME OF THE FY25 IDENTIFIED NEEDS ARE CONTINUATIONS OF PRIOR NEEDS IDENTIFIED. DUE TO TIMING, LANDMANN-JUNGMAN MEMORIAL HOSPITAL FOCUSED ON THE NEEDS IDENTIFIED IN THE PRIOR IMPLEMENTATION STRATEGY DURING FY25:*BEHAVIORAL HEALTH CONCERNS*HEALTH EDUCATION*ACCESS TO HEALTH CARE FROM PEDIATRIC TO GERIATRIC*CHRONIC DISEASE TREATMENT AND PREVENTION*SOCIAL DETERMINANTS OF HEALTHIN THE CURRENT YEAR THE FACILITY HAS TAKEN THE FOLLOWING ACTIONS TO ADDRESS:HEALTH EDUCATION - OVERARCHING GOAL: PROVIDE HEALTH AND BEHAVIORAL HEALTH EDUCATION IN A VARIETY OF DIFFERENT LEARNING PLATFORMS TO LANDMANN-JUNGMAN'S SERVICE AREA. UTILIZED OUR SOCIAL MEDIA PLATFORM AND LOCAL NEWSPAPER ON A VARIETY OF HEALTH ISSUES HEALTHCARE EDUCATION TO COMMUNITY DURING SUMMER EVENTS. HELD FOOT CLINIC DAYS TO EDUCATE PEOPLE, ESPECIALLY PEOPLE LIVING WITH DIABETES, ON THE IMPORTANCE OF PROPER FOOT CARE. EDUCATED IMPORTANCE OF IMMUNIZATIONS WHILE HOLDING FLU AND COVID SHOT CLINICS AT FACILITY AND SCHOOL. TAUGHT HANDS ONLY CPR AND STOP THE BLEED TO SCOTLAND MIDDLE SCHOOL STUDENTS. HEALTHCARE CAREERS AT COLLEGE UNDERGRAD CAREER FAIR.BEHAVIORAL HEALTH CONCERNS - OVERARCHING GOAL: PROVIDE ACCESS TO BEHAVIORAL HEALTH CARE AND EDUCATION ON WAYS TO ACCESS BEHAVIORAL HEALTH SUPPORT IN OUR COMMUNITY. PROVIDED BEHAVIORAL HEALTH CARE ACCESS THROUGH TELEMEDICINE OPTIONS, INCLUDING ETRIAGE.SOCIAL DETERMINANTS OF HEALTH - OVERARCHING GOAL: PARTNER WITH COMMUNITY DECISION MAKERS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH. CONTINUED "WALK WITH EASE" IN PERSON. STAFF DELIVERED MEALS ON WHEELS. CONTINUED THE RURAL HEALTH SCHOLARSHIP TO BE GIVEN TO A LOCAL STUDENT PURSUING AN EDUCATION IN THE MEDICAL FIELD. DONATED TO COMMUNITY YOUTH NEEDS INCLUDING NATIONAL CHILD SAFETY COUNCIL AND LOCAL 4H CLUB.ACCESS TO HEALTH CARE FROM PEDIATRIC TO GERIATRIC - OVERARCHING GOALS: IMPROVE ACCESS TO HEALTH CARE IN THE SERVICE AREA. CONTINUED PHARMACY DELIVERY SERVICE. CONTINUED CHRONIC CARE RN SERVICES. EXTENDED PHARMACY HOURS. REDUCED RATE FEE FOR SPORTS PHYSICALS REQUIRED BY THE SDHSAA. FREE BLOOD PRESSURE SCREENING AND WEIGHT CHECKS AT SCOTLAND MEDICAL CLINIC. PROVIDED FREE TAPING AND NEEDLING THERAPY SERVICES IN PHYSICAL THERAPY. PROVIDED STAFF AT HIGH SCHOOL SPORTING EVENTS TO ASSESS INJURED ATHLETES. PROVIDED LOCATION FOR BLOOD DRIVES THROUGHOUT THE YEAR. SENIOR YOGA IS OFFERED THREE DAYS A WEEK FREE OF CHARGE TO COMMUNITY MEMBERS. CONDUCTED IMPACT CONCUSSION TESTING TO SCOTLAND HIGH SCHOOL ATHLETES 7-12. READ FOR THE LIBRARY READERS PROGRAM BOOKS FOCUSING ON SAFETY AND EDUCATION WELLNESS. LANDMANN-JUNGMAN MEMORIAL HOSPITAL CORPORATION PART V, SECTION B, LINE 13H: PRESUMPTIVE ELIGIBILITY MAY BE USED AS A LAST RESORT. LANDMANN-JUNGMAN MEMORIAL HOSPITAL CORPORATION PART V, SECTION B, LINE 16J: A NOTICE IS POSTED IN THE