2024-03-15T11:41:28-05:00 2023-06-30 450250958 EIDE BAILLY LLP 345 N REID PL STE 400 SIOUX FALLS SD 571037034 990 2022-07-01 460246437 EUREKA COMMUNITY BENEVOLENT HOSPITAL ASSOCIATION EURE 6052842661 PO BOX 517 EUREKA SD 574370517 CARMEN WEBER ADMINISTRATOR 6052842661 2024-03-13 1 CARMEN WEBER 999009999 1 LAURIE HANSON CPA P00851848 6053391999 2024-02-25 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z EUREKA COMMUNITY HEALTH SERVICE CARMEN WEBER PO BOX 517 EUREKA SD 574370517 5801742 0 X SEE SCHEDULE O NARRATIVE X 1928 SD EUREKA COMMUNITY HEALTH SERVICES AIMS TO PROVIDE QUALITY, ACCESSIBLE HEALTHCARE. 7 7 46 7 0 0 289559 61035 4250417 4393119 19205 30264 20021 13984 4579202 4498402 600 0 0 0 2422607 2511386 0 0 0 2220778 2588349 4643985 5099735 -64783 -601333 10959629 10168600 7139669 6898915 3819960 3269685 THE MISSION OF EUREKA COMMUNITY HEALTH SERVICES AVERA IS TO PROVIDE QUALITY, ACCESSIBLE HEALTHCARE TO THE RESIDENTS IN OUR REGION. WE RECOGNIZE THE ELEMENTS OF COMPASSION, RESPECT, JUSTICE, AND HOSPITALITY IN CARRYING OUT THIS MISSION. 0 0 4301440 4407103 EUREKA COMMUNITY HEALTH SERVICES OPERATES A 4 BED ACUTE CARE HOSPITAL, A 10 UNIT ASSISTED LIVING FACILITY AND A CLINIC ALL LOCATED IN EUREKA SOUTH DAKOTA. IN THE FISCAL YEAR ENDING JUNE 30, 2023 THE RURAL HEALTH CLINIC HAD TOTAL PATIENT VISITS OF 3,701. THE 4 BED HOSPITAL HAD 167 ACUTE CARE DAYS, 121 SWING BED DAYS, AND 3,464 ASSISTED LIVING DAYS. IN FISCAL YEAR 2023 WE CONTINUE TO OFFER E CONSULT/TELEMEDICINE TO PATIENTS SO THEY WILL NOT HAVE TO TRAVEL SO FAR TO SEE A SPECIALIST. 4301440 1 1 0 0 0 0 0 0 0 1 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 17 0 1 46 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 X X JOYCE SCHWINGLER 6052842661 PO BOX 517 EUREKA SD 574370517 WAYNE LUTZ PRESIDENT 1.00 X X 0 0 0 KEITH KRAMLICH VICE PRESIDENT 1.00 X X 0 0 0 PATRICIA GRENZ SECRETARY 1.00 X X 0 0 0 STACI ACKERMAN TRUSTEE FROM 11/2022 1.00 X 0 0 0 KATHRYN GAB TRUSTEE 1.00 X 0 0 0 GEORGE HULSCHER TRUSTEE 1.00 X 0 0 0 WANDA JUNDT TRUSTEE 1.00 X 0 0 0 CARMEN WEBER ADMINISTRATOR 25.00 X 68490 0 19667 JOYCE SCHWINGLER CFO 40.00 X 54594 0 10795 CORY HEISER PHYSICIAN ASSISTANT 40.00 X 171746 0 13186 EMILY PAULI PHYSICIAN ASSISTANT 40.00 X 169776 0 873 464606 0 44521 2 0 1 1 AVERA ST LUKE'S HOSPITAL 305 SOUTH STATE STREET ABERDEEN SD 57401 ADMIN, IT, AND OTHER SERVICES 170354 1 28934 32101 61035 PATIENT SERVICE FEES 621110 4027242 4027242 ASSISTED LIVING FEES 621110 331082 331082 34795 34795 4393119 1632 1632 1331972 1303340 28632 28632 28632 INTEREST ON ACCOUNTS RECEIVABLE 900099 13984 13984 13984 4498402 4407103 0 30264 X 173052 173052 1953405 1893376 60029 34259 31626 2633 210232 200901 9331 140438 121189 19249 76800 76800 762264 554815 207449 4100 335 3765 121499 114166 7333 119806 99756 20050 103128 103128 11203 11203 17567 17104 463 208739 