2025-11-12T10:44:59-06:00 2024-12-31 460403496 CASEY PETERSON LTD 909 ST JOSEPH ST STE 101 RAPID CITY SD 57701 990 2024-01-01 432040599 BENNETT COUNTY HOSPITAL AND NURSING HOME BENN 6056856622 PO BOX 70 MARTIN SD 575510070 SHANDEL ANSON CEO 6056856622 2025-11-11 1 1 KAYLA GIESEY CPA P01874520 6053481930 2025-11-12 2024 2025-03-06 01:10:19Z BENNETT COUNTY HOSPITAL SHANDEL ANSON PO BOX 70 MARTIN SD 575510070 12588292 0 X WWW.BENNETTCOUNTYHOSPITAL.COM X 2004 SD PROVIDE HEALTHCARE SERVICES 5 4 90 5 0 0 422976 743031 12270043 11741640 45398 22710 18180 45161 12756597 12552542 0 0 0 0 6230488 5071292 0 0 90 7790475 7531142 14020963 12602434 -1264366 -49892 9016358 9155708 712459 974732 8303899 8180976 CARING PEOPLE WORKING TOGETHER, AS A TEAM, TO PROVIDE QUALITY HEALTHCARE AND EDUCATION FOR A HEALTHIER COMMUNITY. 0 0 10885363 11741640 BENNETT COUNTY HOSPITAL IS A CRITICAL ACCESS HOSPITAL AND CLINIC LOCATED IN MARTIN, SD. THE ORGANIZATION IS THE ONLY HOSPITAL IN THE COUNTY SERVING APPROXIMATELY 3,400 RESIDENTS. BENNETT COUNTY IS LOCATED BETWEEN INDIAN RESERVATIONS IN A VERY RURAL AREA. BENNETT COUNTY HOSPITAL HAS 14 HOSPITAL BEDS AND 3 ER BEDS. DURING 2024, THE HOSPITAL WING HAD 147 PATIENT BED DAYS AND 888 SWING BED DAYS; THE CLINIC HAD 3,832 CLINIC VISITS. 10885363 1 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 40 0 1 90 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 4 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X X THE ORGANIZATION 6056856622 102 MAJOR ALLEN P O BOX 70D MARTIN SD 57551 DAVID JONES PRESIDENT 0.50 X X 0 0 0 BRAD OTTE VICE PRESIDENT 0.50 X X 0 0 0 DALE MCDONNELL SECRETARY/TREASURER 0.50 X X 0 0 0 JEFF JOHNSON BOARD MEMBER 0.50 X 0 0 0 JASON FANNING BOARD MEMBER 0.50 X 0 0 0 MICHAEL CHRISTENSEN FORMER CEO - TERMED FEB 2024 40.00 X 36477 0 3839 SHANDEL ANSON CEO - BEGINNING MARCH 2024 40.00 X 107526 0 19258 KASEY HANSON PROVIDER 40.00 X 180056 0 0 JAMES AWUAH PROVIDER 49.00 X 283425 0 22564 BRADY HICKS PROVIDER 44.00 X 168180 0 9359 AMY HENDRIX DIRECTOR OF NURSING 40.00 X 150913 0 18374 DESIREE MORELAND PHARMACY MANAGER 32.00 X 113571 0 27153 1040148 0 100547 10 0 1 0 LACREEK DEVELOPMENT CORPORATION 21617 US-18 MARTIN SD 57551 CONSTRUCTION SERVICES 643289 MEDICAL SOLUTIONS PO BOX 850737 MINNEAPOLIS MN 55485 CONTRACT STAFFING 371122 PSYCHIATRIC MEDICAL CARE 8 CADILLAC DRIVE 230 BRENTWOOD TN 37027 SENIOR LIFE SOLUTIONS SERVICES 283500 CASEY PETERSON LTD 909 ST JOSEPH ST STE 101 RAPID CITY SD 57701 ACCOUNTING SERVICES 232847 GOLDEN WEST TECHNOLOGIES 2727 N PLAZA DR RAPID CITY SD 57702 IT SERVICES 218689 11 724702 18329 743031 PATIENT SERVICE REVENUE 621400 11733007 11733007 HEALTH FAIR REVENUE 621400 3950 3950 OTHER REVENUE 621400 2393 2393 CAFETERIA 621400 2290 2290 11741640 35376 35376 9000 9108 -108 -108 -108 13976 192 26450 -192 -12474 -12666 -12666 MISCELLANEOUS REVENUE 900099 45269 45269 45269 12552542 