2024-02-28T16:34:45-06:00 2023-06-30 450250958 EIDE BAILLY LLP 345 N REID PL STE 400 SIOUX FALLS SD 571037034 990 2022-07-01 420932564 HEGG MEMORIAL HOSPITAL D/B/A HEGG HEALTH CENTER HEGG 7124768000 1202 21ST AVENUE ROCK VALLEY IA 51247 GLENN ZEVENBERGEN CEO/ADMINISTRATOR 7124768000 2024-02-27 1 GLENN ZEVENBERGEN 999009999 1 LAURIE HANSON CPA P00851848 6053391999 2024-02-27 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z GLENN ZEVENBERGEN 1202 21ST AVENUE ROCK VALLEY IA 51247 26234608 0 X HEGGHC.ORG X 1967 IA SERVING THE COMMUNITY THROUGH PROVISION OF HEALTHCARE AND HEALTH/SAFETY EDUCATION. 9 7 346 10 0 0 581701 58939 24957716 25678870 333442 361774 121325 113216 25994184 26212799 18385 20779 0 0 12349797 12978901 0 0 80530 13306869 13242254 25675051 26241934 319133 -29135 54600776 54683761 19540113 18817846 35060663 35865915 WE SERVE TOGETHER TO HEAL BODY, MIND AND SPIRIT, TO IMPROVE THE HEALTH OF OUR COMMUNITY, AND TO BE GOOD STEWARDS OF THE RESOURCES ENTRUSTED TO US. 0 0 21835393 20779 25678870 HEGG HEALTH CENTER (HHC) OPERATED A 25-BED ACUTE CARE HOSPITAL, A 60-BED NURSING HOME, AND A MEDICAL CLINIC. HHC'S PURPOSE IS TO PROVIDE ACUTE INPATIENT AND OUTPATIENT SERVICES, AS WELL AS RESIDENTIAL NURSING HOME SERVICES. THE AMOUNT OF CARE PROVIDED WAS 1,223 INPATIENT DAYS OF CARE, 18,483 NURSING HOME DAYS OF CARE, 26,099 OUTPATIENT VISITS WHICH INCLUDES 4,823 HOME HEALTH VISITS, 1,259 HOME ASSIST VISITS, AND 18,267 CLINIC VISITS. HHC ALSO PROVIDES 24 HOUR EMERGENCY CARE THAT PROVIDES CARE REGARDLESS OF THE PATIENTS' ABILITY TO PAY. THERE WERE 2,018 ER VISITS IN FISCAL YEAR 2023. 21835393 1 1 0 0 0 0 0 0 1 1 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 26 0 1 346 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 7 0 0 0 0 1 1 0 1 0 0 0 1 1 1 1 1 1 1 1 0 X WILLIAM SLATERCFO 7124768012 1202 21ST AVE ROCK VALLEY IA 51247 GLENN ZEVENBERGEN CEO/ADMINISTRATOR 40.00 X 270134 0 51361 WILLIAM SLATER CFO 40.00 X 137859 0 5514 NICOLLE SAMUELS REHAB DIRECTOR 40.00 X 134405 0 5370 JEREMY MCCLENNEN DIRECTOR OF PATIENT CARE 40.00 X 105588 0 30107 ROXANNE MARXEN LAB MANAGER 40.00 X 107227 0 23764 DALE KOOIMA MEMBER/PRESIDENT 0.40 X X 0 0 0 JASON VANSURKSUM MEMBER/VICE PRESIDENT 0.40 X X 0 0 0 NANCY DORHOUT SECRETARY BEG 12/2022 0.40 X X 0 0 0 ANNIE GROENEWEG SECRETARY UNTIL 11/2022 0.40 X 0 0 0 LIZ ARKEMA MEMBER 0.40 X 0 0 0 JOHN HOOGENDOORN MEMBER 0.40 X 0 0 0 KATHY MCGILL MEMBER 0.40 X 0 0 0 JEFF TREINEN MEMBER 0.40 X 0 0 0 JEREMY VANZEE MEMBER 0.40 X 0 0 0 DEL KNOBLOCH MEMBER 0.40 X 0 0 0 755213 0 116116 4 0 1 1 AVERA MCKENNAN HOSPITAL 1325 S CLIFF AVENUE SIOUX FALLS SD 57117 PROFESSIONAL FEES/MANAGEMENT FEES 1157922 SANFORD USD MEDICAL CENTER PO BOX 5039 SIOUX FALLS SD 57117 ANESTHESIA SERVICES 177844 LEWIS DRUG 2701 S MINNESOTA AVE SUITE 1 SIOUX FALLS SD 57105 PHARMACY SERVICE FEES 170227 REAL RADIOLOGY 17310 WRIGHT ST STE 103 OMAHA NE 68130 RADIOLOGY READ FEES 128472 AVEL ECARE LLC 3900 W AVERA DR SIOUX FALLS SD 57105 EPHARMACY/EEMERGENCY/EHOSPITALIST 119280 7 58939 58939 PATIENT SERVICE REVENUE 621110 23828022 23828022 PHARMACY REVENUE 456110 924423 924423 COFFEE BAR 722515 227483 227483 698942 698942 25678870 137503 137503 113793 0 113793 113793 113793 238173 0 13902 238173 -13902 224271 224271 7330 7907 -577 -577 26212799 25678870 0 474990 X 20779 20779 498910 127801 316529 54580 98679 98679 9914096 8849465 1048399 16232 282013 257139 24405 469 1431529 1265729 163527 2273 753674 653407 99097 1170 3377 3377 92740 92740 5934950 5057723 872021 