189153 19586 594908 539088 55820 30494 27632 2862 MEDICAL SUPPLIES 354240 224378 129862 EQUIPMENT AND REPAIRS 169530 164098 5432 DUES AND SUBSCRIPTIONS 4949 1011 3938 9122 8481 641 5099735 4301440 798295 0 535146 428445 447122 362388 83414 83006 39194 45806 10295596 2761941 8095699 7533655 1650054 1085375 109000 629925 10959629 10168600 361267 301514 89028 37503 6686874 6462473 2500 97425 7139669 6898915 X 3663323 3103417 156637 166268 3819960 3269685 10959629 10168600 X -601333 32509 18549 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10530 708 11238 11783 -1253 10530 10044 1739 11783 10107 -63 10044 9760 347 10107 0.00000 0.68670 0.31330 1 0 18583 18583 8778922 1937977 6840945 1421547 804452 617095 76544 19512 57032 7533655 INTEREST IN AVERA FOUNDATION 260103 F ASSETS LIMITED AS TO USE - AVERA POOLED INVESTMENTS 825272 F 1085375 ESTIMATED THIRD PARTY PAYOR SETTLEMENT 535000 OPERATING LEASE RIGHT-OF-USE ASSET 94925 629925 TENANT SECURITY DEPOSITS 2500 OPERATING LEASE LIABILITY 94925 97425 X 4549460 32509 18549 51058 4498402 0 4498402 5099735 0 5099735 0 5099735 PART V, LINE 4: EARNINGS ON ENDOWMENTS ARE INTENDED TO PROVIDE ADDITIONAL REAL GROWTH THROUGH NEW GIFTS AND INVESTMENT RETURN. PART X, LINE 2: THE ORGANIZATION 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 ORGANIZATION 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 INTEREST IN NET ASSETS OF FOUNDATION 18,549. 1 1 X 1 X 1 X 0 1 1 0 0 29000 29000 0.00570 137841 130057 7784 0.00150 166841 130057 36784 0.00720 3358 2062 1296 0.00030 1503549 995620 507929 0.09960 1506907 997682 509225 0.09990 1673748 1127739 546009 0.10710 1 342718 55863 2016058 2030846 -14788 X 1 1 1 1 EUREKA COMMUNITY BENEVOLENT HOSPITAL ASSOCIATION 200 J AVE EUREKA SD 57437 WWW.AVERA.ORG/LOCATIONS 10538 X X X EUREKA COMMUNITY HEALTH SERVICES 1 0 0 1 X X X X X X X X X 21 1 0 0 1 X SEE NARRATIVE FOR 7D X X 1 21 1 SEE PART V LINE 7D 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X SEE PART V SECTION C X SEE PART V SECTION C X SEE PART V SECTION C X X X X X 1 X 0 X X X X 1 X 0 0 EUREKA COMMUNITY HEALTH SERVICES PART V, SECTION B, LINE 5: THE CHNA PROCESS BEGAN IN THE FALL OF 2021 TO GATHER INFORMATION. QUALITATIVE DATA WAS ALSO COLLECTED FROM FOCUS GROUPS. FIVE FOCUS GROUPS WERE CONDUCTED IN OCTOBER AND NOVEMBER. ONE FOCUS GROUP INCLUDED RETIRED COMMUNITY LEADERS, BUSINESS OWNERS, AND FARMERS/RANCHERS. THE SECOND FOCUS GROUP CONSISTED OF THREE LOCAL CLERGY. THE THIRD FOCUS GROUP CONSISTED OF MEDICAL PROVIDERS INCLUDING MD AND PHYSICIAN ASSISTANTS. THE FOURTH GROUP CONSISTED OF NURSING HOME ADMINISTRATOR/CEO OF MEDICAL FACILITY AND THE HOSPITAL BOARD OF TRUSTEES. THE FIFTH AND LARGEST FOCUS GROUP CONSISTED OF 14 VOLUNTEER EMT'S THAT ARE ACTIVELY INVOLVED IN THE COMMUNITY AND WITH OUR ORGANIZATION. THIS FOCUS GROUP INCLUDED THE AMBULANCE SQUAD PRESIDENT, THE