2025-10-28T16:14:37-05:00 2024-12-31 450250958 EIDE BAILLY LLP 345 N REID PL STE 400 SIOUX FALLS SD 571037034 990 2024-01-01 460260288 PIONEER MEMORIAL HOSPITAL AND HEALTH SERVICES PION 6053265161 315 N WASHINGTON ST PO BOX 368 VIBORG SD 570700368 ISAAC GERDES CEO 6053265161 2025-10-24 1 1 LAURIE HANSON CPA P00851848 6053391999 2025-10-24 2024 2025-03-06 01:10:19Z ISAAC GERDES 315 N WASHINGTON ST PO BOX 368 VIBORG SD 570700368 14164744 0 X WWW.PIONEERMEMORIAL.ORG X 1959 SD PROMOTION OF HEALTH 9 9 192 200 0 0 2784864 73626 13353217 13605472 260939 450370 41718 35276 16440738 14164744 0 0 0 0 7419718 7773760 0 0 101095 4851497 4974577 12271215 12748337 4169523 1416407 19793954 21167879 1300042 1247878 18493912 19920001 COMMITTED TO HEALTH, HEALING AND COMMUNITY 0 0 4410720 6167544 PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES OPERATES A 12-BED CRITICAL ACCESS HOSPITAL. THE ORGANIZATION PROVIDES HEALTHCARE SERVICES TO VIBORG AND SURROUNDING RURAL COMMUNITIES. DURING THE CURRENT YEAR, THE HOSPITAL HAD 85 ACUTE AND SWING BED ADMISSIONS AND 585 PATIENT DAYS, 779 VISITS TO THE EMERGENCY ROOM AND PERFORMED 51 SURGERIES/SCOPE PROCEDURES. THE HOSPITAL HAD 10,387 OUTPATIENT VISITS DURING THE CURRENT YEAR. 4331917 4596611 PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES OPERATES A 46-BED SKILLED NURSING FACILITY, A 20-UNIT SENIOR HOUSING FACILITY, AND A 10-UNIT ASSISTED LIVING FACILITY. IN THE NURSING HOME, THERE WERE 27 ADMISSIONS AND 14,314 RESIDENT DAYS. THERE WERE 2,499 RESIDENT DAYS IN THE SENIOR HOUSING FACILITY, AND 3,395 RESIDENT DAYS IN THE ASSISTED LIVING FACILITY. 1990187 2841317 PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES OPERATES THREE MEDICARE-CERTIFIED RURAL HEALTH CLINICS LOCATED IN CENTERVILLE, PARKER AND VIBORG, SD. IN THE RURAL HEALTH CLINICS, THERE WERE 11,150 CLINIC VISITS. THE THREE RURAL HEALTH CLINICS ADMINISTERED 142 COVID VACCINATIONS IN FISCAL YEAR 2024. 10732824 1 0 0 1 0 0 0 0 1 1 1 0 0 0 1 1 0 1 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 1 1 0 0 0 1 18 0 1 192 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 1 1 0 0 1 1 0 1 0 0 0 1 1 1 1 1 1 0 1 0 X X ANNE CHRISTIANSEN 6053263004 315 N WASHINGTON ST VIBORG SD 57070 MELANIE PARSONS PRESIDENT 2.00 0.30 X X 0 0 0 PAUL CHRISTENSEN VICE PRESIDENT 1.00 0.30 X X 0 0 0 KIM LARSEN SECRETARY 1.00 0.00 X X 0 0 0 TROY LEE DIRECTOR 1.00 0.00 X 0 0 0 RYAN PENNING DIRECTOR 1.00 0.00 X 0 0 0 CONNIE NYHAUG DIRECTOR FROM 04/2024 1.00 0.00 X 0 0 0 CHRIS PONCELET DIRECTOR 1.00 0.00 X 0 0 0 MELISSA BUCKNEBERG DIRECTOR UNTIL 03/2024 1.00 0.00 X 0 0 0 LUKE SUPRENANT DIRECTOR FROM 04/2024 1.00 0.00 X 0 0 0 LISA STANAGE DIRECTOR 1.00 0.00 X 0 0 0 JOANNE POWELL DIRECTOR UNTIL 03/2024 1.00 0.00 X 0 0 0 ANNE CHRISTIANSEN CFO 45.00 1.00 X 110028 0 16468 LINDSEY HAUGER CEO UNTIL 06/2024 45.00 1.00 X 0 0 0 ISAAC GERDES CEO FROM 07/2024 45.00 1.00 X 0 0 0 GABRIEL JOHNSON DO-FAMILY MEDICINE 45.00 0.00 X 255382 0 39395 KAYLA MEHLHAF CERTIFIED NURSE PRACTITIONER 45.00 0.00 X 147009 0 11878 SHARON JACOBSEN DIRECTOR OF NURSING - HOSPITAL 45.00 0.00 X 120900 0 18593 EMILY BOSTIC PHYSICIAN ASSISTANT 45.00 0.00 X 123164 0 3695 MELODY SHRACK MD-FAMILY MEDICINE 16.00 0.00 X 113813 0 1514 870296 0 91543 8 0 1 0 SANFORD HEALTH NETWORK 1305 W 18TH STREET SIOUX FALLS SD 57117 CEO, IT AND MANAGEMENT SERVICES 564195 CONVERDIA HEALTH STAFFING 301 SHEYENNE ST WEST FARGO ND 58078 TEMP NURSING SERVICES 201249 CROSSMAD HEALTHCARE STAFFING 17002 MARCH ST STE 120 OMAHA NE 68118 TEMP NURSING SERVICES 146147 SOURCE MEDICAL STAFFING LLC 4509 S 143RD SUITE 12-13 OMAHA NE 68137 TEMP NURSING SERVICES 135005 4 73468 158 73626 NET PATIENT SERVICE REVENUE 621110 12924655 12924655 PHARMACY 456110 307339 307339 OTHER REVENUE 900099 210854 210854 CONTRACT