11741640 0 67871 X 167101 167101 4102042 3562469 539573 120470 106100 14370 247928 222368 25560 433751 363921 69830 6951 6951 218997 218997 5055 5055 2732179 2646227 85952 90898 89850 958 90 123287 54277 69010 17893 17893 135787 118945 16842 43660 42033 1627 5906 5307 599 916 865 51 708837 620918 87919 178805 156627 22178 BAD DEBT EXPENSE 1719164 1719164 HOSPITAL SUPPLIES 854581 827670 26911 EQUIPMENT AND VEHICLE E 665066 325462 339604 DIETARY SUPPLIES 23160 23160 12602434 10885363 1716981 90 1126378 886585 221798 215310 639119 387979 1425645 2002519 279870 244218 134800 108026 10776765 5979882 4684879 4796883 503869 514188 9016358 9155708 684777 954669 2910 2195 24772 17868 712459 974732 X 8262111 8147675 41788 33301 8303899 8180976 9016358 9155708 -49892 -7047 -65984 0 X X 0 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 142400 142400 2066737 1189295 877442 6880671 4790587 2090084 1686957 1686957 4796883 PART IV, LINE 2B: AS OF 12.31.2024, THE CUSTODIAL LIABILITY ACCOUNT REFLECTS AMOUNTS HELD BY THE HOSPITAL FOR EMPLOYEE-FUNDED ACTIVITIES. AS OF 12.31.2023, THE LIABILITY ACCOUNT REFLECTED AMOUNTS HELD BY THE HOSPITAL FOR NURSING HOME RESIDENTS TO USE FOR PERSONAL EXPENSES AND AMOUNTS HELD BY THE HOSPITAL FOR EMPLOYEE-FUNDED ACTIVITIES. 1 1 X 1 X 1 X 1 1 1 0 0 50174 50174 0.00460 4146921 2709395 1437526 0.13210 4197095 2709395 1487700 0.13670 4197095 2709395 1487700 0.13670 83039 83039 0.00760 83039 83039 0.00760 1 1719164 548413 5129452 5223210 -93758 X 1 1 1 1 BENNETT COUNTY HOSPITAL 102 MAJOR ALLEN MARTIN SD 57551 WWW.BENNETTCOUNTYHOSPITAL.COM X X X BENNETT COUNTY HOSPITAL 1 0 0 1 X X X X X X X X X 24 1 0 0 1 X HTTPS://BENNETTCOUNTYHOSPITAL.COM/RESOURCES/ X X 1 24 0 1 0 1 X 200.000000000000 300.000000000000 X X X X X 1 1 X X X 1 X HTTPS://BENNETTCOUNTYHOSPITAL.COM/RESOURCES/ X HTTPS://BENNETTCOUNTYHOSPITAL.COM/RESOURCES/ X HTTPS://BENNETTCOUNTYHOSPITAL.COM/RESOURCES/ X X X X X 1 X 0 X X X X 1 X 0 0 BENNETT COUNTY HOSPITAL PART V, SECTION B, LINE 5: BENNETT COUNTY HOSPITAL TOOK INTO ACCOUNT INPUT FROM A BROAD RANGE OF INDIVIDUALS REPRESENTING THE COMMUNITY THROUGH A STRUCTURED, MULTI-PHASE CHNA PROCESS CONDUCTED IN 2024. COMMUNITY ENGAGEMENT OCCURRED THROUGH BOTH QUANTITATIVE AND QUALITATIVE METHODS, INCLUDING SURVEYS, TOWN HALL MEETINGS, AND COLLABORATION WITH LOCAL HEALTHCARE, GOVERNMENT, AND TRIBAL ORGANIZATIONS.COMMUNITY INPUT WAS GATHERED THROUGH AN ONLINE PERCEPTION SURVEY AND A FACILITATED TOWN HALL CHNA MEETING WHERE PARTICIPANTS DISCUSSED AND PRIORITIZED HEALTH NEEDS. THE TOWN HALL INCLUDED 12 ATTENDEES REPRESENTING A CROSS-SECTION OF COMMUNITY STAKEHOLDERS, WHO COLLECTIVELY CAST 60 TOTAL VOTES TO IDENTIFY TOP HEALTH PRIORITIES. THESE INCLUDED THE NEED FOR A NEW HOSPITAL FACILITY, LONG-TERM CARE SERVICES, PROVIDER SHORTAGES, AND BEHAVIORAL HEALTH CONCERNS SUCH AS SUBSTANCE ABUSE AND MENTAL HEALTH ACCESS.IN ADDITION TO