HOSPITAL FACILITY'S EMERGENCY ROOMS OR WAITING ROOMS AND IN THE FACILITY'S ADMISSIONS OFFICE ALERTING PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE AND INSTRUCTIONS FOR OBTAINING A COPY OF THE FULL POLICY. A NOTICE IS ALSO PROVIDED ON ALL BILLING STATEMENTS SENT TO PATIENTS.PART V, SECTION B, LINES 16A-BFINANCIAL ASSISTANCE POLICY:HTTPS://WWW.AVERA.ORG/APP/FILES/PUBLIC/063BDB1F-0B60-40A9-9EC8-AAA841702977/LJMH%20FINANCIAL%20ASSISTANCE%20POLICY.PDFFINANCIAL ASSISTANCE APPLICATION:WWW.AVERA.ORG/APP/FILES/PUBLIC/DE59EBA5-0470-4C91-A654-CF1DD3585858/LJMH%20FIANNCIAL%20ASSISTANCE%20APPLICATION.PDFFINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY:WWW.AVERA.ORG/APP/FILES/PUBLIC/283CBABB-E00C-42D5-A40F-56F4F7475C90/LJMH%20PLAIN%20LANGUAGE%20SUMMARY%20OF%20FINANCIAL%20ASSISTANCE.PDF LANDMANN-JUNGMAN MEMORIAL HOSPITAL CORPORATION 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. 2 1 - WEST WINDS APARTMENTS 1140 WASHINGTON STREET SCOTLAND SD 57059 INDEPENDENT SENIOR LIVING CENTER 2 - SCOTLAND PHARMACY 620 BILLARS STREET SCOTLAND SD 57059 RETAIL PHARMACY PART I, LINE 3C: IN ADDITION TO USING FPG TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE, THE FACILITY ALSO CONSIDERS ASSET LEVEL AND INSURANCE STATUS, AND MAY PROVIDE PRESUMPTIVE CARE IF WARRANTED. PART I, LINE 6A: LJMH PREPARES A COMMUNITY BENEFIT REPORT ANNUALLY. THE REPORT IS AVAILABLE TO THE PUBLIC UPON REQUEST. 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. LINE 7G WAS OBTAINED UTILIZING THE COST REPORT. LINES 7E AND 7I WERE OBTAINED USING GENERAL LEDGER DETAIL. PART III, LINE 2: THE AMOUNT ON LINE 2 REPRESENTS IMPLICIT PRICE CONCESSION. THE ORGANIZATION DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSION BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH THIS CLASS OF PATIENTS. PART III, LINE 3: THE ESTIMATED AMOUNT OF THE ORGANIZATIONS' BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS CALCULATED BASED ON THE PERCENTAGE OF INDIVIDUALS LIVING BELOW THE POVERTY LEVEL IN 2024. THE BON HOMME COUNTY POVERTY RATE IS 14% ACCORDING TO THE UNITED STATES CENSUS BUREAU. THAT WAS APPLIED TO THE $102,440 AS IT CAN REASONABLY BE CONSIDERED A COMMUNITY BENEFIT AS IT WOULD HAVE BEEN WRITTEN OFF TO CHARITY CARE. PART III, LINE 4: THE FOOTNOTE THAT DESCRIBES IMPLICIT PRICE CONCESSION IS ON PAGE 11 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 6/30/25. 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: IF THE PATIENT QUALIFIES FOR THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY FOR LOW-INCOME, UNINSURED PATIENTS AND IS COOPERATING WITH THE ORGANIZATION WITH REGARD TO EFFORTS TO SETTLE AN OUTSTANDING BILL WITHIN CURRENT SELF-PAY COLLECTION POLICY GUIDELINES AND TIMEFRAMES, THE ORGANIZATION OR ITS AGENT SHALL NOT SEND, NOR INTIMATE THAT IT WILL SEND, THE