5206 74742 13308 61434 322605 207873 114684 48 202943 66182 136284 477 537894 258140 279754 49927 40089 9788 50 66266 40043 26223 422323 320648 101675 2505657 1747490 758167 37313 37313 MEDICAL SUPPLIES 2403220 2366803 36417 FOOD 316871 314558 2313 REPAIR AND MAINTENANCE 104669 61040 43629 166757 31184 135548 25 26241934 21835393 4326011 80530 2364284 1990706 168331 126306 2056339 1964959 304506 307378 163586 217766 53055432 24669066 29262304 28386366 19329283 21559779 152500 85417 799643 45084 54600776 54683761 2290171 1609069 1287 1691 17062529 16569304 186126 637782 19540113 18817846 X 34063901 34875774 996762 990141 35060663 35865915 54600776 54683761 X -29135 834387 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 424915 103 21384 446402 459509 175 -34769 424915 285807 16749 156953 459509 281379 8428 4000 285807 275576 5803 281379 0.00000 0.66540 0.33460 1 0 938278 938278 43101743 18055185 25046558 7485651 5611169 1874482 1529760 1002712 527048 28386366 INTEREST IN AVERA HEALTH FOUNDATION 13698529 F INVESTMENT IN NORTHWEST IOWA DIAGNOSTICS 2414 F ANNUITY CONTRACT 119756 F ASSETS LIMITED AS TO USE 6825844 F UNDER INDENTURE AGREEMENT 913236 F 21559779 ANNUITY PAYABLE 26718 INSURANCE CLAIMS PAYABLE 96064 ESTIMATED THIRD-PARTY PAYOR SETTLEMENT 515000 637782 X 27061714 842389 842389 26219325 -6526 -6526 26212799 26249841 7907 7907 26241934 0 26241934 PART IV, LINE 2B: RESIDENTS OR RESIDENT'S FAMILY MEMBERS DEPOSIT MONEY INTO AN ACCOUNT THAT HHC MANAGES. THE RESIDENTS CAN USE THE DEPOSITED FUNDS FOR SMALL PERSONAL EXPENSES THAT ARISE SUCH AS SALON VISITS, PERSONAL ITEMS, AND ETC. PART V, LINE 4: THE ENDOWMENT FUND WAS CREATED WITH THE INTENTION OF BUILDING UP CASH THAT IS RESTRICTED FOR USE TO HELP SUPPORT THE OPERATIONS IN YEARS TO COME FROM THE INTEREST THAT THIS FUND EARNS. IN ADDITION, A PORTION OF THE ENDOWMENT FUND IS DESIGNATED FOR NURSING SCHOLARSHIPS. 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. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN INTEREST IN AVERA HEALTH FOUNDATION 842,389. PART XI, LINE 4B - OTHER ADJUSTMENTS: COST OF GOOD SOLD -7,907. RESTRICTED CONTRIBUTIONS 1,381. PART XII, LINE 2D - OTHER ADJUSTMENTS: COST OF GOOD SOLD 7,907. 1 1 X 1 X 1 X 1 1 0 1 1 28000 28000 0.00110 1522826 1089562 433264 0.01650 1550826 1089562 461264 0.01760 90 23668 3673 19995 0.00080 16 29808 29808 0.00110 165976 39257 126719 0.00480 103027 103027 0.00390 106 322479 42930 279549 0.01060 106 1873305 1132492 740813 0.02820 2964 2964 0.00010 2575 2575 0.00010 31 472 472 0.00000 1135 1135 0.00000 31 7146 7146 0.00020 1 281181 8717 8257180 8307937 -50757 X 1 1 1 1 HEGG HEALTH CENTER 1202 21ST AVENUE ROCK VALLEY IA 51247 WWW.HEGGHC.ORG 840049H X X X X 1 PROVIDER BASED CLINIC - HEGG MEDICAL CLINIC AVERA HEGG HEALTH CENTER 1 0 0 1 X X X X X X X X X 21 1 1 1 1 X SEE 7D NARRATIVE X SEE 7D NARRATIVE X X 1 21 1 SEE 7D NARRATIVE 0 1 X 150.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X HTTPS://WWW.HEGGHC.ORG/PATIENTS/BILLING-FINANCIAL-ASSISTANCE/ X HTTPS://WWW.HEGGHC.ORG/PATIENTS/BILLING-FINANCIAL-ASSISTANCE/ X HTTPS://WWW.HEGGHC.ORG/PATIENTS/BILLING-FINANCIAL-ASSISTANCE/ X X X X X X X 1 X 0 X X X X X 1 X 0 0 HEGG HEALTH CENTER PART V, SECTION B, LINE 5: HEGG HEALTH CENTER, ALONG WITH COMMUNITY HEALTH PARTNERS OF SIOUX COUNTY, SIOUX CENTER HEALTH, ORANGE CITY HEALTH SYSTEM, PROMISE COMMUNITY HEALTH CENTER AND HAWARDEN REGIONAL HEALTHCARE, GATHERED QUANTITATIVE AND QUALITATIVE DATA TO DETERMINE THE BEST SUITABLE HEALTH INITIATIVES