2025-03-31T18:44:31-05:00 2024-06-30 450250958 EIDE BAILLY LLP 345 N REID PL STE 400 SIOUX FALLS SD 571037034 990 2023-07-01 460246437 EUREKA COMMUNITY BENEVOLENT HOSPITAL ASSOCIATION EURE 6052842661 PO BOX 517 EUREKA SD 574370517 CARMEN WEBER ADMINISTRATOR 6052842661 2025-03-28 1 1 LAURIE HANSON CPA P00851848 6053391999 2025-03-28 2023 2025-03-06 01:10:19Z EUREKA COMMUNITY HEALTH SERVICE CARMEN WEBER PO BOX 517 EUREKA SD 574370517 5768254 0 X SEE SCHEDULE O NARRATIVE X 1928 SD EUREKA COMMUNITY HEALTH SERVICES AIMS TO PROVIDE QUALITY, ACCESSIBLE HEALTHCARE. 7 7 51 11 0 0 61035 126913 4393119 5622977 30264 8748 13984 2145 4498402 5760783 0 0 0 0 2511386 2554643 0 0 0 2588349 2935772 5099735 5490415 -601333 270368 10168600 10693150 6898915 7026622 3269685 3666528 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 4707314 5625122 EUREKA COMMUNITY HEALTH SERVICES OPERATES A 4 BED ACUTE CARE HOSPITAL, A 10 UNIT ASSISTED LIVING FAFILITY AND A RURAL HEALTH CLINIC ALL LOCATED IN EUREKA SOUTH DAKOTA. IN THE FISCAL YEAR ENDING JUNE 30, 2024 THE RURAL HEALTH CLINIC HAD TOTAL PATIENT VISITS OF 3,632. THE 4 BED HOSPITAL HAD 160 ACUTE CARE DAYS, 141 SWING BED DAYS, AND 3,398 ASSISTED LIVING DAYS. WE CONTINUE TO OFFER TELEMEDICINE VISITS TO PATIENTS WHO NEED CONSULTS OR FOLLOW UP VISITS WITH A SPECIALIST SO THEY WILL NOT HAVE TO TRAVEL LONG DISTANCES TO SEE A PROFESSIONAL. 4707314 1 1 0 0 0 0 0 0 0 1 1 1 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 0 0 0 0 0 0 0 0 0 0 0 1 22 0 1 51 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 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 70025 0 20930 JOYCE SCHWINGLER CFO 40.00 X 53146 0 10519 CORY HEISER PHYSICIAN ASSISTANT 40.00 X 210111 0 12963 JENNIFER FROST PHYSICIAN ASSISTANT 40.00 X 112229 0 0 445511 0 44412 2 0 1 1 AVERA ST LUKE'S HOSPITAL 305 SOUTH STATE STREET ABERDEEN SD 57401 ADMIN, IT, AND OTHER SERVICES 490066 1 107278 19635 126913 PATIENT SERVICE FEES 621110 4606201 4606201 PHARMACY 340B REVENUE 621110 678887 678887 ASSISTED LIVING FEES 621110 333387 333387 4502 4502 5622977 3606 3606 12217 396 0 7471 12217 -7075 5142 5142 INTEREST ON ACCOUNTS R 900099 2145 2145 2145 5760783 5625122 0 8748 X 170274 170274 2021626 1871702 149924 28712 26731 1981 186761 175440 11321 147270 127780 19490 6765 6765 63050 63050 921861 825287 96574 5124 506 4618 123220 43565 79655 125450 110235 15215 101931 101931 11773 11773 7557 6645 912 203944 184808 19136 595369 530165 65204 31801 28817 2984 MEDICAL SUPPLIES 521899 457021 64878 EQUIPMENT AND REPAIRS 187267 182198 5069 DUES AND SUBSCRIPTIONS 5302 1300 4002 23459 21410 2049 5490415 4707314 783101 0 428445 922704 362388 1213163 83006 81062 45806 70634 10285682 3213017 7533655 7072665 1085375 1254513 629925 78409 10168600 10693150 301514 344619 37503 17564 6462473 6319952 97425 344487 6898915 7026622 X 3103417 3500759 166268 165769 3269685 3666528 10168600 10693150 X 270368 59764 66711 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 11238 1147 12385 10530 708 11238 11783 -1253 10530 10044 1739 11783 10107 -63 10044 0.00000 0.62304 0.37696 1 0 18583 18583 8778922 2363208 6415714 1411633 822250 589383 76544 27559 48985 7072665 INTEREST IN AVERA HEALTH FOUNDATION 326814 F ASSETS LIMITED AS TO USE - AVERA POOLED INVESTMENTS 927699 F 1254513 TENANT SECURITY DEPOSITS 2500 OPERATING LEASE LIABILITY 75692 ESTIMTATED THIRD PARTY PAYOR SETTLEMENT 155210 FINANCE LEASE LIABILITY 111085 344487 X 5887757 59764 67210 126974 5760783 0 5760783 5490415 0 5490415 0 5490415 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 67,210. 