COUNTY CORONER, TEACHERS, BUSINESS OWNERS, FARMERS AND MEDICAL PERSONNEL.IN ADDITION TO THE FOCUS GROUPS SEVERAL KEY INFORMANT INTERVIEWS WERE ALSO CONDUCTED TO DETERMINE PRESSING COMMUNITY ISSUES. THE INTERVIEWS INCLUDED THE COUNTY SHERIFF, THE CITY FINANCE OFFICER AND THE DIRECTOR OF NURSING AT EUREKA COMMUNITY HEALTH SERVICES.THE ECHS HOME HEALTH/DSS HOMEMAKING DIRECTOR AND THE MCPHERSON COUNTY PUBLIC HEALTH NURSE WERE ALSO INTERVIEWED TO GATHER INPUT ON THE NEEDS OF THE ELDERLY AND THE UNDERSERVED IN OUR COMMUNITY. BOTH OF THESE INDIVIDUALS HAVE SPECIAL KNOWLEDGE AND EXPERTISE IN PUBLIC HEALTH AND KNOW AND UNDERSTAND THE NEEDS OF THE MOST VULNERABLE AND THOSE MOST IMPACTED BY HEALTH DISPARITIES.SECONDARY DATA COLLECTION INCLUDED RESEARCH OF MCPHERSON COUNTY DEMOGRAPHICS AND HEALTH RELATED STATISTICS AND OBTAINING RELIABLE DATA THROUGH INTERNET RESEARCH. SOURCES OF THIS DATA INCLUDE US CENSUS BUREAU, COUNTY HEALTH RANKINGS & ROADMAPS, US DEPARTMENT OF HEALTH AND HUMAN SERVICES, AND SOUTH DAKOTA DEPARTMENT OF HEALTH. EUREKA COMMUNITY HEALTH SERVICES PART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY ARE AVAILABLE AT HTTPS://WWW.AVERA.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/#EUREKA EUREKA COMMUNITY HEALTH SERVICES PART V, SECTION B, LINE 11: IN THE MOST RECENT CHNA THE FOLLOWING WERE IDENTIFIED AS THE TOP PRIORITIES:1. RECRUITMENT OF PROVIDERS2. TECHNOLOGY ENHANCEMENTS/EXPAND E-CONSULT SERVICES3. EDUCATION ON HEALTH CARE SERVICES WE PLAN TO ADDRESS ALL NEEDS IDENTIFIED.WE CONTINUE TO RECRUIT FOR AN MD BUT IT HAS PROVEN TO BE VERY DIFFICULT TO RECRUIT AN MD TO A SMALL RURAL FACILITY. WE ARE ALSO CONTINUING TO RECRUIT FOR ANOTHER MID LEVEL TO JOIN OUR STAFF. SOME APPLICATIONS ARE COMING IN AND WILL BE REVIEWED FOR POTENTIAL CANDIDATES. WE CONTINUE TO PROMOTE OUR HEALTH SERVICES IN THE NEWSPAPER, RADIO SHOW AND FACEBOOK. WE CONTINUE TO UPGRADE TECHNOLOGY TO UTILIZE E-EMERGENCY, E-PHARMACY CONSULTING, AND WE ARE PROMOTING THE E-CONSULT SERVICES FOR OUR PATIENTS WHO NEED THE SERVICES SO THEY DO NOT HAVE TO TRAVEL MANY HOURS OR DISTANCES TO SEE A SPECIALIST. EUREKA COMMUNITY HEALTH SERVICES PART V, SECTION B, LINE 13H: PRESUMPTIVE ELIGIBILITY MAY BE USED AS A LAST RESORT. EUREKA COMMUNITY HEALTH SERVICES PART V, SECTION B, LINE 24: THE HOSPITAL FINANCIAL ASSISTANCE POLICY DOES NOT COVER ELECTIVE PROCEDURES. THE HOSPITAL MAY HAVE CHARGED FAP ELIGIBLE PATIENTS GROSS CHARGES FOR SERVICES THAT ARE NOT COVERED UNDER THE FINANCIAL ASSISTANCE POLICY. PART V, SECTION B, LINES 16A-C THE FAP, FAP APPLICATION, AND FAP SUMMARY ARE AVAILABLE AT:HTTPS://WWW.AVERA.ORG/LOCATIONS/PROFILE/EUREKA-COMMUNITY-HEALTH-SERVICES-AVERA/ 2 1 - EUREKA COMMUNITY HEALTH SERVICES 200 J AVE EUREKA SD 57437 ASSISTED LIVING FACILITY 2 - EUREKA MEDICAL CLINIC- AVERA 200 J AVE EUREKA SD 57437 CLINIC CENTER PART I, LINE 3C: IN ADDITION TO THE USE OF FPG TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE, ECHS ALSO LOOKS AT THE PATIENT'S INCOME LEVEL, MEDICAL INDIGENCY, INSURANCE AND UNDERINSURANCE STATUS AND ELIGIBILITY FOR MEDICARE/MEDICAID. PRESUMPTIVE ELIGIBILITY IS UTILIZED AS A LAST RESORT. PART I, LINE 7: LINE 7A WAS CALCULATED UTILIZING IRS WORKSHEET 2. LINE 7E WAS OBTAINED UTILIZING THE ACTUAL GENERAL LEDGER SYSTEM. UNREIMBURSED MEDICAID ON LINE 7B WAS CALCULATED USING THE COSTING METHODS TO PREPARE THE COST REPORTS. LINE 7G WAS OBTAINED FROM THE MEDICARE COST REPORT. PART I, LINE 7G: THE AMOUNT ON LINE 7G INCLUDES RURAL HEALTH CLINIC REVENUE OF $756,864 AND COST OF $950,566 FOR A NET LOSS OF $193,702. PART III, LINE 2: THE AMOUNT ON LINE 2 REPRESENTS IMPLICIT PRICE CONCESSIONS. 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 IMPLICIT PRICE CONCESSIONS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATIONS CHARITY CARE POLICY IS CALCULATED BASED ON THE PERCENTAGE OF INDIVIDUALS LIVING BELOW THE POVERTY LEVEL IN 2022. THEREFORE 16.3% OF IMPLICIT PRICE CONCESSIONS 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 CONCESSIONS IS FOUND ON PAGE TWELVE 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 6/30/23. 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: ALL POST DISCHARGE STATEMENTS CONTAIN INFORMATION THAT A CHARITY CARE POLICY IS AVAILABLE FOR THOSE WHO QUALIFY AND A PHONE NUMBER TO CONTACT FOR INFORMATION AND AN APPLICATION IS PROVIDED. ALL PATIENTS ARE ALLOWED 120 DAYS FROM THE FIRST POST DISCHARGE STATEMENT TO APPLY FOR FINANCIAL ASSISTANCE BEFORE INITIATING ANY EXTRAORDINARY COLLECTION ACTIVITIES. ALL PATIENTS ARE ALLOWED 240 DAYS FROM THE FIRST POST DISCHARGE BILLING STATEMENT TO APPLY FOR FINANCIAL ASSISTANCE.IF AN ACCOUNT HAS BEEN TURNED OVER TO COLLECTIONS AFTER 120 DAYS AND A PATIENT APPLIES FOR FINANCIAL ASSISTANCE DURING THE 240 DAY TIME FRAME AND IS ELIGIBLE FOR CHARITY CARE OR ANY OTHER FINANCIAL ASSISTANCE THE COLLECTION AGENCY WILL BE NOTIFIED TO STOP ANY COLLECTION EFFORTS ON THE ACCOUNT AND THE ACCOUNT WILL BE GIVEN BACK TO THE HOSPITAL. PART VI, LINE 2: EUREKA COMMUNITY HEALTH SERVICES CONDUCTS PATIENT SATISFACTION SURVEYS WHICH CAN LEAD TO INFORMATION REGARDING NEEDED SERVICES. IN ADDITION, INTERACTIVE QUESTIONS ARE ASKED ABOUT SERVICES AND ANY FEEDBACK IS THEN REPORTED BACK TO THE OFFICERS AND THE BOARD OF DIRECTORS. ECHS CONDUCTED A CHNA DURING FISCAL YEAR END 6/30/22. PART VI, LINE 3: ECHS HAS SIGNS POSTED THROUGHOUT THE FACILITY REGARDING FINANCIAL ASSISTANCE. A SUMMARY SHEET EXPLAINING FINANCIAL ASSISTANCE IS GIVEN TO DISCHARGED PATIENTS IN THEIR DISCHARGE PACKET AND IT IS ALSO MADE AVAILABLE TO THE PUBLIC THROUGHOUT THE REST OF THE FACILITY. ECHS ALSO POSTS THE AVAILABILITY OF THE FINANCIAL ASSISTANCE POLICY ON ALL STATEMENTS THAT GO OUT TO PATIENTS AND IT IS