REVENUE 900099 162624 162624 13605472 33964 33964 35276 0 35276 35276 35276 416076 330 0 0 416076 330 416406 416406 14164744 13605472 0 485646 X 126770 126770 6412364 5750173 604903 57288 122601 106885 15107 609 642417 552135 87148 3134 469608 398379 68966 2263 288143 288143 72202 72202 641 641 48353 48353 2249450 2091218 154535 3697 15723 3479 12244 590429 450559 120565 19305 276056 210453 65047 556 19136 12533 4604 1999 24146 18410 5736 577243 469970 107273 129957 4121 125836 MEDICAL SUPPLIES 664123 664123 MISCELLANEOUS 18975 3865 15110 12748337 10732824 1914418 101095 2033410 2433479 2694 2300 4070555 4185344 219839 223709 204883 183156 18664440 14009164 4763189 4655276 8361501 9117137 137883 367478 19793954 21167879 1013202 1134397 8645 7438 278195 106043 1300042 1247878 X 18455813 19881745 38099 38256 18493912 19920001 19793954 21167879 1416407 9682 0 X 0 1 X 1 0 X 0 0 0 0 0 1 641 0 0 0 641 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 A PERCENTAGE OF THE DUES THAT WERE USED FOR LOBBYING. 0 1 X 420265 25085 445350 388422 31843 420265 440681 -52259 388422 415394 25287 440681 391581 23813 415394 0.00000 0.61811 0.38189 0 1 1 482015 482015 9706148 7797755 1908393 7870025 5713901 2156124 606252 497508 108744 4655276 SECURITY DEPOSITS 12750 OPEARATING LEASE LIABILITY 93293 106043 X 14177598 9682 3330 13012 14164586 158 158 14164744 12709267 9283 9283 12699984 48353 48353 12748337 PART IV, LINE 2B: THE ORGANIZATION ACTS AS A CUSTODIAN FOR THE FUNDS OF THE RESIDENTS. PART V, LINE 4: THE PRINCIPAL OF THE ENDOWMENT IS PERMANENT AND WILL BE HELD IN PERPETUITY. THE INTEREST INCOME MAY BE USED FOR CURRENT PROJECTS. 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 WERE INCURRED. PART XI, LINE 2D - OTHER ADJUSTMENTS: FOUNDATION INCOME INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS 51,683. INVESTMENT FEE -48,353. PART XI, LINE 4B - OTHER ADJUSTMENTS: DONOR RESTRICTED DONATION 158. PART XII, LINE 2D - OTHER ADJUSTMENTS: FOUNDATION EXPENSES INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS 9,283. 1 1 X 1 X 1 X 1 1 0 1 1 26119 26119 0.00200 26119 26119 0.00200 2399 11197 11197 0.00090 13 132666 4900 127766 0.01000 6383605 4993932 1389673 0.10900 20 19592 7613 11979 0.00090 2432 6547060 5006445 1540615 0.12080 2432 6573179 5006445 1566734 0.12280 11366 7850 3516 0.00030 11366 7850 3516 0.00030 1 396790 47575 2560957 2574298 -13341 X 1 1 1 1 PIONEER MEMORIAL HOSPITAL & HEALTH SERVICE 315 N WASHINGTON ST VIBORG SD 57070 PIONEERMEMORIAL.ORG 48451 X X X 3 PROVIDER-BASED MEDICARE RURAL HEALTH CLINICS PIONEER MEMORIAL HOSPITAL AND HEALTH SER 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X SEE PART V, SECTION B, LINE 7D X X 1 22 1 SEE PART V, SECTION B, LINE 7D 0 1 X 200.000000000000 350.000000000000 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 X 1 X 0 X X X X 1 X 0 0 PIONEER MEMORIAL HOSPITAL AND HEALTH SERVICE PART V, SECTION B, LINE 5: PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES WORKED WITH SANFORD HEALTH TO UTILIZE A PROCESS DEVELOPED IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS WITHIN THE LOCAL COMMUNITY AND ACROSS SOUTH DAKOTA, NORTH DAKOTA, AND MINNESOTA TO DEVELOP A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. A SURVEY WAS SENT TO COMMUNITY STAKEHOLDERS, HEALTH EXPERTS, PUBLIC HEALTH OFFICIALS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. A TOTAL OF 74 RESPONDENTS COMPLETED THE SURVEY. COUNTY HEALTH RANKINGS WERE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. SANFORD HEALTH'S OFFICE OF STRATEGIC PLANNING PROVIDED ANALYSIS TO IDENTIFY THE INITIAL COMMUNITY HEALTH NEEDS LIST. COMMUNITY ASSET MAPPING WAS CONDUCTED TO FIND THE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE IDENTIFIED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT RESOURCES WERE AVAILABLE TO ADDRESS THE NEEDS. ONCE GAPS WERE DETERMINED, THE PRIORITIZATION EXERCISE FOLLOWED WITH KEY STAKEHOLDER GROUPS DETERMINING THE TOP NEEDS. COMMUNITY STAKEHOLDERS WERE INVITED TO ATTEND A PRESENTATION OF THE FINDINGS OF THE CHNA RESEARCH. HOSPITAL LEADERSHIP PROPOSED WHICH SPECIFIC HEALTH NEEDS WOULD BE ADDRESSED WITHIN THE IMPLEMENTATION PLAN, WITH INPUT AND SUPPORT FROM THE COMMUNITY MEMBERS. PIONEER MEMORIAL HOSPITAL AND HEALTH SERVICE PART V, SECTION B, LINE 7D: LINES 7A AND 10A: HTTPS://WWW.PIONEERMEMORIAL.ORG/CUSTOM/COMMUNITY-HEALTH-NEEDS-ASSESSMENT PIONEER MEMORIAL HOSPITAL AND HEALTH SERVICE PART V, SECTION B, LINE 11: IN THE MOST RECENT CHNA CONDUCTED, THE FOLLOWING NEEDS WERE IDENTIFIED: 1. AFFORDABLE HOUSING: 2. TRANSPORTATION3. ACCESS TO HEALTH CARE PROVIDERS 4. HEALTHY LIVINGTHE ORGANIZATION WILL NOT ADDRESS THE FOLLOWING NEEDS IDENTIFIED:AFFORDABLE HOUSING: NOT INCLUDED IN THE IMPLEMENTATION PLAN AS THERE ARE OTHER COMMUNITY ENTITIES BETTER SUITED TO LEAD IN THIS SPACE. INFORMATION FROM THE CHNA SURVEY WAS SHARED WITH COMMUNITY MEMBERS AND LOCAL ORGANIZATIONS AS NEEDED AND AS AFFORDABLE HOUSING SOLUTIONS ARE DISCUSSED. PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES OFFERS FINANCIAL ASSISTANCE FOR HEALTH CARE COSTS FOR THOSE FACING FINANCIAL HARDSHIP.TRANSPORTATION: WHILE IMPORTANT, THIS WAS NOT INCLUDED FOR PRIORITIZATION PLAN AS IT WILL REQUIRE BROAD COMMUNITY PARTNERSHIPS BEYOND THE HEALTH CARE SECTOR. THERE ARE CURRENTLY A FEW LOCAL OPTIONS, WHICH ARE OUTLINED IN THE ASSET MAP UNDER TRANSPORTATION. PIONEER MEMORIAL FACILITATES RIDES TO APPOINTMENTS WHEN NEEDED FOR PATIENTS IF OTHER OPTIONS ARE NOT AVAILABLE AND/OR FEASIBLE.IN THE CURRENT TAX YEAR, THE ORGANIZATION HAS TAKEN THE FOLLOWING ACTIONS TO ADDRESS THE NEEDS IN THE CHNA:ACCESS TO HEALTH CARE PROVIDERS: THE PROJECTED IMPACT IS THE COMMUNITY WILL BE BETTER INFORMED AS TO THE HEALTHCARE RESOURCES AND ACCESSIBILITY TO AVAILABLE HEATH CARE SERVICES. TWO GOALS WERE IDENTIFIED: (1) THE COMMUNITY WILL BECOME MORE AWARE OF PROVIDER AVAILABILITY AND ACCESS TO HEALTH CARE RESOURCES, AND (2) ENSURE CLINIC HOURS AND SPECIALTY AVAILABILITY VIA TELEMEDICINE MEET THE NEEDS OF THE SERVED POPULATION. PROVIDED INFORMATION VIA PRINT AD AND SOCIAL MEDIA ON THE FOLLOWING: - RECOGNIZED OUR PROVIDER STAFF DURING NATIONAL DOCTOR DAY, NATIONAL CERTIFIED NURSE PRACTITIONER WEEK AND NATIONAL PHYSICIAN ASSISTANT WEEK. - WELCOME TO NEW PROVIDER, TORY SCHLAHT, CNP.- INTRODUCTION TO YOUR LOCAL MEDICAL TEAM- AT THE VIBORG CLINIC, YOU CAN SCHEDULE YOUR APPOINTMENT ON SATURDAY MORNINGS FROM 9:00 TO NOON AND OPEN UNTIL 8:00 PM ON MONDAYS. - WELL CHILD EXAMS- TELEMED IS AVAILABLE IN VIBORG.- DRIVE-THRU FLU SHOT CLINICS- INVOLVED THE PROVIDERS WITH COMMUNITY INTERACTION AT LOCAL EVENTS THROUGHOUT THE YEAR. - ADDED TELEMED SERVICES IN 2024 FOR: INFECTIOUS DISEASE, HOSPICE / PALLIATIVE CARE, AND NEPHROLOGY. HEALTHY LIVING: THE PROJECTED IMPACT IS TO INCREASE THE AWARENESS AND AVAILABILITY OF HEALTHY LIVING OPPORTUNITIES IN THE COMMUNITIES. TWO GOALS WERE IDENTIFIED: (1) ADD ADDITIONAL HEALTH PREVENTION SERVICES IN PARKER AND CENTERVILLE WHILE STILL OFFERING AT VIBORG, AND (2) EDUCATE, PROMOTE AND OFFER HEALTHY LIVING OPPORTUNITIES TO AREA COMMUNITIES. - SPONSORED THE DXA WEIGHT LOSS CHALLENGE TO PROMOTE WEIGHT LOSS AND HEALTHY LIFESTYLE. WE HAD 30 PARTICIPANTS. - PROMOTED MOBILE MAMMOGRAPHY SERVICES AT CENTERVILLE MEDICAL CLINIC AND PARKER MEDICAL CLINIC. - SPONSORED THE HEART AND VASCULAR SCREENING AT PIONEER MEMORIAL HOSPITAL ON FEBRUARY 1, 2024 AND ON JULY 18, 2024. - SPRING FLING EVENT ON APRIL 9, 2024: OFFERED COMPREHENSIVE METABOLIC PANEL (CMP) AND LIPID PANEL AT A REDUCED COST. - DANISH DAYS OPEN HOUSE ON JULY 18, 2024: KIDS ACTIVITIES INCLUDED MAKING FIRST AID KITS AND BLOOD PRESSURE CHECKS- SPONSORED HEALTH FAIR ON 10/14/2024: FREE BLOOD PRESSURE CHECKS, FLU SHOTS, VISION SCREENING, SKIN CANCER SCREENING, BUILD A FIRST AID KIT, CPR DEMONSTRATION, MEDICARE 101 EDUCATION, AND LAB TEST SPECIALS (CMP AND LIPID PANEL). - PARTICIPATED ON THE COMMUNITY COMMITTEE TO BE CERTIFIED IN THE SOUTH DAKOTA CARDIAC READY COMMUNITIES PROGRAM. - SPONSORED HEARTSAVER TRAINING ON FEBRUARY 2, 2024.