RESIDENTS, THE HOSPITAL CONSULTED A VARIETY OF COMMUNITY REPRESENTATIVES AND PARTNER ORGANIZATIONS WHO POSSESS EXPERTISE IN HEALTHCARE DELIVERY, PUBLIC HEALTH, AND EMERGENCY SERVICES. THESE INCLUDED: - HORIZON HEALTH CARE, THE LOCAL FEDERALLY QUALIFIED HEALTH CENTER (FQHC) - LACREEK HEALTH CLINIC INDIAN HEALTH SERVICE (IHS) - ALL EMERGENCY PROVIDERS AT BENNETT COUNTY HOSPITAL - EMT AND AMBULANCE VOLUNTEERS - BENNETT COUNTY VOLUNTEER FIRE DEPARTMENT - LOCAL LAW ENFORCEMENT (CITY, COUNTY, STATE, AND TRIBAL JURISDICTIONS) - INDIAN HEALTH SERVICE LOCAL SERVICE UNIT LEADERSHIP - EIDE BAILLY ACCOUNTANTS AND CONSULTING SERVICES (FOR CHNA FACILITATION AND DATA ANALYSIS)ADDITIONALLY, HOSPITAL LEADERS, COMMUNITY HEALTH PROFESSIONALS, AND RESIDENTS FROM BENNETT, OGLALA LAKOTA, JACKSON, AND TODD COUNTIES PROVIDED INPUT THROUGH THE CHNA COMMUNITY HEALTH SURVEY. THIS SURVEY CAPTURED FEEDBACK FROM INDIVIDUALS IN VARIOUS COMMUNITY ROLES SUCH AS BUSINESS OWNERS, SCHOOL STAFF, FARMERS AND RANCHERS, CLERGY, EMERGENCY RESPONDERS, ELECTED OFFICIALS, AND HEALTHCARE WORKERS.THE INPUT FROM THESE GROUPS WAS ANALYZED ALONGSIDE COUNTY-LEVEL HEALTH DATA AND NATIONAL HEALTH INDICATORS TO IDENTIFY AND PRIORITIZE UNMET COMMUNITY HEALTH NEEDS. BENNETT COUNTY HOSPITAL PART V, SECTION B, LINE 7D: THE CHNA IS AVAILABLE VIA ELECTRONIC FORMAT/DELIVERY UPON REQUEST. BENNETT COUNTY HOSPITAL PART V, SECTION B, LINE 11: SINCE ITS 2021 COMMUNITY HEALTH NEEDS ASSESSMENT, BENNETT COUNTY HOSPITAL HAS MADE SIGNIFICANT PROGRESS IN ADDRESSING KEY COMMUNITY PRIORITIES. MAJOR ACCOMPLISHMENTS INCLUDE SECURING USDA AND CDBG FUNDING FOR A NEW HOSPITAL FACILITY, PURCHASING NEW AMBULANCES AND DIAGNOSTIC EQUIPMENT, UPGRADING LABORATORY TECHNOLOGY, AND EXPANDING BEHAVIORAL HEALTH SERVICES THROUGH SENIOR LIFE SERVICES AND A CONTRACTED PSYCHIATRIC NURSE PRACTITIONER. THE HOSPITAL ALSO STRENGTHENED PARTNERSHIPS WITH HORIZON HEALTH CARE, LACREEK IHS, AND LOCAL EMERGENCY AGENCIES TO IMPROVE COORDINATION AND PREPAREDNESS.SOME NEEDS IDENTIFIED IN THE 2021 CHNA REMAIN ONLY PARTIALLY ADDRESSED, INCLUDING THE LOSS OF LONG-TERM CARE SERVICES FOLLOWING THE 2023 NURSING HOME CLOSURE, ONGOING PROVIDER AND NURSING SHORTAGES, AND LIMITED ACCESS TO SUBSTANCE ABUSE TREATMENT PROGRAMS. THESE GAPS PERSIST LARGELY DUE TO WORKFORCE SHORTAGES, LIMITED FINANCIAL FEASIBILITY, AND INFRASTRUCTURE CONSTRAINTS BUT REMAIN KEY PRIORITIES FOR FUTURE PLANNING AND COLLABORATION.IN THE 2024 CHNA, THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED AND PRIORITIZED THROUGH COMMUNITY SURVEYS, STAKEHOLDER INTERVIEWS, AND TOWN HALL MEETINGS:1. CONSTRUCTION OF A NEW HOSPITAL FACILITY2. EXPANSION OF LONG-TERM CARE SERVICES3. RECRUITMENT AND RETENTION OF HEALTH PROVIDERS AND NURSING STAFF4. ALCOHOL AND SUBSTANCE ABUSE PREVENTION AND TREATMENT5. MENTAL AND BEHAVIORAL HEALTH ACCESS6. ASSISTANCE FOR THE UNINSURED AND UNDERINSUREDTHESE NEEDS