UNPAID BILL TO ANY OUTSIDE COLLECTION AGENCY. LANDMANN-JUNGMAN MEMORIAL HOSPITAL (LJMH) ALLOWS INDIVIDUALS 120 DAYS FROM THE FIRST POST DISCHARGE STATEMENT TO APPLY FOR FINANCIAL ASSISTANCE BEFORE SENDING A LETTER OUTLINING OUR PAYMENT OPTIONS. IF THERE IS STILL NO RESPONSE AFTER 150 DAYS THE PATIENT RECEIVES ANOTHER LETTER. IF THERE IS NO REPLY AFTER 180 DAYS THE PATIENT RECEIVES A FINAL NOTICE THAT THE BILL WILL BE TURNED OVER TO COLLECTIONS IF THERE IS NO CONTACT TO LJMH WITHIN 10 DAYS OF THE FINAL NOTICE. IF THE PATIENT QUALIFIES FOR 100% CHARITY CARE, NO FURTHER BILLS WILL BE SENT. A LETTER WILL BE SENT INSTEAD INDICATING THAT THE PATIENT'S BILL HAS BEEN COMPLETELY FORGIVEN. PART VI, LINE 2: LANDMANN JUNGMAN MEMORIAL HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT DURING THE FISCAL YEAR ENDING JUNE 30, 2025.LJMH REGULARLY CONDUCTS PATIENT SATISFACTION SURVEYS WHICH CAN LEAD TO INFORMATION REGARDING NEEDED SERVICES. ADDITIONALLY, INTERACTIVE QUESTIONS ARE ASKED ABOUT SERVICES DURING HEALTH SCREENINGS. RESULTS OF THE QUESTIONNAIRE ARE REPORTED BACK TO THE OFFICERS AND BOARD. PART VI, LINE 3: THE FINANCIAL ASSISTANCE APPLICATION AND INSTRUCTIONS ARE AVAILABLE UPON REQUEST AT THE BUSINESS OFFICE OR AVAILABLE ON OUR WEBSITE. THE PATIENT IS INSTRUCTED AND ENCOURAGED TO COMPLETE THE APPLICATION THAT UTILIZES A COMBINATION OF INCOME, ASSETS, AND EXPENSES TO DETERMINE WHAT PERCENTAGE IF ANY OF CHARITY CARE THEY WOULD QUALIFY FOR. PART VI, LINE 4: LANDMANN JUNGMAN MEMORIAL HOSPITAL IS LOCATED IN SCOTLAND, S.D IN BON HOMME COUNTY, S.D., IN THE SOUTH-CENTRAL PART OF THE STATE. AGRICULTURE IS THE PRIMARY ECONOMIC DRIVER IN THE COUNTY. LANDMANN JUNGMAN'S PRIMARY SERVICE AREA IS BON HOMME COUNTY. IN CALENDAR YEAR 2024, 74 PERCENT OF INPATIENT DISCHARGES AND 77 PERCENT OF ER PATIENTS WERE FROM BON HOMME COUNTY. ACCORDING TO THE U.S. CENSUS BUREAU'S JULY 2024 ESTIMATED DATA, THE POPULATION OF BON HOMME COUNTY WAS ABOUT 7,071 PEOPLE AND IS PREDOMINATELY WHITE/CAUCASIAN (87 PERCENT). ABOUT 17 PERCENT OF THE POPULATION IS OVER THE AGE OF 65. THE MEDIAN HOUSEHOLD INCOME OF BON HOMME COUNTY IS $64,435, COMPARED WITH THE STATE OF SOUTH DAKOTA'S $76,881 MEDIAN HOUSEHOLD INCOME. THE PERCENTAGE OF PERSONS BELOW THE FEDERAL POVERTY LEVEL WAS 14 PERCENT, WHILE THE STATE OF SD HAS A RATE OF 10.4 PERCENT. US CENSUS DATA SHOWS HIGH SCHOOL GRADUATION IN THE COUNTY AT 90 PERCENT, WHILE THE STATE RATE IS 93 PERCENT, AND REPORTS ADULTS OVER 25 YEARS OF AGE WITH A BACHELOR'S DEGREE OR HIGHER AT 20 PERCENT COMPARED TO THE STATE RATE OF 32 PERCENT. SOUTH DAKOTA DEPARTMENT OF LABOR AND REGULATION ASSESSES THE UNEMPLOYMENT RATE OF BON HOMME COUNTY AND THE STATE OF SOUTH DAKOTA AT 2 PERCENT UNEMPLOYMENT AS OF DECEMBER 2024. THE SECONDARY SERVICE AREA INCLUDES PORTIONS OF HUTCHINSON AND