- HOSTED BLOOD DRIVES (SPRING AND FALL)- PROVIDED EDUCATION VIA PRINT AND SOCIAL MEDIA ON THE FOLLOWING: AWARENESS FOR CERVICAL CANCER, COLORECTAL CANCER, LUNG CANCER, BREAST CANCER, HEART HEALTH, INFECTION PREVENTION, GLAUCOMA, PARKINSON'S,AND MENTAL HEALTH- SCREENINGS FOR: HEART AND VASCULAR; LUNG, AND SKIN CANCER- CPR AND AED AWARENESS- HEART HEALTHY AT ANY AGE- VIBORG-HURLEY ELEMENTARY BIKE TO SCHOOL DAY- WELL-CHILD EXAMS- IMMUNIZATIONS AND VACCINATIONS- HALLOWEEN SAFETY TIPS- HEALTHY AGING- SUICIDE PREVENTION- CHOLESTEROL EDUCATION PIONEER MEMORIAL HOSPITAL AND HEALTH SERVICE PART V, SECTION B, LINE 13B: FINANCIAL ASSISTANCE IS PROVIDED UP TO 100% FOR INDIVIDUALS WHO ARE AT 200% OR BELOW THE FEDERAL POVERTY GUIDELINES, AND A SLIDING SCALE DISCOUNT IS OFFERED TO INDIVIDUALS FROM 201% UP TO 350% OF THE FEDERAL POVERTY GUIDELINES. THE DETERMINATION OF FINANCIAL ASSISTANCE IS BASED ON THE FEDERAL POVERTY GUIDELINES, BUT WE ALSO TAKE INTO CONSIDERATION OTHER FACTORS SUCH AS SERIOUS ILLNESS, LOSS OF EMPLOYMENT, INSURANCE COVERAGE AND OTHER EXTENUATING CIRCUMSTANCES IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE OR DISCOUNTED CARE. PIONEER MEMORIAL HOSPITAL AND HEALTH SERVICE PART V, SECTION B, LINE 16J: PART V, SECTION B, LINE 16A-C: THE FINANCIAL ASSISTANCE POLICY, APPLICATION, AND PLAIN LANGUAGE SUMMARY ARE POSTED AT HTTPS://WWW.PIONEERMEMORIAL.ORG/CUSTOM/FINANCIAL-ASSISTANCEPART V, SECTION B, LINE 16J: SIGNS ARE POSTED IN THE ADMISSIONS OFFICES AND EMERGENCY ROOM THAT DISCOUNTED FEES ARE AVAILABLE FOR PATIENTS MEETING THE CRITERIA, AND PATIENTS ARE ENCOURAGED TO CONTACT PATIENT FINANCIAL SERVICES TO DISCUSS THEIR CHARGES. PATIENTS ARE INFORMED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE ON THE BILLING STATEMENT AND ARE GIVEN THE TELEPHONE NUMBER TO CONTACT PATIENT FINANCIAL SERVICES WITH QUESTIONS OR TO INQUIRE ABOUT FINANCIAL ASSISTANCE. INFORMATION ON FINANCIAL ASSISTANCE IS PROVIDED TO PATIENTS IN THE REMINDER LETTERS AND COLLECTION LETTERS SENT TO PATIENTS WITH DELINQUENT BALANCES. PATIENT FINANCIAL SERVICES VISIT WITH INPATIENTS THAT ARE ADMITTED TO THE HOSPITAL WITH NO INSURANCE TO DISCUSS PAYMENT OPTIONS AND THE AVAILABILITY OF FINANCIAL ASSISTANCE. PIONEER MEMORIAL HOSPITAL AND HEALTH SERVICE PART V, SECTION B, LINE 20E: STATEMENT FOR PART V, SECTION B, LINE 20D REGARDING PRESUMPTIVE ELIBIGILITY DETERMINATIONS: ONCE A FINANCIAL ASSISTANCE APPLICATION IS COMPLETED AND APPROVED, IT WILL REMAIN IN EFFECT FOR SIX MONTHS FROM THE DATE OF APPROVAL. SERVICES PROVIDED DURING THE SIX MONTH PERIOD WILL BE ELIGIBLE FOR FINANCIAL ASSISTANCE AS DETERMINED DURING THE APPLICATION APPROVAL PROCESS.STATEMENT FOR PART V, SECTION B, LINE 20E - NOT APPLICABLE. PIONEER MEMORIAL HOSPITAL AND HEALTH SERVICE 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. 