ARE BEING ADDRESSED BY:1. CONTINUING DEVELOPMENT OF THE NEW HOSPITAL THROUGH USDA RURAL DEVELOPMENT AND CDBG FUNDING, WORKING WITH THE ARCHITECTURAL AND CONSTRUCTION TEAMS TO ENSURE ACCESSIBILITY, SAFETY, AND EXPANDED SERVICE AREAS, AND COMMUNICATING PROGRESS TO THE PUBLIC THROUGH BOARD UPDATES AND COMMUNITY MEETINGS.2. EXPANDING SENIOR LIFE SERVICES AND HOME HEALTH PROGRAMS TO SUPPORT AGING-IN-PLACE CARE, PARTNERING WITH REGIONAL HEALTH SYSTEMS TO EXPLORE SHARED SERVICE OR SATELLITE OPTIONS, AND CONDUCTING FEASIBILITY AND FUNDING ASSESSMENTS FOR A SUSTAINABLE LONG-TERM CARE OR ASSISTED LIVING MODEL3. ESTABLISHING RECRUITMENT INCENTIVES, INCLUDING HOUSING ASSISTANCE AND LOAN REPAYMENT PARTNERSHIPS, DEVELOPING LOCAL MENTORSHIP AND CLINICAL ROTATION PROGRAMS WITH NURSING SCHOOLS AND REGIONAL COLLEGES, AND OFFERING LEADERSHIP AND CONTINUING EDUCATION OPPORTUNITIES FOR CURRENT STAFF.4. COORDINATING WITH MENTAL HEALTH PROFESSIONALS TO INTEGRATE SCREENING AND BRIEF INTERVENTION INTO CLINIC VISITS, PARTNERING WITH SCHOOLS AND LOCAL LAW ENFORCEMENT ON PREVENTION INITIATIVES, AND SUPPORTING COMMUNITY EDUCATION CAMPAIGNS ON ADDICTION RECOVERY RESOURCES.5. IMPLEMENTING SENIOR LIFE SERVICES AND CONTRACT BEHAVIORAL HEALTH PROFESSIONALS IN THE RURAL HEALTH CLINIC, UTILIZING TELEPSYCHIATRY (AVEL E CARE) FOR EXPANDED MENTAL HEALTH COVERAGE, AND HOSTING MENTAL HEALTH AWARENESS AND SUICIDE PREVENTION EVENTS IN COLLABORATION WITH LOCAL SCHOOLS AND ORGANIZATIONS6. MAINTAINING AND PROMOTING ENROLLMENT ASSISTANCE SERVICES TO CONNECT PATIENTS TO MEDICAID, MEDICARE, AND HOSPITAL FINANCIAL ASSISTANCE, PROVIDING FINANCIAL COUNSELING AND OUTREACH DURING REGISTRATION AND THROUGH COMMUNITY EVENTS, AND COLLABORATING WITH PUBLIC HEALTH PARTNERS TO IMPROVE AWARENESS OF AVAILABLE RESOURCES. BENNETT COUNTY HOSPITAL PART V, SECTION B, LINE 20E: THE POLICY IS POSTED IN EMERGENCY ROOMS, WAITING ROOMS, AND IN THE ADMISSION OFFICE IN AN EFFORT TO COMMUNICATE WITH POLICY TO PATIENTS AT THE TIME OF SERVICE. 1 1 - BENNETT COUNTY RURAL HEALTH CLINIC 302 S 1ST AVE MARTIN SD 57551 CLINIC PART I, LINE 7: COSTING METHOD IS RATIO OF PATIENT COST TO CHARGES AS DETERMINED WITH WORKSHEET 2 IN THE INSTRUCTIONS FOR SCHEDULE H. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 1,719,164. PART II, COMMUNITY BUILDING ACTIVITIES: BENNETT COUNTY HOSPITAL'S COMMUNITY BUILDING ACTIVITIES ARE DESIGNED TO PROMOTE THE HEALTH AND WELL-BEING OF THE RESIDENTS OF BENNETT COUNTY AND SURROUNDING SERVICE AREAS THROUGH COLLABORATION, EDUCATION, AND OUTREACH. THESE ACTIVITIES FOCUS ON ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH AND REDUCING BARRIERS TO CARE IN A MEDICALLY UNDERSERVED, RURAL, AND HIGH-POVERTY REGION.THE HOSPITAL REGULARLY CONDUCTS AND PARTICIPATES IN COMMUNITY HEALTH EDUCATION PROGRAMS, INCLUDING HEALTH FAIRS, WELLNESS PROGRAMS, AND HEALTH EDUCATION CLASSES THAT ENCOURAGE