THAT WILL MAKE A LASTING IMPACT FOR OUR COMMUNITIES. THE DATA GATHERED INCLUDES DEMOGRAPHIC (POPULATION, RACE, SEX, AGE AND HOUSEHOLD) INFORMATION AS WELL AS IN-DEPTH ASSESSMENTS FROM COMMUNITY STAKEHOLDERS THROUGH FOCUS GROUP INTERVIEWS. HEGG HEALTH CENTER PART V, SECTION B, LINE 6A: SIOUX CENTER HOSPITALORANGE CITY HEALTH SYSTEMHAWARDEN REGIONAL HEALTHCARE HEGG HEALTH CENTER PART V, SECTION B, LINE 6B: COMMUNITY HEALTH PARTNERS OF SIOUX COUNTYPROMISE COMMUNITY HEALTH CENTER HEGG HEALTH CENTER PART V, SECTION B, LINE 7D: THE CHNA REPORT IS AVAILABLE AT HTTPS://WWW.HEGGHC.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-SIOUX-COUNTY/ HEGG HEALTH CENTER PART V, SECTION B, LINE 11: THE FOLLOWING NEEDS WERE IDENTIFIED IN THE CHNA COMPLETED DURING FY22: HEALTHCARE ACCESS, CONNECTING PATIENTS TO PROVIDERS, RECRUITING LONG TERM CARE EMPLOYEES, HEART DISEASE PREVENTION, MELANOMA (POTENTIAL CONNECTION TO AGRICULTURAL WORK), MENTAL HEALTH ACCESS, SOCIAL DETERMINANT (ASSESSING AND ADDRESSING ON AN ONGOING BASIS), CANCER SCREENINGS, DENTAL SERVICES FOR MEDICAID, EXERCISE AND NUTRITION, SUBSTANCE USE/ABUSE, ROUTINE SCREENINGS, AND SOCIAL DETERMINANTS (DAYCARE, HOUSING, TRANSPORTATION). THIS LIST WAS NARROWED DOWN TO A "PRIORITY LIST" WHICH INCLUDES MENTAL HEALTH, SOCIAL DETERMINANTS OF HEALTH, HEART DISEASE, AND HEALTHCARE ACCESS.HEGG HEALTH CENTER BELIEVES WE ARE ADDRESSING ALL OF THE PRIORITIZED NEEDS CONTAINED WITHIN OUR MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT.DURING FY23, THE FACILITY PERFORMED THE FOLLOWING ACTIVITIES TO MEET THE NEEDS IDENTIFIED IN THE MOST RECENT CHNA.MENTAL HEALTH - HEGG HEALTH CENTER COLLABORATES WITH COMMUNITY HEALTH PARTNERS TO PROMOTE MENTAL HEALTH AND RESOURCE AWARENESS IN SIOUX COUNTY. OUR STAFF IS CONSISTENTLY EDUCATED ON AVAILABLE RESOURCES FOR EFFECTIVE PATIENT REFERRALS. THE FACILITY HOSTS SUPPORT GROUPS FOR GRIEF, MEMORY LOSS, AND PARKINSON'S DISEASE, EMPHASIZING OUR COMMITMENT TO COMPREHENSIVE MENTAL HEALTH CARE. NEW MARKETING MATERIALS HAVE BEEN DEVELOPED TO CONNECT AND REFER PATIENTS TO VARIOUS COMMUNITY RESOURCES. HEGG MEDICAL CLINIC WELCOMED THREE NEW PROVIDERS, ENHANCING CLINIC CAPACITY AND INCREASED KNOWLEDGE FOR BEHAVIORAL HEALTH PATIENTS.HEART DISEASE - THE HEGG WELLNESS CENTER HAS SIGNIFICANTLY EXPANDED ITS CARDIO FITNESS CLASS OFFERINGS, INTRODUCING PROGRAMS SUCH AS HIIT FOR YOUR HEART, SPIN AND SWEAT, AND POWER. A FAMILY MEDICINE PHYSICIAN AT HEGG, PROVIDED EXPERT INSIGHTS ON HEART HEALTH DURING A DEDICATED SEGMENT ON THE LOCAL RADIO SHOW, THE DAILY GRIND, BROADCAST ON SIOUX COUNTY RADIO. IN COLLABORATION WITH SUNSHINE FOODS, A LOCAL GROCERY STORE IN ROCK VALLEY, HEGG'S DIABETES EDUCATOR PRODUCED AN INFORMATIVE REEL ON HEART-HEALTHY FOOD CHOICES. ADDITIONALLY, THE DIABETES EDUCATOR AND COMMUNITY EDUCATION ORGANIZED A HEALTHY AIR FRYER MAKE & TAKE CLASS IN THE HEGG LEARNING CENTER, ATTRACTING NEARLY 30 ATTENDEES WHO RECEIVED EDUCATION ON HEART-HEALTHY RECIPES TO RAISE AWARENESS ABOUT HEART DISEASE, MARKETING INITIATED THE CREATION AND SALE OF HEART MONTH T-SHIRTS. THIS CAMPAIGN, AIMED AT PROMOTING HEART HEALTH, UNDERSCORES OUR COMMITMENT TO COMMUNITY WELL-BEING.HEALTHCARE ACCESS - HEGG HEALTH CENTER MAINTAINS A STRONG STAFF WITH LESS RECRUITMENT NEEDS HEADING INTO 2024. THE BILINGUAL STAFF REMAIN CONSISTENT, A HUGE ASSET TO OUR GROWING HISPANIC COMMUNITY NEEDING INTERPRETIVE SERVICES IN THEIR HEALTHCARE. HEGG SOCIAL SERVICES REGULARLY EDUCATES OUR PATIENTS ON THEIR INSURANCE OPTIONS. THE