4 1 - PIONEER MEMORIAL NURSING HOME 315 N WASHINGTON ST VIBORG SD 57070 SKILLED NURSING 2 - PIONEER INN 315 N WASHINGTON ST VIBORG SD 57070 ASSISTED LIVING 3 - PIONEER VILLA 315 N WASHINGTON ST VIBORG SD 57070 CONGREGATE HOUSING 4 - TURNER COUNTY PUBLIC HEALTH 315 N WASHINGTON ST VIBORG SD 57070 COMMUNITY PUBLIC HEALTH PART I, LINE 3C: FINANCIAL ASSISTANCE IS PROVIDED UP TO 100% FOR INDIVIDUALS WHO ARE AT 200% OR BELOW THE FEDERAL POVERTY GUIDELINES AND A SLIDING SCALE DISCOUNT IS OFFERED TO INDIVIDUALS FROM 201% UP TO 350% OF THE FEDERAL POVERTY GUIDELINES. THE DETERMINATION OF FINANCIAL ASSISTANCE IS BASED ON THE FEDERAL POVERTY GUIDELINES, BUT WE ALSO TAKE INTO CONSIDERATION OTHER FACTORS SUCH AS SERIOUS ILLNESS, LOSS OF EMPLOYMENT, INSURANCE COVERAGE AND OTHER EXTENUATING CIRCUMSTANCES IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE OR DISCOUNTED CARE.PART I, LINE 6B:THE ORGANIZATION'S COMMUNITY BENEFIT REPORT CAN BE FOUND ON ITS WEBSITE AT HTTPS://WWW.PIONEERMEMORIAL.ORG/CUSTOM/COMMUNITY-HEALTH-NEEDS-ASSESSMENT PART I, LINE 7: CHARITY CARE (LINE A) WAS CALCULATED USING THE OVERALL COST TO CHARGE RATIO ADDRESSING ALL PATIENT SEGMENTS. COMMUNITY HEALTH IMPROVEMENT SERVICES (LINE E), HEALTH PROFESSIONS EDUCATION (LINE F) AND CASH AND IN-KIND CONTRIBUTIONS (LINE I) ARE BASED ON ACTUAL PROGRAM EXPENSES RECORDED IN THE GENERAL LEDGER. SUBSIDIZED HEALTH SERVICES(LINE G) IS REPORTED USING THE MEDICARE COST REPORTS. PART II, COMMUNITY BUILDING ACTIVITIES: PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES (PMHHS) PROVIDES FOR THE HEALTH AND SAFETY OF THE COMMUNITIES WE SERVE THROUGH FINANCIAL AND IN-KIND CONTRIBUTIONS TO THE LOCAL VOLUNTEER FIRE DEPARTMENTS, AMBULANCES AND FIRST RESPONDERS, SENIOR CITIZENS CENTERS, FOOD PANTRIES, DOMESTIC VIOLENCE SHELTERS, COMMUNITY AND SCHOOL EVENTS AND OTHER COMMUNITY ORGANIZATIONS THAT SERVE THE BETTERMENT OF THE COMMUNITIES WE SERVE. PMHHS IS ACTIVELY INVOLVED WITH THE TURNER COUNTY DISASTER PREPAREDNESS AND TURNER COUNTY CHILD PROTECTION TEAM. THE DESCRIBED ACTIVITY FURTHERS HEALTH IN THE COMMUNITY AS THE SUPPORT TO THESE ORGANIZATIONS PROVIDE SAFETY AND HEALTH SUPPORT TO INDIVIDUALS IN THE COMMUNITY. 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 AND RESIDENTS. PART III, LINE 3: THE METHODOLOGY USED WAS A PERCENTAGE OF DEMOGRAPHICS BELOW POVERTY LEVEL. THE POPULATION AND POVERTY RATES WERE OBTAINED FOR EACH OF THE COMMUNITIES IN OUR SERVICE AREA. THE PERCENTAGE OF POPULATION BY COMMUNITY TO THE TOTAL SERVICE AREA WAS CALCULATED, AND THIS PERCENTAGE WAS APPLIED TO THE COMMUNITY'S POVERTY RATE. THE AVERAGE WEIGHTED POVERTY RATE BY EACH COMMUNITY WAS TOTALED TO CALCULATE THE TOTAL AVERAGE WEIGHTED POVERTY RATE FOR OUR SERVICE AREA. THIS AVERAGE WEIGHTED POVERTY RATE WAS APPLIED TO THE AMOUNT OF THE BAD DEBT EXPENSE. PART III, LINE 4: THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES IMPLICIT PRICE CONCESSION IS LOCATED IN THE AUDITED FINANCIAL STATEMENT REPORT ON PAGES 10-11. PART III, LINE 8: PIONEER MEMORIAL HOSPITAL AND HEALTH SERVICES PROVIDES SERVICES TO PATIENTS UNDER THE MEDICARE PROGRAM KNOWING THEY WILL NOT RECEIVE ALL THE COSTS ASSOCIATED WITH PROVIDING THESE SERVICES. PROVIDING THESE SERVICES IS ESSENTIAL TO THESE PATIENTS AND THE COMMUNITY AND INCREASES THEIR ACCESS TO HEALTHCARE SERVICES. IN THE EVENT MEDICARE PRODUCES A SHORTFALL, IT IS CONSIDERED A COMMUNITY BENEFIT.MEDICARE ALLOWABLE COSTS OF CARE ARE BASED ON THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY 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 $46,830.MEDICARE FEE SCHEDULE REVENUE: $54,554MEDICARE ESTIMATED COSTS OF CARE RELATING TO PAYMENTS $(101,385)NET (SHORTAGE) $(46,930) PART III, LINE 9B: PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES (PMHHS) IS COMMITTED TO PROVIDING FINANCIAL ASSISTANCE TO THOSE PATIENTS DEMONSTRATING AN INABILITY TO PAY FOR THE MEDICAL SERVICES PROVIDED. PMHHS WILL NOTIFY PATIENTS OF THEIR BALANCES BY BILLING STATEMENTS WHICH ARE MAILED APPROXIMATELY EVERY 28 DAYS FROM THE DATE THE ACCOUNT IS CONSIDERED SELF-PAY. THE BILLING STATEMENT PROVIDES INFORMATION REGARDING AVAILABILITY OF FINANCIAL ASSISTANCE. PMHHS WILL MAKE REASONABLE EFFORTS TO DETERMINE IF PATIENTS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. IF