PREVENTION, EARLY DETECTION, AND MANAGEMENT OF CHRONIC CONDITIONS. THESE INITIATIVES HELP RESIDENTS MAKE INFORMED CHOICES ABOUT THEIR HEALTH AND CONNECT THEM TO LOCAL RESOURCES FOR MEDICAL AND FINANCIAL ASSISTANCE.THE ORGANIZATION ALSO SUPPORTS OUTREACH CLINICS AT SENIOR CENTERS AND ELDERLY HOUSING, TRANSPORTATION COORDINATION EFFORTS, AND NUTRITION AND MATERNAL HEALTH PROGRAMS THROUGH PARTNERSHIPS WITH PUBLIC HEALTH AGENCIES AND LOCAL SERVICE ORGANIZATIONS. SUCH COLLABORATIONS HELP IMPROVE ACCESS TO HEALTHCARE AND ADDRESS ISOLATION AND MOBILITY CHALLENGES FACED BY ELDERLY AND LOW-INCOME POPULATIONS.ADDITIONALLY, THE HOSPITAL ENGAGES IN COMMUNITY PARTNERSHIPS WITH ENTITIES SUCH AS HORIZON HEALTH CARE (FQHC), THE LACREEK INDIAN HEALTH SERVICE CLINIC, AND LOCAL SCHOOLS, LAW ENFORCEMENT, AND EMERGENCY RESPONDERS TO STRENGTHEN EMERGENCY PREPAREDNESS, BEHAVIORAL HEALTH RESPONSE, AND PREVENTIVE EDUCATION WITHIN THE COMMUNITY. THESE COORDINATED ACTIVITIES BUILD PUBLIC HEALTH CAPACITY AND FOSTER RESILIENCE AMONG RESIDENTS.THROUGH THESE PROGRAMS AND PARTNERSHIPS, BENNETT COUNTY HOSPITAL ACTIVELY PROMOTES HEALTH IMPROVEMENT, ADDRESSES HEALTH DISPARITIES, AND CONTRIBUTES TO THE OVERALL STABILITY AND VITALITY OF THE COMMUNITY IT SERVES, ALIGNING WITH THE OBJECTIVES OF COMMUNITY BENEFIT UNDER IRS SECTION 501(R) AND THE HOSPITAL'S MISSION TO "PROVIDE QUALITY HEALTHCARE AND EDUCATION FOR A HEALTHIER COMMUNITY." PART III, LINE 2: BENNETT COUNTY HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE BAD DEBT EXPENSE. PART III, LINE 3: BENNETT COUNTY HOSPITAL ESTIMATES THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FAP BY USING US CENSUS BUREAU POVERTY STATISTICS FOR THE AREA SERVED. PART III, LINE 4: PATIENT RECEIVABLES ARE UNCOLLATERALIZED PATIENT AND THIRD-PARTY PAYOR OBLIGATIONS. PAYMENTS OF PATIENT RECEIVABLES ARE ALLOCATED TO THE SPECIFIC CLAIMS IDENTIFIED ON THE REMITTANCE ADVICE OR, IF UNSPECIFIED, ARE APPLIED TO THE EARLIEST UNPAID CLAIM.PATIENT RECEIVABLES ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. PART III, LINE 8: MEDICARE ALLOWABLE COSTS ARE DETERMINED DIRECTLY FROM MEDICARE COST REPORT USING METHODOLOGIES PRESCRIBED BY MEDICARE. PART III, LINE 9B: THE FINANCIAL ASSISTANCE POLICY IS PROVIDED TO PATIENTS PRIOR TO COLLECTION PRACTICES BEING PERFORMED. PART VI, LINE 2: IN ADDITION TO CONDUCTING A FULL COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS, BENNETT COUNTY HOSPITAL CONTINUOUSLY EVALUATES THE HEALTH CARE NEEDS OF THE COMMUNITY THROUGH ONGOING DATA REVIEW, STAKEHOLDER ENGAGEMENT, AND COLLABORATION WITH REGIONAL AND STATE PARTNERS.HOSPITAL LEADERSHIP MONITORS LOCAL UTILIZATION TRENDS, INCLUDING EMERGENCY ROOM VISITS, INPATIENT AND OUTPATIENT ACTIVITY, HOME HEALTH VOLUMES, AND DIAGNOSTIC SERVICES. ROUTINE COLLABORATION OCCURS WITH HORIZON HEALTH CARE, LACREEK IHS, BENNETT COUNTY PUBLIC HEALTH, AND LOCAL EMERGENCY SERVICES