ADDITION OF THREE NEW PROVIDERS TO HEGG MEDICAL CLINIC HAS GREATLY ENHANCED PRIMARY CARE APPOINTMENT AVAILABILITY. A HEALTH COACH HAS BEEN APPOINTED TO EFFECTIVELY GUIDE PATIENTS ON THEIR HEALTH JOURNEYS. THESE STRATEGIC MEASURES UNDERSCORE OUR COMMITMENT TO PROVIDING HIGH-QUALITY HEALTHCARE SERVICES.SOCIAL DETERMINANTS OF HEALTH - IN FISCAL YEAR 2023, HEGG HEALTH CENTER HAD A SIGNIFICANT ECONOMIC IMPACT ON THE LOCAL ECONOMY. OUR COMMITMENT TO HEALTHCARE EXCELLENCE EXTENDS BEYOND PATIENT CARE, POSITIVELY INFLUENCING THE LOCAL COMMUNITY AND FOSTERING ECONOMIC GROWTH.HEGG HEALTH CENTER HAS CONSISTENTLY DEMONSTRATED A STEADFAST COMMITMENT TO COMMUNITY ENGAGEMENT AND OUTREACH THROUGH ITS ACTIVE INVOLVEMENT WITH INFLUENTIAL NETWORKS SUCH AS THE ROCK VALLEY CHAMBER OF COMMERCE, KIWANIS CLUB, ROTARY INTERNATIONAL, AND THE IOWA HOSPITAL ASSOCIATION. PARTNERSHIPS WITH THESE DIVERSE ORGANIZATIONS HAVE NOT ONLY ELEVATED HEGG HEALTH CENTER'S VISIBILITY BUT HAVE ALSO FACILITATED A BROADER IMPACT ON THE COMMUNITY AT LARGE. BY PARTICIPATING IN EVENTS, INITIATIVES, AND COLLABORATIVE PROJECTS WITH THESE LOCAL AND STATE-WIDE ORGANIZATIONS, HEGG HEALTH CENTER HAS EXTENDED ITS REACH BEYOND ORGANIZATIONAL BOUNDARIES, FOSTERING VALUABLE CONNECTIONS AND CONTRIBUTING MEANINGFULLY TO THE COLLECTIVE WELL-BEING OF THE COMMUNITY THROUGH EDUCATIONAL AND INFORMATIONAL OPPORTUNITIES AS THEY RELATE TO LOCAL HEALTHCARE. HEGG HEALTH CENTER PART V, SECTION B, LINE 13H: PRESUMPTIVE ELIGIBILITY MAY BE USED AS A LAST RESORT TO DETERMINE IF PATIENTS QUALIFY FOR FINANCIAL ASSISTANCE. HEGG HEALTH CENTER PART V, SECTION B, LINE 16J: SUMMARY OF THE POLICY AND CONTACT INFORMATION IS LOCATED ON EACH BILL/STATEMENT AND A CARD WITH CONTACT INFORMATION IS GIVEN WITH EACH BILL.FAP AND SUMMARY ARE LOCATED ON THE WEBSITE AND ARE HANDED OUT TO PATIENTS THAT STATE THEIR INABILITY TO PAY OR MAKE PAYMENTS.COMMUNITY HEALTH PARTNERS OF SIOUX COUNTY IS AWARE OF HEGG HEALTH CENTER'S FINANCIAL ASSISTANCE POLICY AND THAT WE PROVIDE THIS TO OUR PATIENTS. HEGG HEALTH CENTER PART V, SECTION B, LINE 20E: PROCEDURES HAVE BEEN IMPLEMENTED GIVING OUTPATIENT SERVICE PATIENTS THE CAPABILITY TO APPLY FOR FINANCIAL ASSISTANCE PRIOR TO HAVING SERVICES COMPLETED. A SIGN IS POSTED AT THE ADMISSIONS DESK. HEGG HEALTH 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. 3 1 - WHISPERING HEIGHTS 2116 14TH STREET ROCK VALLEY IA 51247 LONG-TERM CARE FACILITY 2 - NORTHWEST IOWA DIAGNOSTICS 714 LINCOLN ST NE LE MARS IA 51031 DIAGNOSTIC RADIOLOGY 3 - FOUR SEASONS 1202 21ST AVENUE ROCK VALLEY IA 51247 INDEPENDENT LIVING FACILITY PART I, LINE 3C: HEGG HEALTH CENTER (HHC) UTILIZES FPG AND AN ASSET TEST, AND CONSIDERS MEDICAL INDIGENCY, INSURANCE STATUS, AND UNDERINSURANCE STATUS IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. PRESUMPTIVE ELIGIBILITY MAY BE USED AS A LAST RESORT TO DETERMINE IF PATIENTS QUALIFY FOR FINANCIAL ASSISTANCE. PART I, LINE 6A: THE COMMUNITY BENEFIT REPORT IS AVAILABLE THROUGH THE ORGANIZATIONS' WEBSITE AND REQUESTED MAILING AND IS FILED WITH THE CATHOLIC HEALTH ASSOCIATION. HHC ALSO REPORTS TO THE IOWA HOSPITAL ASSOCIATION (IHA) FOR THE STATE'S REPORTING ON COMMUNITY BENEFITS, AND FILES THEIR OWN COMMUNITY BENEFIT REPORT. 