THE PATIENT/GUARANTOR HAS PROVIDED AN ACCURATE MAILING ADDRESS TO PMHHS, THE PATIENT/GUARANTOR WILL BE PROVIDED A MINIMUM OF 4 BILLING STATEMENTS BEFORE AN UNPAID SELF-PAY BALANCE WOULD BE ASSIGNED TO AN OUTSIDE COLLECTION VENDOR. IF THE PATIENT HAS FAILED TO PROVIDE A CORRECT OR DELIVERABLE MAILING ADDRESS, THEN THEIR BALANCES MAY BE ASSIGNED TO A THIRD PARTY COLLECTION VENDOR PRIOR TO 4 STATEMENTS BEING PROVIDED. IF PMHHS IS REASONABLY ABLE TO DETERMINE THAT A PATIENT IS UNABLE TO PAY THEIR MEDICAL BILL, PMHHS MAY GRANT FINANCIAL ASSISTANT PRIOR TO THE 4 STATEMENTS BEING PROVIDED. NEITHER PMHHS NOR ANY OF ITS THIRD PARTY COLLECTION VENDORS WILL TAKE ANY EXTRAORDINARY COLLECTION EFFORTS UNTIL PMHHS AND THE THIRD PARTY COLLECTION VENDOR HAVE MADE REASONABLE EFFORTS TO DETERMINE IF A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE PMHHS FINANCIAL ASSISTANCE POLICY. PMHHS DICTATES THAT ITS THIRD PARTY COLLECTION VENDORS CANNOT TAKE EXTRAORDINARY COLLECTION ACTIVITIES UNTIL A BALANCE IS AT LEAST 241 DAYS PAST THE FIRST SELF-PAY STATEMENT DATE PROVIDED TO THE PATIENT/GUARANTOR. THIS IS TO ENSURE THAT BOTH PMHHS AND ITS THIRD PARTY COLLECTION VENDORS ARE TAKING ANY AND ALL NECESSARY STEPS TO NOTIFY PATIENTS OF ITS FINANCIAL ASSISTANCE POLICY AND ALLOWING THE APPROPRIATE TIME FOR A PATIENT/GUARANTOR TO FILL OUT A FINANCIAL ASSISTANCE APPLICATION. IF A PATIENT/GUARANTOR FILLS OUT A COMPLETED FINANCIAL ASSISTANCE APPLICATION, PMHHS WILL NOTIFY THE THIRD PARTY COLLECTION VENDOR TO SUSPEND ALL EXTRAORDINARY COLLECTION ACTIVITIES APPENDING THE OUTCOME OF THE FINANCIAL ASSISTANCE DETERMINATION. IF REQUIRED BY REGULATION OR LAW AND THE PATIENT HAS FILLED OUT A FINANCIAL ASSISTANCE APPLICATION PRIOR TO 240 DAYS FROM THE FIRST SELF-PAY STATEMENT DATE, THEN THE THIRD PARTY COLLECTION VENDOR WILL TAKE STEPS TO REVERSE EXTRAORDINARY COLLECTION EFFORT FOR ANY PATIENT THAT QUALIFIES FOR FINANCIAL ASSISTANCE. PART VI, LINE 2: PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES (PMH&HS) ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES AS PART OF ITS ANNUAL STRATEGIC PLANNING PROCESS. INFORMATION IS ALSO OBTAINED THROUGHOUT THE YEAR FROM THE SATISFACTION SURVEYS COMPLETED BY PATIENTS OF THE HOSPITAL AND CLINICS AND THE RESIDENTS IN THE NURSING HOME IN ACCESSING HEALTH CARE NEEDS. PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES BASED OUT OF VIBORG, SD WORKED IN PARTNERSHIP WITH SANFORD HEALTH TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT IN 2022, AND THE PMH&HS BOARD OF DIRECTORS APPROVED THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT AND THE COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION STRATEGY 2023-2025 ON OCTOBER 27,2022. THE ASSESSMENT TARGETED THE SURROUNDING COMMUNITY, CONSIDERING THE NEEDS OF INDIVIDUALS AND HOUSEHOLDS WITHIN THE DEFINED RESEARCH AREA INCLUDING ADJACENT RURAL COMMUNITIES SUCH AS CENTERVILLE, DAVIS, HURLEY, PARKER, IRENE AND WAKONDA, AMONG OTHERS. AN IMPLEMENTATION STRATEGY WAS DEVELOPED THAT IDENTIFIES THE NEED AREAS AND THEIR RESPECTIVE GOALS AND ACTIVITIES THAT PMH&HS AIMS TO ACHIEVE IN THE COMING THREE-YEAR PERIOD. PART VI, LINE 3: PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES (1) POSTS CONTACT INFORMATION IN ADMISSIONS, EMERGENCY ROOM, AND OTHER AREAS OF THE ORGANIZATION FOR CONCERNS WITH CHARGES; (2) INCLUDES FINANCIAL ASSISTANT CONTACT INFORMATION ON PATIENT STATEMENTS AND COLLECTION LETTERS; (3) CONTACTS EMERGENCY ROOM PATIENTS WITH NO INSURANCE AND DISCUSSES PAYMENT OPTIONS AND FINANCIAL ASSISTANCE; (4) CONTACTS PATIENTS WITH NO INSURANCE WHO ARE SCHEDULED FOR PROCEDURES AND DISCUSSES PAYMENT OPTIONS AND FINANCIAL ASSISTANCE; (5) DISCUSSES WITH THE PATIENT THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, AND