ALSO POSTED IN THE NEWSPAPER. PART VI, LINE 4: ECHS IS A FOUR BED CRITICAL ACCESS HOSPITAL LOCATED IN THE TOWN OF EUREKA, IN NORTH CENTRAL SOUTH DAKOTA, IN MCPHERSON COUNTY. ACCORDING TO THE US CENSUS BUREAU, IN 2022 MCPHERSON COUNTY HAD 30.6% OF PEOPLE 65 YEARS OF AGE AND OVER. ECHS DEFINES ITS PRIMARY SERVICE AREA AS MCPHERSON COUNTY IN WHICH THE SERVICE AREA INCLUDES THE TOWNS OF EUREKA, LEOLA, AND LONG LAKE. THE HOSPITAL ALSO SERVES A PORTION OF CAMPBELL COUNTY IN WHICH THE COMMUNITY OF HERREID RESIDES.ACCORDING TO THE US CENSUS BUREAU OF 2022, THERE WERE 2,395 PEOPLE AND 872 HOUSEHOLDS RESIDING IN THE COUNTY. ECHS SERVES PEOPLE OF ALL RACES. THE US CENSUS BUREAU REPORTED IN 2022 THERE WAS 97.0% WHITE, 0.7% BLACK OR AFRICAN AMERICAN, 0.5% AMERICAN INDIAN & ALASKA NATIVE, 0.4% ASIAN, 0.1% NATIVE HAWAIIAN, 1.3% TWO OR MORE RACES, 2.0% HISPANIC OR LATINO. THE US CENSUS BUREAU IN 2022 REPORTED THAT THE MEDIAN INCOME FOR A HOUSEHOLD IN THE COUNTY WAS $58,529 AND ABOUT 16.3% OF THE POPULATION WAS AT OR BELOW THE POVERTY LINE. THE CENSUS IN 2022 ALSO SHOWED THAT WE HAD 199 VETERANS RESIDING IN THE COUNTY. IT WAS ALSO NOTED IN THE REPORT THAT 9.9% OF THE POPULATION IN THE COUNTY UNDER THE AGE OF 65 HAD NO HEALTH INSURANCE. PART VI, LINE 5: THE FACILITY IS GOVERNED BY A SEVEN MEMBER VOLUNTARY BOARD OF TRUSTEES COMPRISED OF PEOPLE LIVING WITHIN THE SERVICE AREA. THESE MEMBERS HAVE NO BUSINESS OR FAMILY TIES TO THE ORGANIZATION. ECHS EXTENDS MEDICAL STAFF PRIVILEGES TO QUALIFIED PHYSICIANS IN THE SERVICE AREA AND CURRENTLY HAS ONE PHYSICIAN, THREE EMPLOYED PA'S, TWO CONTRACTED PA'S AND ONE CONTRACTED NURSE PRACTITIONER ON STAFF. ALL FUNDS GENERATED BY THE FACILITY ARE REINVESTED INTO THE FACILITY THROUGH THE CONTINUED PROVISION OF HEALTHCARE SERVICES. ECHS IS A CRITICAL ACCESS HOSPITAL WITH 24HR EMERGENCY ROOM SERVICES AND IS OPEN TO ALL PEOPLE REGARDLESS OF ABILITY TO PAY. PART VI, LINE 6: ECHS IS A MANAGED FACILITY OF AVERA HEALTH. AVERA HEALTH AND ECHS WORK COOPERATIVELY TO ENHANCE HEALTHCARE THROUGHOUT THE COMMUNITY SERVED BY THE HOSPITAL. ECHS 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 ECHS AT A COST BELOW THAT WHICH THE HOSPITAL COULD OTHERWISE ACHIEVE. LOCAL CAREGIVERS ARE ABLE TO DEVOTE MORE RESOURCES TO PATIENT AND RESIDENT CARE AS A RESULT. AVERA HEALTH AND ECHS 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, COVID CLINICS, COMMUNITY EDUCATION AND VARIOUS OTHER ACTIVITIES. X X 0 0 0 0 0 0 0 0 0 CORY HEISER PHYSICIAN ASSISTANT 171666 0 0 0 80 0 0 0 13186 0 184932 0 0 0 EMILY PAULI PHYSICIAN ASSISTANT 169696 0 0 0 80 0 0 0 873 0 170649 0 0 0 CARMEN WEBER ADMINISTRATOR 67911 0 0 0 579 0 3627 0 16662 0 88779 0 0 0 FORM 990 PART VII, LINE 5 CARMEN WEBER, ADMINISTRATOR, IS COMPENSATED THROUGH AN ARRANGEMENT WITH AVERA ST. LUKE'S HOSPITAL, 305 S STATE ST, ABERDEEN, SD 57401. FORM 990, PAGE 1, LINE J ORGANIZATION WEBSITE: HTTPS://WWW.AVERA.ORG/LOCATIONS/PROFILE/ EUREKA-COMMUNITY-HEALTH-SERVICES-AVERA/ FORM 990, PART VI, SECTION A, LINE 8B THE HOSPITAL BOARD DOES NOT HAVE COMMITTEES. FORM 990, PART VI, SECTION B, LINE 11B THE ADMINISTRATOR AND FINANCE OFFICER REVIEW THE 990 IN DETAIL. AFTER THEIR REVIEW, THE 990 IS PROVIDED TO EACH BOARD MEMBER. THE 990 IS FILED AFTER EACH BOARD MEMBER HAS RECEIVED A COPY. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY INCLUDES ALL BOARD MEMBERS AND OFFICERS OF THE ORGANIZATION. THE ADMINISTRATOR TAKES KNOWN CONFLICTS TO THE BOARD. THE BOARD IS RESPONSIBLE FOR THE REVIEW AND DETERMINATION OF WHETHER A CONFLICT EXISTS. IF A PERSON IS DETERMINED TO HAVE A CONFLICT, HE/SHE IS REQUIRED TO ABSTAIN FROM DISCUSSION, DELIBERATION AND VOTING ON THE MATTER CAUSING THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD FILLS OUT A WRITTEN EVALUATION ON THE ADMINISTRATOR, AND MEETS WITH AVERA ST. LUKE'S TO DISCUSS THE EVALUATION. DETERMINATION OF COMPENSATION IS A COLLABORATIVE EFFORT BETWEEN THE ORGANIZATION AND AVERA ST. LUKE'S. THIS PROCESS IS DONE EVERY YEAR. THE ADMINISTRATOR REVIEWS RATES FOR PERSONS IN THE FINANCE OFFICER POSITION ACROSS THE REGION, AND ALSO REVIEWS WITH THE HR DEPT AT ST LUKE'S TO DETERMINE THE AMOUNT OF THE AGGREGATE INCREASE TO APPLY TO THE SALARY OF THE FINANCE OFFICER WHICH IS THEN APPROVED BY THE BOARD OF DIRECTORS. THIS PROCESS IS DONE EVERY YEAR. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE AVAILABLE FOR VIEWING ON-SITE ONLY. FORM 990, PART IX, LINE 11G PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 187,888. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 187,888. LABORATORY PURCHASE LAB: PROGRAM SERVICE EXPENSES 57,638. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 57,638. PURCHASE TRANSCRIPT FEES: PROGRAM SERVICE EXPENSES 1,246. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,246. PT FINANCIAL SVC COLLECTION FEES-AM: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 39,847. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 39,847. ADMINISTRATION CONSULTING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,095. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,095. ADMINISTRATION FINANCE SVC CHARGES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,143. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,143. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 163,364. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 163,364. MEDICAL UNIT PURCHASE LAUNDRY: PROGRAM SERVICE EXPENSES 239,653. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 239,653. NUTRITION SERVICE PURCHASE LAUNDRY: PROGRAM SERVICE EXPENSES 68,390. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 68,390. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN NET ASSETS OF AVERA HEALTH FOUNDATION 18,549.