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 7B WAS DETERMINED USING THE RATIO OF PATIENT CARE COSTS TO CHARGES CALCULATED IN IRS WORKSHEET 2. LINES 7E, 7F AND 7I WERE OBTAINED UTILIZING THE ACTUAL GENERAL LEDGER SYSTEM. LINE 7G WAS OBTAINED FROM THE MEDICARE COST REPORT. PART II, COMMUNITY BUILDING ACTIVITIES: HEGG HEALTH CENTER'S EMPLOYEES ARE INVOLVED IN THE COMMUNITY THROUGH THE CHAMBER OF COMMERCE BOARDS/COMMITTEES, THE COUNTY COALITION BUILDING COMMITTEES, AND TRAINING/EDUCATING OF MEMBERS IN THE COMMUNITY. HEGG HEALTH CENTER ALSO SUPPORTS THE LOCAL SCHOOLS AND DAYCARE THROUGH FUNDRAISERS, SPONSORSHIPS, DONATIONS, ETC. THESE ACTIVITIES HELP TO DEVELOP A BETTER TOWN, A BETTER COMMUNITY, AND CREATE LEADERSHIP AND SKILLS IN THE CHILDREN FOR THE FUTURE. 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: HEGG HEALTH CENTER ESTIMATES THAT APPROXIMATELY 3.1% OF IMPLICIT PRICE CONCESSION COULD BE REASONABLY ATTRIBUTABLE TO PATIENTS WHO WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IF SUFFICIENT INFORMATION HAD BEEN AVAILABLE TO THE FACILITY TO MAKE A DETERMINATION OF THEIR ELIGIBILITY. PART III, LINE 4: THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES IMPLICIT PRICE CONCESSION IS LOCATED IN THE AUDITED FINANCIAL STATEMENT ON PAGES 14-15. PART III, LINE 8: 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.MEDICARE ALLOWABLE COST OF CARE WAS CALCULATED FROM THE MEDICARE COST REPORT FOR FISCAL YEAR ENDING 6/30/2023. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY THE CENTERS FOR MEDICAID AND MEDICARE SERVICES. PART III, LINE 9B: PERSONS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE DO NOT ENTER INTO COLLECTIONS UNLESS THE AMOUNT OWED AFTER FINANCIAL ASSISTANCE IS NOT PAID. IF, DURING THE COLLECTION PROCESS, IT IS DETERMINED THAT A PATIENT MAY QUALIFY FOR FINANCIAL ASSISTANCE, THE COLLECTION AGENCY IS DIRECTED TO REFER THE PATIENT BACK TO HEGG HEALTH CENTER TO ASSESS FINANCIAL ASSISTANCE ELIGIBILITY. IF THE PATIENT IS DEEMED TO QUALIFY FOR FINANCIAL ASSISTANCE, THE COLLECTION AGENCY WILL CEASE COLLECTION EFFORTS AND SEND THE ACCOUNT BACK TO THE HEALTH CENTER. PRIOR TO SENDING TO A COLLECTION AGENCY, HEGG HEALTH CENTER WILL PROVIDE THE PATIENT WITH A STATEMENT OR FINAL NOTE. THE LANGUAGE USED ON STATEMENTS OR BILLING NOTICES IS: "ACCOUNTS WITH NO PAYMENTS, INCONSISTENT PAYMENTS, OR NOT IN THE FINANCIAL ASSISTANCE APPLICATION PROCESS WILL BE TURNED OVER TO A COLLECTION AGENCY 120 DAYS AFTER THE FIRST POST DISCHARGE STATEMENT." HEGG HEALTH CENTER ALLOWS ALL INDIVIDUALS 120 DAYS FROM THE FIRST POST DISCHARGE STATEMENT TO APPLY FOR FINANCIAL ASSISTANCE BEFORE INITIATING ANY EXTRAORDINARY COLLECTION ACTIVITIES (ECA). HEGG HEALTH CENTER CONSIDERS PLACEMENT AT A COLLECTION AGENCY AN ECA. HEGG HEALTH CENTER ALLOWS 240 DAYS FROM THE FIRST POST DISCHARGE BILLING STATEMENT FOR INDIVIDUALS TO APPLY FOR FINANCIAL ASSISTANCE. PART VI, LINE 2: IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT, THE BOARD OF DIRECTORS, ADMINISTRATION, AND PHYSICIANS HOLD STRATEGIC PLANNING SESSIONS EVERY THREE YEARS IN AN EFFORT TO IDENTIFY COMMUNITY NEEDS AND DETERMINE HOW THE FACILITY CAN BEST MEET THOSE NEEDS. THE ORGANIZATION ALSO SENDS OUT PATIENT SATISFACTION SURVEYS TO DETERMINE HOW WELL THEY ARE DOING BASED ON THE PATIENT'S PERSPECTIVE. PART VI, LINE 3: ALL PATIENTS RECEIVE A STATEMENT THAT INDICATES IF THE PATIENT MEETS CERTAIN INCOME REQUIREMENTS THE PATIENT MAY BE ELIGIBLE FOR A GOVERNMENT-SPONSORED PROGRAM OR FINANCIAL ASSISTANCE FROM THE ORGANIZATION. THEY ALSO RECEIVE A STATEMENT THAT PROVIDES THE PATIENT WITH AN ORGANIZATION CONTACT RESOURCE FOR GUIDANCE ON HOW TO OBTAIN INFORMATION ON THE FINANCIAL ASSISTANCE POLICY AND HOW TO APPLY. NOTICES AND CONTACT INFORMATION IS ALSO PRINTED ON THE BILLING