ASSISTS THE PATIENT WITH QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE. PART VI, LINE 4: PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES SERVES THE RURAL COMMUNITIES OF VIBORG, CENTERVILLE, DAVIS, HURLEY, IRENE, PARKER AND WAKONDA. PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES IS A CRITICAL ACCESS HOSPITAL AND IS THE ONLY HOSPITAL LOCATED IN TURNER COUNTY. THERE ARE TWO TERTIARY HOSPITALS AND ONE HEART HOSPITAL LOCATED IN THE SIOUX FALLS METROPOLITAN AREA (45 MILES AWAY), AND ONE HOSPITAL LOCATED IN YANKTON (35 MILES AWAY). TURNER COUNTY IS A HEALTHCARE PROFESSIONAL SHORTAGE AREA. THE UNINSURED, MEDICAID AND MEDICARE PATIENTS REPRESENT RESPECTIVELY, 2%, 6% AND 60% OF TOTAL HOSPITAL PATIENTS.COMMUNITY POPULATION AVERAGE INCOME AVG HOUSEHOLD SIZE VIBORG 1,380 $ 59,444 2.30 CENTERVILLE 1,558 $ 77,383 2.4 DAVIS 226 $ 74,594 2.2 HURLEY 816 $ 81,563 2.4 IRENE 885 $ 67,857 2.3 PARKER 2,110 $ 92,708 2.7 WAKONDA 610 $ 70,893 2.2 PART VI, LINE 5: PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES OPERATES AN EMERGENCY ROOM THAT IS AVAILABLE TO ALL REGARDLESS OF ABILITY TO PAY.THE DIRECTOR OF SAFETY AT PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES IS A MEMBER OF THE TURNER COUNTY DISASTER PREPAREDNESS TEAM. THE TEAM HAS ALSO BEEN INVOLVED WITH STATEWIDE DRILLS FOR DIFFERENT DISASTER SCENARIOS (I.E. TORNADO, PANDEMIC OUTBREAK) SO THE HOSPITAL IS PREPARED TO RESPOND IF AN ACTUAL EVENT WERE TO OCCUR. THE PUBLIC HEALTH NURSE IS A MEMBER OF THE TURNER COUNTY CHILD PROTECTION TEAM AND IS TRAINED TO STEP INTO A SITUATION INVOLVING THE WELFARE OF A CHILD IF THE NEED SHOULD ARISE.THE GOVERNING BOARD OF PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES IS COMPRISED OF PERSONS WHO RESIDE IN THE PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE FACILITY HAS AN OPEN MEDICAL STAFF. THE USE OF SURPLUS FUNDS IS RE-INVESTED IN CAPITAL AND PLANT AND ALSO ALLOCATED FOR IMPROVING PATIENT CARE. X 0 0 0 0 0 1 0 0 0 GABRIEL JOHNSON DO-FAMILY MEDICINE 255263 0 0 0 119 0 8172 0 31495 0 295049 0 0 0 KAYLA MEHLHAF CERTIFIED NURSE PRACTITIONER 146951 0 0 0 58 0 4621 0 7530 0 159160 0 0 0 PART I, LINE 6 THE COMPENSATION PACKAGE FOR PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES INCLUDES A 0%-1% ONE-TIME BONUS BASED ON NET INCOME OF THE ORGANIZATION. ALL EMPLOYEES ARE ELIGIBLE FOR THE ONE-TIME BONUS EXCEPT THE CONTRACTED EMPLOYEES. SCHEDULE J, PART I, LINE 3: THE ORGANIZATION RELIES ON SANFORD HEALTH NETWORK, AN UNRELATED MANAGEMENT COMPANY, TO DETERMINE THE COMPENSATION PAID TO THE CEO. THE ORGANIZATION'S BOARD OF DIRECTORS APPROVES THE CONTRACT WITH SANFORD HEALTH NETWORK. COMPENSATION FOR LINDSEY HAUGER, CEO UNTIL 06/28/2024 AND ISAAC GERDES, CEO ARE REFLECTED AS PART OF THE MANAGEMENT FEE IN FORM 990, PART VII SECTION B FOR SERVICES RENDERED TO THE FILING ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 1A THE ORGANIZATION HAS AN EXECUTIVE COMMITTEE WHICH CONSISTS OF THE PRESIDENT, VICE PRESIDENT, AND SECRETARY. THE EXECUTIVE COMMITTEE HAS THE AUTHORITY TO TRANSACT ALL REGULAR BUSINESS OF THE ORGANIZATION DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD OF DIRECTORS, SUBJECT TO ANY PRIOR LIMITATION IMPOSED BY THE BOARD OF DIRECTORS AND WITH THE UNDERSTANDING THAT ALL MATTERS OF MAJOR IMPORTANCE WILL BE REFERRED TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 2 TROY LEE AND ANNE CHRISTIANSEN HAVE A BUSINESS RELATIONSHIP. MELANIE PARSONS AND PAUL CHRISTENSEN HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 3 MANAGEMENT SERVICES ARE PROVIDED TO THE ORGANIZATION BY SANFORD HEALTH NETWORK UNDER A MANAGEMENT SERVICES AGREEMENT. LINDSEY HAUGER WAS THE CEO THROUGH JUNE, 2024. SANFORD HEALTH NETWORK PAID LINDSEY HAUGER $92,843 IN COMPENSATION AND $21,920 