YANKTON COUNTIES. HUTCHINSON AND YANKTON COUNTIES ARE DEMOGRAPHICALLY SIMILAR TO BON HOMME COUNTY WITH RURAL, AGRICULTURAL LIFESTYLES. IN CALENDAR YEAR 2024, THESE TWO COUNTIES MADE UP 20 PERCENT OF INPATIENT DISCHARGES AND 17 PERCENT OF ER PATIENTS. LANDMANN JUNGMAN HAS ABOUT 4,781 CLINIC VISITS IN FY2025. PART VI, LINE 5: LJMH IS FOCUSED ON SERVING THE NEEDS OF THE COMMUNITY. THE GOVERNING BODY OF THE HOSPITAL IS MADE UP ENTIRELY OF VOLUNTEERS FROM THE COMMUNITY. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO QUALIFIED PHYSICIANS IN ITS COMMUNITY. EXCESS FUNDS ARE USED FOR THE IMPROVEMENT OF PATIENT CARE AND FACILITIES. THE HOSPITAL IS CONTRACTED WITH SEVERAL HIGHER LEARNING HEALTH CARE RELATED INSTITUTIONS TO BE A CLINICAL SITE FOR VARIOUS HEALTH CARE FIELDS. THE FACILITY IS OPEN TO ANYONE WHO WANTS TO LEARN ABOUT CAREERS IN THE HEALTH CARE INDUSTRY THROUGH THE CLINICAL PROGRAM AND THROUGH A HIGH SCHOOL SHADOWING PROGRAM.THE HOSPITAL OPERATES AN EMERGENCY ROOM THAT IS AVAILABLE TO ALL REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL ADMINISTRATION IS VERY RECEPTIVE TO INPUT FROM THE COMMUNITY.AVERA HEALTH AND LJMH DEDICATE RESOURCES TO ENDEAVORS THAT MAKE A POSITIVE DIFFERENCE TO IMPROVE THE HEALTH OF THE COMMUNITIES THEY SERVE. THESE ACTIVITIES INCLUDE LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS, ECONOMIC DEVELOPMENT, PHYSICAL IMPROVEMENTS IN THE COMMUNITY, CONTRIBUTIONS TO NONPROFIT COMMUNITY ORGANIZATIONS, NONPROFIT EVENT SPONSORSHIPS, DONATED MEDICAL SUPPLIES, COMMUNITY HEALTH EDUCATION AND SUPPORT GROUPS, HEALTH SCREENINGS, FLU SHOT CLINICS, COMMUNITY HEALTH EDUCATION AND VARIOUS OTHER ACTIVITIES. WE ALSO HAVE A FITNESS CENTER SO PATIENTS AND THE COMMUNITY CAN MAINTAIN A HEALTHY LIFESTYLE. PART VI, LINE 6: LJMH IS A MANAGED FACILITY OF AVERA HEALTH. AVERA HEALTH AND THE HOSPITAL WORK COOPERATIVELY TO ENHANCE HEALTH CARE THROUGHOUT THE COMMUNITY SERVICED BY LJMH.LJMH ALSO HAS ACCESS TO "BACK OFFICE" SUPPORT SERVICES, SUCH AS LEGAL CONSULTATION, QUALITY BENCHMARKING, CODING, COMPUTER SERVICES, CONTRACT NEGOTIATIONS, ADMINISTRATIVE CONSULTATION, GROUP PURCHASING, HUMAN RESOURCE ASSISTANCE, AND MANY OTHER SERVICES. AVERA HEALTH IS ABLE TO PROVIDE THESE SERVICES TO LJMH AT A COST BELOW THAT WHICH THE HOSPITAL COULD OTHERWISE ACHIEVE. IN TURN, LOCAL CAREGIVERS ARE ABLE TO DEVOTE MORE RESOURCES TO PATIENT AND RESIDENT CARE. X X 0 0 0 0 0 0 0 0 0 MELISSA GALE CEO 162380 0 0 0 143 0 3366 0 22769 0 188658 0 0 0 MARK VANVUUREN PHARMACIST 138052 0 0 0 0 0 2901 0 17238 0 158191 0 0 0 KENT MUNGER PHARMACIST 136367 0 0 0 0 0 2829 0 15921 0 155117 0 0 0 FORM 990 PART VII, LINE 5 MELISSA GALE, CEO, WAS COMPENSATED THROUGH AN ARRANGEMENT WITH AVERA MCKENNAN, 1325 S CLIFF AVE, SIOUX FALLS, SD 57108. FORM 990, PART XI, LINE 8 DURING 2025, THE