STATEMENTS THAT ARE SENT OUT TO THE PATIENT STATING THERE IS FINANCIAL ASSISTANCE AND WHO TO CONTACT. HHC ALSO CONTACTS THE PATIENT REGARDING PAYMENT CONCERNS (UNLESS THE ORGANIZATION IS CONTACTED BY THE PATIENT) RELATED TO THEIR ABILITY TO MAKE REQUIRED PAYMENTS. PAYMENT OPTIONS, FINANCIAL ASSISTANCE AND GOVERNMENTAL BENEFITS ARE DISCUSSED WITH THE PATIENT BY PHONE, MAIL, OR IN PERSON. A FINANCIAL ASSISTANCE POLICY AND APPLICATION FORM IS MAILED OUT (UPON REQUEST), PICKED UP BY THE PATIENT, OR ACCESSED ONLINE. HHC DISCUSSES THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS WITH THE PATIENT, AND ASSISTS THE PATIENT WITH QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE. INFORMATION REGARDING OUR PAYMENT POLICY, WHICH INCLUDES APPLYING FOR FINANCIAL ASSISTANCE, IS STATED ON THE BACK OF EACH HOSPITAL STATEMENT. A CARD IS INSERTED IN EVERY PATIENT STATEMENT THAT INFORMS THE PATIENT THAT WE HAVE A FINANCIAL ASSISTANCE POLICY, WHERE TO LOCATE IT, AND WHO TO CONTACT FOR MORE INFORMATION. HHC ALSO HAS POSTED SIGNS TO INFORM THE PATIENT WHEN THEY ARE IN THE FACILITY. PART VI, LINE 4: ROCK VALLEY IS A RURAL COMMUNITY LOCATED IN SIOUX COUNTY, IOWA. AGRICULTURE AND MANUFACTURING ARE THE PRIMARY INDUSTRIES IN THIS COMMUNITY. ROCK VALLEY'S POPULATION IS 4,018. ROCK VALLEY POPULATION IS PRIMARILY WHITE BUT INCREASING IN THE HISPANIC/LATINO RACE WITH THE 2021 AMERICAN COMMUNITY SURVEY AT 27.8%. THE MEDIAN AGE IS 41.3. AN ESTIMATE OF 89.3% OF THE POPULATION HAS A HIGH SCHOOL DIPLOMA OR HIGHER EDUCATION. THE MEDIAN HOUSEHOLD INCOME (IN 2021 DOLLARS) IS $59,136 WITH AN ESTIMATE OF 3.1% OF INDIVIDUALS REPORTED BELOW POVERTY LEVEL. THE UNEMPLOYMENT RATE IS AT 2.5%. AN ESTIMATE OF 15.4% OF CIVILIANS HAS NO HEALTH INSURANCE COVERAGE. (INFORMATION FROM THE UNITED STATES CENSUS BUREAU 2021 AMERICAN COMMUNITY SURVEY). PART VI, LINE 5: HEGG HEALTH CENTER FEELS THAT THE HEALTH AND WELLNESS OF ITS SERVICE AREA/COMMUNITY ARE OF UTMOST IMPORTANCE. AS THE LARGEST HEALTHCARE PROVIDER IN THE COMMUNITY, HHC IS A CENTRALIZED RESOURCE THAT NOT ONLY PROVIDES COMPASSIONATE PATIENT CARE, BUT ALSO OFFERS LIFE SKILLS CLASSES AND HEALTH EDUCATION WEBINARS FOR THE COMMUNITY.HEGG COMMUNITY EDUCATION DEPARTMENT COVERS PROGRAMS FOR ALL AGES IN THE COMMUNITY. PHYSICIANS, NURSES, AND HOSPITAL STAFF PRESENTED EDUCATIONAL OPPORTUNITIES FOR 5TH GRADE BOYS AND GIRLS IN THE ROCK VALLEY AND SURROUNDING AREAS THAT DEALT WITH PUBERTY, ANATOMY, AND SELF-ESTEEM ISSUES. A WOMEN'S NIGHT OUT IS HELD ANNUALLY IN THE FALL WITH MORE THAN 200 WOMEN FROM THE COMMUNITY AND SURROUNDING AREAS IN ATTENDANCE. THIS EVENT FOCUSES ON THE EMOTIONAL WELL-BEING OF WOMEN.EDUCATION OF OTHERS IN HEALTH CAREERS IS VERY IMPORTANT TO HEGG HEALTH CENTER. WE PROVIDE AN ANNUAL DONATION TO NCC (NORTHWEST IOWA COMMUNITY COLLEGE) TO SUPPORT THEIR HEALTH PROGRAMS, WELCOME INTERNS/STUDENTS/SHADOWS OF ALL AREAS FROM NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS, PRE-MED DEGREES, PHYSICAL/OCCUPATIONAL THERAPISTS, NURSING, AND OTHER AREAS IN THE OFFICE FIELDS OF HEALTHCARE.HEGG HEALTH CENTER ENCOURAGES EMPLOYEE PARTICIPATION IN CHAMBER ACTIVITIES, ROTARY, AND KIWANIS TO SHARE INFORMATION WITH THE COMMUNITY AND TO HELP WITHIN THE COMMUNITY IN THE ACTIVITIES OF THESE CLUBS/ORGANIZATIONS.HEGG HEALTH CENTER HAS GIVEN SENIOR CITIZENS FIRST PRIORITY ACCESS TO THE SENIOR CENTER OVER THE PAST 15 YEARS. COMMUNITY HEALTH SCREENINGS THAT FOCUS ON CHOLESTEROL MANAGEMENT AS WELL AS DIABETES SCREENING WERE OFFERED TO COMMUNITY