TO IDENTIFY EMERGING NEEDS AND COORDINATE CARE. THE HOSPITAL ALSO PARTICIPATES IN COMMUNITY MEETINGS, RECEIVES DIRECT FEEDBACK FROM PATIENTS AND STAFF, AND REVIEWS HEALTH INDICATORS FROM SOURCES SUCH AS COUNTY HEALTH RANKINGS, CDC DATABASES, AND SOUTH DAKOTA HEALTH MATTERS.THESE CONTINUOUS MONITORING ACTIVITIES ENSURE THAT BENNETT COUNTY HOSPITAL STAYS RESPONSIVE TO LOCAL HEALTH TRENDS, IDENTIFIES GAPS IN CARE, AND ALIGNS SERVICES AND RESOURCES WITH THE COMMUNITY'S MOST PRESSING NEEDS BETWEEN FORMAL CHNA CYCLES. PART VI, LINE 3: BENNETT COUNTY HOSPITAL INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE AND GOVERNMENT PROGRAMS THROUGH MULTIPLE METHODS. THE HOSPITAL PROVIDES ENROLLMENT ASSISTANCE SERVICES TO HELP PATIENTS UNDERSTAND AND APPLY FOR AVAILABLE FEDERAL, STATE, AND LOCAL ASSISTANCE PROGRAMS SUCH AS MEDICAID AND MEDICARE. THESE SERVICES ARE OFFERED DIRECTLY BY HOSPITAL STAFF AND IN PARTNERSHIP WITH PUBLIC HEALTH ENTITIES TO ENSURE COMPREHENSIVE ACCESS FOR ALL PATIENTS, INCLUDING THOSE WHO ARE UNINSURED OR UNDERINSURED.PATIENTS ALSO RECEIVE INFORMATION ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP) AND OTHER AVAILABLE RESOURCES DURING THE REGISTRATION AND BILLING PROCESS. STAFF MEMBERS PROVIDE EXPLANATIONS OF ELIGIBILITY CRITERIA AND ASSIST WITH COMPLETING NECESSARY APPLICATIONS OR DOCUMENTATION.IN ADDITION TO DIRECT ASSISTANCE, THE HOSPITAL SHARES FINANCIAL ASSISTANCE AND PROGRAM ELIGIBILITY INFORMATION THROUGH HEALTH EDUCATION CLASSES, HEALTH FAIRS, AND PATIENT EDUCATION CENTERS, WHICH ARE DESIGNED TO REACH A BROAD SEGMENT OF THE COMMUNITY. THE HOSPITAL'S SOCIAL WORK AND CASE MANAGEMENT TEAMS ALSO PLAY A KEY ROLE IN EDUCATING PATIENTS WHO MAY FACE FINANCIAL HARDSHIP, HELPING CONNECT THEM WITH AVAILABLE AID AND GUIDING THEM THROUGH THE PROCESS.BENNETT COUNTY HOSPITAL COLLABORATES WITH LOCAL PARTNERS SUCH AS HORIZON HEALTH CARE (FQHC) AND THE LACREEK INDIAN HEALTH SERVICE CLINIC TO EXPAND OUTREACH AND ENSURE THAT VULNERABLE, LOW-INCOME, AND UNDERSERVED POPULATIONS ARE INFORMED OF AVAILABLE PROGRAMS AND FINANCIAL ASSISTANCE OPTIONS. THROUGH THESE COMBINED EFFORTS, THE HOSPITAL PROMOTES EQUITABLE ACCESS TO CARE AND MEETS THE REQUIREMENTS OF IRS SECTION 501(R) AND RELATED COMMUNITY BENEFIT STANDARDS. PART VI, LINE 4: BENNETT COUNTY HOSPITAL SERVES THE RESIDENTS OF BENNETT COUNTY, SOUTH DAKOTA, AND SURROUNDING RURAL AREAS INCLUDING PORTIONS OF OGLALA LAKOTA, JACKSON, AND TODD COUNTIES. THE HOSPITAL'S PRIMARY SERVICE AREA ENCOMPASSES THE COMMUNITY OF MARTIN, SOUTH DAKOTA, AND SURROUNDING COMMUNITIES WITHIN AN 80-MILE RADIUS. IT IS THE ONLY MEDICAL FACILITY WITHIN THIS DISTANCE PROVIDING BOTH EMERGENCY AND PRIMARY MEDICAL CARE OUTSIDE OF INDIAN HEALTH SERVICE (IHS) FACILITIES, WHICH PRIMARILY SERVE TRIBAL MEMBERS.THE HOSPITAL'S SERVICE AREA LIES ENTIRELY WITHIN THE BOUNDARIES OF THE WAZ AHHA OYKE (PINE RIDGE INDIAN RESERVATION) AND