HOSPITAL IDENTIFIED A MISSTATEMENT WITHIN THE 2024 FINANCIAL STATEMENTS RELATED TO 340B PHARMACY REVENUES WHERE CERTAIN REVENUES THAT SHOULD HAVE BEEN RECOGNIZED IN 2024 WERE NOT RECORDED APPROPRIATELY. THE HOSPITAL RESTATED ITS PREVIOUSLY ISSUED FINANCIAL STATEMENTS TO APPROPRIATELY REFLECT OTHER ACCOUNTS RECEIVABLE, NET ASSETS WITHOUT DONOR RESTRICTIONS, AND OTHER REVENUES BALANCES AS OF AND FOR THE YEAR ENDED JUNE 30, 2024. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE IS COMPRISED OF THE PRESIDENT, VICE-PRESIDENT, SECRETARY, AND ONE ADDITIONAL BOARD MEMBER OF THE BOARD OF TRUSTEES ELECTED BY THE BOARD. THE EXECUTIVE COMMITTEE SHALL HAVE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE FACILITY DURING THE INTERIM BETWEEN THE MEETINGS OF THE BOARD OF DIRECTORS, PROVIDED ANY ACTION TAKEN SHALL NOT CONFLICT WITH THE POLICIES AND EXPRESSED WISHES OF THE BOARD OF DIRECTORS AND THAT IT SHALL REFER ALL MATTERS OF MAJOR IMPORTANCE TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 2 RHONDA BOUZA AND ANTHONY EDWARDS HAVE A BUSINESS RELATIONSHIP. AMY FUERST AND CARL FUERST HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B THE CEO WILL REVIEW THE 990 IN DETAIL. A COPY OF THE 990 IS GIVEN TO THE BOARD MEMBERS BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY APPLIES TO ALL BOARD MEMBERS AND MANAGEMENT. BOARD MEMBERS ARE RESPONSIBLE FOR DETERMINING WHETHER A POTENTIAL CONFLICT EXISTS WITH THE ADMINISTRATOR AND BOARD MEMBERS. THE ADMINISTRATOR IS RESPONSIBLE FOR DETERMINING IF THERE ARE POTENTIAL CONFLICTS OF INTEREST AMONGST MANAGEMENT. THE BOARD IS ULTIMATELY RESPONSIBLE FOR DETERMINING WHETHER AN ACTUAL CONFLICT EXISTS. ANY BOARD MEMBER WITH A CONFLICT IS REQUIRED TO ABSTAIN FROM VOTING ON THE MATTER OF CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 AVERA MCKENNAN AND LANDMANN-JUNGMAN MEMORIAL HOSPITAL CORPORATION USE COMPARABILITY DATA TO DETERMINE APPROPRIATE COMPENSATION OF THE ADMINISTRATOR BASED ON EXPERIENCE AND PERFORMANCE. THE COMPENSATION AMOUNT IS APPROVED ANNUALLY BY THE BOARD OF DIRECTORS. FOR OTHER KEY EMPLOYEES AVERA MCKENNAN DOES A SALARY SURVEY THAT IS THEN APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC DURING ITS ANNUAL BOARD MEETING AND UPON REQUEST. THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G MEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 592,649. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 592,649. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 183,191. MANAGEMENT AND GENERAL EXPENSES 88,136. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 271,327. CONTRACTOR LABOR: PROGRAM SERVICE EXPENSES 826,359. MANAGEMENT AND GENERAL EXPENSES 12,582. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 838,941. FORM 990, PART XI, LINE 9: CHANGE IN AVERA FOUNDATION -9,652.