MEMBERS AT A REDUCED RATE. MANY OTHER EVENTS TOUCH ON TEACHING THE BASICS OF CERTAIN HEALTH RELATED ISSUES THAT MAY EITHER NEGATIVELY OR POSITIVELY AFFECT THE LIVES OF THE COMMUNITY MEMBERS THAT WE SERVE. HEGG HEALTH CENTER ALSO PROMOTES HEALTH AND WELLNESS THROUGH 1K/5K/10K RUN/WALK AND PROGRAMS THAT FOCUS ON NUTRITION AND OBESITY PREVENTION.CPR AND FIRST AID CLASSES ARE OFFERED TO HEALTH CARE WORKERS, DAYCARE PROVIDERS, FOSTER/ADOPTIVE PARENTS, AND THE GENERAL PUBLIC AT A REDUCED COST.THE COMMUNITY EDUCATION DEPARTMENT STRIVES TO OFFER A WIDE ARRAY OF SERVICES AT A FREE OR REDUCED RATE. THE GOAL OF THE DEPARTMENT IS TO FURTHER THE MISSION OF THE HEALTH CENTER THROUGH CARING FOR OTHERS, BODY, MIND, AND SOUL.HHC HAS A NINE MEMBER BOARD COMPRISED OF CITIZENS THAT LIVE IN THE PRIMARY SERVICE AREA. HHC EXTENDS PRIVILEGES TO PHYSICIANS IN THE IMMEDIATE AREA. HHC USES SURPLUS FUNDS TO FUND BUILDING IMPROVEMENTS TO ENHANCE SERVICES TO OUR PATIENTS.HHC OFFERS A 24/7 EMERGENCY DEPARTMENT THAT IS AVAILABLE TO THE COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY. PART VI, LINE 6: HEGG HEALTH CENTER (HHC) IS A MANAGED FACILITY OF AVERA HEALTH. AVERA HEALTH AND HHC WORK COOPERATIVELY TO ENHANCE HEALTHCARE THROUGHOUT THE COMMUNITY SERVED BY HHC.HHC 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 HHC AT A COST BELOW THAT WHICH HHC COULD OTHERWISE ACHIEVE. IN TURN, LOCAL CAREGIVERS ARE ABLE TO DEVOTE MORE RESOURCES TO PATIENT AND RESIDENT CARE.AVERA HEALTH AND HHC 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 NON-PROFIT COMMUNITY ORGANIZATIONS, NON-PROFIT EVENT SPONSORSHIPS, DONATED MEDICAL SUPPLIES, COMMUNITY HEALTH EDUCATION AND SUPPORT GROUPS, HEALTH SCREENINGS, FLU-SHOT CLINICS, AND VARIOUS OTHER ACTIVITIES. PART VI, LINE 7, REPORTS FILED WITH STATES IA 1 MANO A MANO INTERNATIONAL PARTNERS 925 PIERCE BUTLER ROUTE ST PAUL MN 55104 411796971 501C(3) 0 12753 BOOK OUTDATED MEDICAL SUPPLIES USED TO SUPPORT DEVELOPMENT OF HEALTHCARE AND EDUCATION. 1 0 PART I, LINE 2: THE FACILITY DOES NOT MONITOR THE USE OF NON-CASH MEDICAL SUPPLY DONATIONS. 1 X X X 0 0 0 0 0 0 0 1 0 GLENN ZEVENBERGEN CEO/ADMINISTRATOR 250810 0 15000 0 4324 0 13479 0 39220 0 322833 0 0 0 PART I, LINE 3 COMPENSATION IS SET BY AVERA MCKENNAN HOSPITAL BY USING IHA AND AVERA NETWORK SURVEYS ON SETTING THE AVERAGE RATE OF PAY. THIS RATE IS COMPARED TO THE ACTUAL AND IS BROUGHT TO THE BOARD FOR CONSIDERATION AND APPROVAL. THE BOARD RECOMMENDS AND APPROVES ANY ADDITIONAL BONUS COMPENSATION THAT IS GIVEN TO THE CEO/ADMINISTRATOR. PART I, LINE 7 CEO, GLENN ZEVENBERGEN'S BONUS IS DISCRETIONARY AND IS DETERMINED BY THE BOARD OF DIRECTORS. SCHEDULE J, PART II: THE HOSPITAL HAS A MANAGEMENT AGREEMENT WITH AVERA MCKENNAN HOSPITAL IN WHICH SERVICES OF THE CEO/ADMINISTRATOR, GLENN ZEVENBERGEN, ARE PAID THROUGH AVERA MCKENNAN HOSPITAL, 1325 S CLIFF AVENUE, SIOUX FALLS, SD 57117-5045. HHC IS BILLED FROM AVERA MCKENNAN HOSPITAL FOR HIS COMPENSATION. AS THE EMPLOYEE IS CONSIDERED A COMMON LAW EMPLOYEE OF HHC, COMPENSATION IS SHOWN AS PAID BY THE ORGANIZATION ON PART VII OF THE 990 AND ON SCHEDULE J, PART II. DENISE VANZEE FAMILY MEMBER OF CURRENT BOARD MEMBER 51490 COMPENSATION 0 ALYSSA VANBEEK FAMILY MEMBER OF CURRENT BOARD MEMBER 34510 COMPENSATION 0 SARA VANSURKSUM FAMILY MEMBER OF CURRENT BOARD MEMBER 12679 COMPENSATION 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS ONE CLASS OF MEMBERSHIP AVAILABLE TO ANY PERSON WHO MAKES A DONATION OF AT LEAST $300. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS VOTE ON VACANCIES AT THE ANNUAL MEETING. THE BOARD OF DIRECTORS NOMINATES ONE CANDIDATE FOR EACH VACANCY. THE ELECTED DIRECTOR MUST RECEIVE A MAJORITY OF THE VOTES OF THE MEMBERSHIP. ONE MEMBER OF THE GOVERNING BODY IS APPOINTED BY AVERA MCKENNAN. FORM 990, PART VI, SECTION A, LINE 8B THE COMMITTEES BRING RECOMMENDATIONS TO THE BOARD; THE FULL BOARD VOTES ON RECOMMENDATIONS. COMMITTEES DON'T HAVE FULL AUTHORITY TO ACT ON BEHALF OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE CEO/ADMINISTRATOR AND CFO REVIEW THE 990 IN DETAIL. UPON COMPLETION OF THE REVIEW, THE 990 IS PROVIDED TO EACH BOARD MEMBER. THE CEO/ADMINISTRATOR AND CFO PRESENT THE 990 TO THE BOARD OF DIRECTORS AT THE MEETING HELD PRIOR TO ITS FILING IF SO REQUESTED BY ANY BOARD MEMBER. WHETHER PRESENTED IN A BOARD MEETING OR NOT, THE 990 IS NOT FILED UNTIL EACH BOARD MEMBER HAS BEEN GIVEN A COPY OF IT AND GIVEN AMPLE TIME TO REVIEW IT. FORM 990, PART VI, SECTION B, LINE 12C A STATEMENT IS GIVEN TO BOARD MEMBERS, THE CEO/ADMINISTRATOR, AND THE CFO, ASKING FOR ANY POTENTIAL ISSUES THAT COULD GIVE RISE TO A CONFLICT. THEY ARE REQUIRED TO DISCLOSE ANY CONFLICTS AND SIGN OFF ON THE STATEMENT ANNUALLY. THE BOARD DETERMINES AND REVIEWS ANY POSSIBLE CONFLICT OF INTERESTS THAT MAY ARISE. IF ANY CONFLICTS ARISE, THE AFFECTED PERSON(S) MUST REFRAIN FROM DISCUSSION AND VOTING ON ANYTHING DEALING WITH THE ITEM CAUSING CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 CEO - THE REGIONAL MANAGER AT AVERA MCKENNAN HOSPITAL EVALUATES THE CEO/ADMINISTRATOR ANNUALLY AND MEETS WITH THE BOARD OF DIRECTORS FROM HEGG HEALTH CENTER. THE REGIONAL MANAGER RECOMMENDS A SALARY ADJUSTMENT FOR THE CEO/ADMINISTRATOR. THE BOARD OF DIRECTORS IS RESPONSIBLE FOR APPROVAL OF THE SALARY ADJUSTMENT. THE REGIONAL MANAGER USES POLICIES AND PROCEDURES AS SET FORTH BY AVERA MCKENNAN HOSPITAL. THE DELIBERATION AND DECISION IS DOCUMENTED AT AVERA MCKENNAN HOSPITAL AND IN THE BOARD MINUTES. CFO - THE HUMAN RESOURCES DIRECTOR USES THE IHA SURVEY FROM THE PREVIOUS YEAR TO DETERMINE A MINIMUM AND MAXIMUM RANGE FOR MARKET SALARY ADJUSTMENTS. A RECOMMENDATION IS MADE TO THE BOARD. MERIT INCREASES ARE DETERMINED THROUGH A REVIEW PROCESS. THE PROCESS IS COMPLETED ANNUALLY AND IS DOCUMENTED IN THE PERSONNEL FILE. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST WITH THE APPROVAL OF THE BOARD. FORM 990, PART IX, LINE 11G REPAIRS AND MAINTENANCE CONTRACT: PROGRAM SERVICE EXPENSES 274,757. MANAGEMENT AND GENERAL EXPENSES 31,262. FUNDRAISING EXPENSES 5,206. TOTAL EXPENSES 311,225. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,236,007. MANAGEMENT AND GENERAL EXPENSES 495,060. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,731,067. CONSULTING FEES: PROGRAM SERVICE EXPENSES 37,765. MANAGEMENT AND GENERAL EXPENSES 896. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 38,661. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 2,509,194. MANAGEMENT AND GENERAL EXPENSES 344,803. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,853,997. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST IN NET ASSETS OF AVERA HEALTH FOUNDATION 850,387. NET ASSETS RELEASED FROM RESTRICTIONS -16,000. NORTHWEST IOWA DIAGNOSTICS 714 LINCOLN ST NE LE MARS IA 51031 820559254 DIAGNOSTIC RADIOLOGY SD N/A RELATED 1064 0 1 0.12330 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 SCHEDULE R, PART III, LINE 1 HEGG HEALTH CENTER RECEIVED A FINAL K-1 FOR NORTHWEST IOWA DIAGNOSTICS. THE ENTITY DISSOLVED IN FY2023.