IS ADJACENT TO THE ROSEBUD INDIAN RESERVATION TO THE EAST. AS SUCH, THE HOSPITAL SERVES A POPULATION THAT IS BOTH GEOGRAPHICALLY ISOLATED AND MEDICALLY UNDERSERVED. THE TOTAL POPULATION OF BENNETT COUNTY IS APPROXIMATELY 3,381 RESIDENTS, WITH A POPULATION DENSITY OF 2.9 PERSONS PER SQUARE MILE.THE COMMUNITY'S DEMOGRAPHICS REFLECT SIGNIFICANT ECONOMIC AND HEALTH DISPARITIES. APPROXIMATELY 58% OF RESIDENTS IDENTIFY AS NATIVE AMERICAN, AND THE MEDIAN HOUSEHOLD INCOME IS $44,821, WHICH IS SUBSTANTIALLY BELOW THE STATE AVERAGE. ABOUT 30.7% OF RESIDENTS LIVE BELOW THE POVERTY LINE, AND OVER 40% OF HOUSEHOLDS EXPERIENCE LIMITED ACCESS TO EMPLOYMENT OPPORTUNITIES. THE COMMUNITY ALSO INCLUDES A HIGH PERCENTAGE OF YOUTH (33% UNDER 18 YEARS OLD) AND A SMALLER AGING POPULATION (13% OVER 65 YEARS OLD).BENNETT COUNTY HOSPITAL SERVES A REGION WITH HIGH POVERTY RATES, PERSISTENT CHILD POVERTY, AND LIMITED ACCESS TO HEALTHCARE AND TRANSPORTATION. MANY RESIDENTS MUST TRAVEL MORE THAN 100 MILES TO REACH LARGER FACILITIES IN RAPID CITY, PIERRE, OR NEBRASKA FOR SPECIALIZED CARE. GIVEN ITS RURAL AND RESERVATION SETTING, THE HOSPITAL PROVIDES ESSENTIAL ACCESS TO EMERGENCY CARE, INPATIENT AND OUTPATIENT SERVICES, HOME HEALTH, AND BEHAVIORAL HEALTH FOR BOTH TRIBAL AND NON-TRIBAL POPULATIONS.THE HOSPITAL'S PATIENT POPULATION REFLECTS THIS DIVERSITY AND NEED, WITH 46.5% OF PATIENTS RESIDING IN BENNETT COUNTY, 36.3% IN OGLALA COUNTY, 14.7% IN JACKSON COUNTY, AND 2.2% IN TODD COUNTY. THE FACILITY IS ALSO THE LARGEST EMPLOYER IN THE CITY OF MARTIN AND SERVES AS A VITAL HEALTHCARE AND ECONOMIC ANCHOR FOR THE ENTIRE REGION. PART VI, LINE 5: BENNETT COUNTY HOSPITAL FURTHERS ITS EXEMPT PURPOSE AND PROMOTES THE HEALTH OF THE COMMUNITY THROUGH A COMBINATION OF OPEN GOVERNANCE, INCLUSIVE STAFFING, REINVESTMENT OF SURPLUS FUNDS, AND ACTIVE COLLABORATION WITH COMMUNITY PARTNERS.THE HOSPITAL OPERATES AS A NONPROFIT CRITICAL ACCESS HOSPITAL, PROVIDING ESSENTIAL MEDICAL, EMERGENCY, AND PREVENTIVE CARE TO A MEDICALLY UNDERSERVED, RURAL POPULATION. ITS MEDICAL STAFF IS OPEN, ALLOWING CREDENTIALED PRACTITIONERS IN GOOD STANDING TO PROVIDE SERVICES WITHIN THE FACILITY, THEREBY INCREASING LOCAL ACCESS TO SPECIALIZED AND PRIMARY CARE.THE HOSPITAL IS GUIDED BY A COMMUNITY-BASED BOARD OF DIRECTORS THAT INCLUDES MEMBERS WHO LIVE AND WORK WITHIN BENNETT COUNTY AND THE SURROUNDING SERVICE AREAS. THIS STRUCTURE ENSURES THAT LOCAL RESIDENTSTHOSE MOST FAMILIAR WITH THE COMMUNITY'S NEEDSHAVE A VOICE IN STRATEGIC DECISIONS, POLICY SETTING, AND OVERSIGHT.ALL SURPLUS FUNDS ARE REINVESTED INTO FACILITY IMPROVEMENTS, COMMUNITY HEALTH PROGRAMS, AND PATIENT CARE ENHANCEMENTS RATHER THAN DISTRIBUTED TO SHAREHOLDERS. RECENT INVESTMENTS INCLUDE NEW LABORATORY AND IMAGING EQUIPMENT, ADDITIONAL AMBULANCES, AND FACILITY MODERNIZATION SUPPORTED BY USDA AND CDBG FUNDING.IN FURTHERANCE OF ITS CHARITABLE