1 1 X 1 X 1 X 1 1 1 0 0 18000 18000 0.00330 428442 328431 100011 0.01820 446442 328431 118011 0.02150 2814 2357 457 0.00010 1645083 969964 675119 0.12300 1647897 972321 675576 0.12310 2094339 1300752 793587 0.14460 1 928761 143029 1715033 1725572 -10539 X 1 1 1 1 EUREKA COMMUNITY BENEVOLENT HOSPITAL ASSOCIATION 200 J AVE EUREKA SD 57437 WWW.AVERA.ORG/LOCATIONS 10538 X X X RURAL HEALTH CLINIC 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 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 THE PLAN IS TO ADDRESS ALL NEEDS IDENTIFIED TO THE BEST OF OUR ABILITY. WE CONTINUE TO RECRUIT FOR AN MD WHICH IS VERY DIFFICULT DUE TO THE SMALL SIZE OF OUR RURAL COMMUNITY. ONE OF OUR MID-LEVEL PROVIDERS LEFT OUR EMPLOYMENT AND WE RECRUITED ANOTHER MID-LEVEL PROVIDER WHO JOINED OUR STAFF IN OCTOBER OF 2023. WE CONTINUE TO RECRUIT FOR 1 MORE MID-LEVEL PROVIDER TO JOIN OUR FACILITY. WE CONTINUE TO UPGRADE TECHNOLOGY TO UTILIZE E-EMERGENCY, E-PHARMACY CONSULTING AND WE ARE PROMOTING THE E-CONSULT SERVICE WITH OTHER PROVIDERS OUTSIDE OF THE FACILITY TO LET THEM KNOW WE HAVE THIS SERVICE IN AN EFFORT TO PREVENT LONG TRAVEL TIMES FOR OUR PATIENTS AND ELDERLY POPULATION WHEN THEY NEED TO SEE A SPECIALIST. WE CONTINUE TO PROMOTE OUR SERVICES VIA THE NEWSPAPER, RADIO SHOW, AND SOCIAL MEDIA. 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/ 1 1 - EUREKA COMMUNITY HEALTH SERVICES 200 J AVE EUREKA SD 57437 ASSISTED LIVING FACILITY 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 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 2023. THEREFORE 15.4% 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 PAGES 12 AND 13 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 6/30/24. 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.HOSPITAL SERVICES REIMBURSED ON A FEE SCHEDULE ARE NOT INCLUDED IN THE MEDICARE CALCULATION PER THE 990 INSTRUCTIONS. HAD THIS BEEN REPORTED THE HOSPITAL WOULD HAVE HAD A GREATER LOSS FROM MEDICARE SERVICES OF $31,505. $33,288 MEDICARE FEE SCHEDULE REVENUE$(64,793) MEDICARE ESTIMATED COSTS OF CARE RELATING TO PAYMENTS$(31,505) NET (SHORTAGE) 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 QUICK FACTS 2023 DATA, MCPHERSON COUNTY HAD 31.0% 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.US CENSUS BUREAU QUICK FACTS 2023 DATA SHOWS THERE WERE 2,334 PEOPLE AND 896 HOUSEHOLDS RESIDING IN THE COUNTY, INCLUDING 96.3% WHITE, 0.7% BLACK OR AFRICAN AMERICAN, 1.1% AMERICAN INDIAN & ALASKA NATIVE, 0.4% ASIAN, 0.1% NATIVE HAWAIIAN, 1.4% TWO OR MORE RACES, AND 3.2% HISPANIC OR LATINO. THE 2023 MEDIAN INCOME FOR A HOUSEHOLD IN THE COUNTY WAS $62,024 AND ABOUT 15.4% OF THE POPULATION WAS AT OR BELOW THE POVERTY LINE. 179 VETERANS RESIDED IN THE COUNTY IN 2023, AND 8.0% 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. 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 ECHSA 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 NOT 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, COMMUNITY EDUCATION AND VARIOUS OTHER ACTIVITIES. X X 0 0 0 0 0 0 0 0 0 CORY HEISER PHYSICIAN ASSISTANT 210011 0 0 0 100 0 0 0 12963 0 223074 0 0 0 CARMEN WEBER ADMINISTRATOR 69628 0 0 0 397 0 3749 0 17926 0 91700 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 171,310. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 171,310. LABORATORY PURCHASE LAB: PROGRAM SERVICE EXPENSES 84,548. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 84,548. PT FINANCIAL SVC COLLECTION FEES-AM: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 21,020. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,020. ADMINISTRATION FINANCE SVC CHARGES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 4,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,000. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 71,554. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 71,554. MEDICAL UNIT PURCHASE LAUNDRY: PROGRAM SERVICE EXPENSES 496,169. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 496,169. NUTRITION SERVICE PURCHASE LAUNDRY: PROGRAM SERVICE EXPENSES 73,260. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 73,260. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN NET ASSETS OF AVERA HEALTH FOUNDATION 66,711.