IN BENEFITS. ISSAC GERDES BECAME THE CEO BEGINNING JULY, 2024. SANFORD HEALTH NETWORK PAID ISAAC GERDES $102,670 IN COMPENSATION AND $14,412 IN BENEFITS. THE CEO IS RESPONSIBLE FOR LOCAL PLANNING AND MANAGEMENT OF ALL ACTIVITIES IN THE ORGANIZATION, CARRYING OUT THE MISSION AND GOALS OF THE FACILITY AND ENSURING THE HIGHEST POSSIBLE HEALTH STATUS OF THE COMMUNITY WITHIN THE LIMITS OF AVAILABLE RESOURCES. THE BASIC MANAGEMENT FUNCTIONS OF THE POSITION INCLUDE PLANNING, ORGANIZING, MANAGING HUMAN AND FINANCIAL RESOURCES, DIRECTING STAFF AND CONTROLLING THE OPERATIONS. FORM 990, PART VI, SECTION A, LINE 6 MEMBERSHIP CERTIFICATES SHALL BE GIVEN TO EACH PERSON CONTRIBUTING TO THE ORGANIZATION, SUBJECT HOWEVER TO THE CONDITION THAT SUCH CONTRIBUTIONS SHALL BE NOT LESS THAN THE SUM OF $100. FORM 990, PART VI, SECTION A, LINE 7A ALL MEMBERS SHALL BE PRIVILEGED TO ATTEND AND PARTICIPATE IN ALL SESSIONS OF THE ANNUAL OR SPECIAL MEETINGS OF THE CORPORATION AND SHALL BE ELIGIBLE TO SERVE AS A DIRECTOR OR OFFICER, EXCEPT WHERE SPECIFICALLY PROHIBITED BY LAW. THEY ARE INVITED TO ANNUAL MEETINGS AND SPECIAL MEETINGS. AT SUCH MEETINGS, EACH MEMBER SHALL BE ENTITLED TO CAST ONE VOTE. MEMBERS DO ELECT THE BOARD OF DIRECTORS - NOMINATED BY THE NOMINATING COMMITTEE. MOTION IS PASSED BY THE MEMBERS AT THE ANNUAL MEETING TO ELECT BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DID NOT HAVE ANY MEETINGS HELD BY THE EXECUTIVE COMMITTEE DURING THE YEAR. FORM 990, PART VI, SECTION B, LINE 11B THE DRAFT FORM 990 WILL BE REVIEWED BY THE CFO. IT WILL BE MAILED OR E-MAILED OUT TO THE BOARD OF DIRECTORS FOR A PERIOD OF TIME DURING WHICH IT WILL BE OPEN FOR COMMENT PRIOR TO FINALIZING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND OFFICERS COMPLETE AN ANNUAL CONFLICT OF INTEREST FORM AT EITHER THE APRIL OR MAY BOARD MEETING. THE FORM IS REVIEWED INITIALLY BY THE CEO, AND ANY ACTUAL CONFLICTS ARE REVIEWED BY THE BOARD OF DIRECTORS. CONFLICT OF INTEREST IS ENFORCED AT EVERY MEETING. BOARD MEMBERS WILL REFRAIN FROM VOTING IF A CONFLICT OF INTEREST IS PRESENT. FORM 990, PART VI, SECTION B, LINE 15B 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 AND ALSO CONTACTS SANFORD FOR COMPENSATION COMPARISON WITH LIKE-SIZED FACILITIES AND RESPONSIBILITIES. SALARY INCREASES ARE PRESENTED TO THE BOARD OF DIRECTORS AS PART OF THE BUDGET APPROVAL PROCESS. THIS PROCESS WAS LAST UNDERTAKEN IN THE CURRENT YEAR. FORM 990, PART VI, SECTION C, LINE 19 THE CONFLICT OF INTEREST POLICY, GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 18,060. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,060. SERVICE CONTRACTS: PROGRAM SERVICE EXPENSES 615,340. MANAGEMENT AND GENERAL EXPENSES 93,021. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 708,361. QUALITY CONTROL: PROGRAM SERVICE EXPENSES 6,653. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,653. PURCHASED STAFFING SERVICES: PROGRAM SERVICE EXPENSES 863,909. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 863,909. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 58,013. MANAGEMENT AND GENERAL EXPENSES 47,594. FUNDRAISING EXPENSES 3,697. TOTAL EXPENSES 109,304. OUTSIDE MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 277,639. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 277,639. PURCHASED SERVICES - SANDFORD HEALTH: PROGRAM SERVICE EXPENSES 251,604. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 251,604. COLLECTION AGENCY: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 13,920. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,920. PIONEER MEMORIAL FOUNDATION 315 NORTH WASHINGTON STREET VIBORG SD 57070 261832061 FUNDRAISING SD 501(C)(3) LINE 7 PIONEER MEMORIAL HOSPITAL AND HEALTH SERVICES 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0