MISSION, THE HOSPITAL COLLABORATES WITH PUBLIC HEALTH AGENCIES, TRIBAL AND FEDERAL PARTNERS, AND ORGANIZATIONS SUCH AS HORIZON HEALTH CARE (FQHC) AND THE LACREEK INDIAN HEALTH SERVICE CLINIC TO EXPAND ACCESS TO CARE, PROMOTE HEALTH EDUCATION, AND IMPROVE HEALTH OUTCOMES FOR BOTH TRIBAL AND NON-TRIBAL POPULATIONS.THROUGH THESE ACTIVITIES, BENNETT COUNTY HOSPITAL FULFILLS ITS EXEMPT PURPOSE BY MAINTAINING ACCESS TO QUALITY HEALTHCARE FOR ALL COMMUNITY MEMBERSPARTICULARLY THE UNINSURED, UNDERINSURED, AND THOSE IN REMOTE RURAL AREASWHILE PROMOTING THE OVERALL HEALTH AND WELL-BEING OF THE POPULATION IT SERVES. PART VI, LINE 7, REPORTS FILED WITH STATES SD X X X 0 0 0 0 0 0 0 0 0 JAMES AWUAH PROVIDER 216150 0 67275 0 0 0 8562 0 14002 0 305989 0 0 0 KASEY HANSON PROVIDER 164936 0 15120 0 0 0 0 0 0 0 180056 0 0 0 BRADY HICKS PROVIDER 168180 0 0 0 0 0 6783 0 2576 0 177539 0 0 0 AMY HENDRIX DIRECTOR OF NURSING 150913 0 0 0 0 0 4629 0 13745 0 169287 0 0 0 MARY JONES FAMILY MEMBER OF BOARD PRESIDENT 38053 EMPLOYEE COMPENSATION 0 FORM 990, PART IV, LINE 20B AT THE TIME OF FILING THE 2024 FORM 990, THE AUDIT OF BENNETT COUNTY HOSPITAL'S FINANCIAL STATEMENTS FOR THE YEAR ENDED DECEMBER 31, 2023 WAS IN STILL IN PROGRESS. AN ACCOUNTING FIRM HAS BEEN ENGAGED TO COMPLETE THE FINANCIAL STATEMENT AUDIT FOR THE YEAR ENDED DECEMBER 31, 2024, WHICH WILL BEGIN WHEN THE AUDITOR COMPLETES THE 2023 FINANCIAL STATEMENT AUDIT. AS A RESULT, THE FISCAL YEAR 2024 AND 2023 FINANCIAL STATEMENTS ARE NOT AVAILABLE; INSTEAD THE FISCAL YEAR 2022 AUDITED FINANCIAL STATEMENTS (THE MOST RECENT AUDITED FINANCIAL STATEMENTS) ARE ATTACHED. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY MANAGEMENT AS PREPARED BY A CPA. A COPY OF THE FILED 990 IS PROVIDED TO THE BOARD. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES OFFICERS AND BOARD MEMBERS TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST ANNUALLY. POTENTIAL CONFLICTS ARE MONITORED BY THE BUSINESS OFFICE THROUGHOUT THE YEAR AND BROUGHT TO THE ATTENTION OF THE BOARD AS NECESSARY. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE CEO IS DETERMINED BY THE BOARD OF DIRECTORS. DATA FROM THE SOUTH DAKOTA ASSOCIATION OF HEALTHCARE ORGANIZATIONS IS USED TO DETERMINE REASONABLE COMPENSATION FOR THE CEO. ALL OTHER EMPLOYEE COMPENSATION IS DETERMINED BY THE CEO. COMPARABILITY DATA FROM THE SOUTH DAKOTA ASSOCIATION OF HEALTHCARE ORGANIZATIONS IS USED. FORM 990, PART VI, SECTION C, LINE 19 THE HOSPITAL MAKES GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACT LABOR AND OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,646,227. MANAGEMENT AND GENERAL EXPENSES 85,952. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,732,179. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS NOT CHANGED THE PROCESS FOR THE SELECTION OF AN INDEPENDENT AUDITOR OR OVERSIGHT OF THE INDEPENDENT AUDITOR BY THE BOARD OF DIRECTORS.