Community Benefit Insight - Tax-exempt hospital

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Winner Regional Healthcare Center

Winner Regional Healthcare Center

745 East 8th Street
Winner, SD 57580

Bed count	25	Medicare provider number	431334	Member of the Council of Teaching Hospitals	YES	Children's hospital	NO

EIN: 460274380

Display data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

21.9%

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2021

Additional data

Community Benefit Expenditures: 2021

All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 153,000 0.55 %
Medicaid as % of operating expenses	$ 1,327,623 4.77 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 0 0 %
Subsidized health services as % of operating expenses	$ 4,613,628 16.58 %
Research as % of operating expenses	$ 0 0 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 0 0 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 0 0 %
Community building* as % of operating expenses	$ 0 0 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	Not available
Number of activities or programs (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Persons served (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Community building expense as % of operating expenses	$ 0 0 %
Physical improvements and housing as % of community building expenses	$ 0
Economic development as % of community building expenses	$ 0
Community support as % of community building expenses	$ 0
Environmental improvements as % of community building expenses	$ 0
Leadership development and training for community members as % of community building expenses	$ 0
Coalition building as % of community building expenses	$ 0
Community health improvement advocacy as % of community building expenses	$ 0
Workforce development as % of community building expenses	$ 0
Other as % of community building expenses	$ 0
Direct offsetting revenue	$ 0
Physical improvements and housing	$ 0
Economic development	$ 0
Community support	$ 0
Environmental improvements	$ 0
Leadership development and training for community members	$ 0
Coalition building	$ 0
Community health improvement advocacy	$ 0
Workforce development	$ 0
Other	$ 0

Other Useful Tax-exempt Hospital Information: 2021

In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt as % of operating expenses	$ 1,903,598 6.84 %
Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?	NO

Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2022 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

Does the organization have a written financial assistance (charity care) policy?	YES
Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?	YES
Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy as % of operating expenses	$ 367,394 19.30 %

Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

Community Health Needs Assessment Activities: 2021

The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

Did the tax-exempt hospital report that they had conducted a CHNA?	YES
Did the CHNA define the community served by the tax-exempt hospital?	YES
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	YES
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	YES
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	YES

Supplemental Information: 2021

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.

4A (Expenses $ 23411877 including grants of $ 0) (Revenue $ 22785306)
WINNER REGIONAL HEALTHCARE CENTER, A 25-BED CRITICAL ACCESS HOSPITAL AND 79-BED LONG-TERM CARE CENTER, PROMOTES HEALTH OF THE COMMUNITY BY PROVIDING A VARIETY OF HEALTH CARE SERVICES INCLUDING ACUTE PATIENT TREATMENT, SWING BED, LONG-TERM CARE, AND NEWBORN CARE. THE FACILITY ALSO OPERATES A HOME HEALTH AGENCY, HOMEMAKER PROGRAM, A PROVIDER BASED RURAL HEALTH CLINIC, A RETAIL PHARMACY, AND A COMMUNITY HEALTH PROGRAM AND PROVIDES COMMUNITY EDUCATION PROGRAMS THROUGHOUT THE SERVICE AREA. WINNER REGIONAL HEALTHCARE CENTER HAD 1,305 ACUTE PATIENT DAYS; 978 SWING BED PATIENT DAYS; 243 NEWBORN PATIENT DAYS; 156 BIRTHS; 13,157 RESIDENT DAYS; 2,302 HOME HEALTH VISITS; 10,264 RURAL HEALTH CLINIC VISITS; 7,023 OBSERVATION HOURS; AND 320 LABOR AND DELIVERY DAYS.

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

WINNER REGIONAL HEALTHCARE CENTER
PART V, SECTION B, LINE 5: AN ONLINE SURVEY WAS CONDUCTED WITH IDENTIFIED COMMUNITY KEY STAKEHOLDERS. RESPONDENTS WERE ASKED TO RANK COMMUNITY NEEDS BASED ON A SCALE OF 1-5, WITH 5 BEING THE GREATEST NEEDS. THE STUDY CONCENTRATED ON THE STAKEHOLDER'S CONCERNS FOR THE COMMUNITY SPECIFIC TO ECONOMIC WELL-BEING, TRANSPORTATION, CHILDREN AND YOUTH, THE AGING POPULATION, SAFETY, HEALTH CARE AND WELLNESS, MENTAL HEALTH AND SUBSTANCE ABUSE. THE STUDY WAS CONDUCTED THROUGH A PARTNERSHIP BETWEEN SANFORD HEALTH AND THE CENTER FOR SOCIAL RESEARCH (CSR) AT NORTH DAKOTA STATE UNIVERSITY. THE CSR DEVELOPED AND MAINTAINED LINKS TO THE ONLINE SURVEY TOOL. SANFORD HEALTH DISTRIBUTED THE SURVEY LINK VIA EMAIL TO STAKEHOLDERS AND KEY LEADERS IN TRIPP COUNTY. DATA COLLECTION OCCURRED DURING DECEMBER 2017 AND JANUARY 2018. A TOTAL OF 7 COMMUNITY STAKEHOLDERS PARTICIPATED IN THE SURVEY. THE RESIDENT SURVEY TOOL INCLUDED QUESTIONS ABOUT THE RESPONDENT'S PERSONAL HEALTH. AN ONLINE SURVEY WAS DEVELOPED IN PARTNERSHIP WITH PUBLIC HEALTH EXPERTS FROM ACROSS THE SANFORD FOOTPRINT. THE MINNESOTA HEALTH DEPARTMENT REVIEWED AND ADVISED SANFORD ABOUT KEY QUESTIONS THAT THEY REQUEST FOR THE SHIP SURVEYS AND THOSE QUESTIONS WERE INCLUDED IN THE RESIDENT SURVEY. QUESTIONS SPECIFIC TO AMERICAN INDIAN RESIDENTS WERE DEVELOPED BY THE NORTH DAKOTA PUBLIC HEALTH ASSOCIATION. THE SURVEY WAS POSTED ON FACEBOOK AND A LINK TO THE SURVEY WAS PUBLISHED IN THE LOCAL NEWSPAPER. A TOTAL OF 35 COMMUNITY RESIDENTS PARTICIPATED IN THE SURVEY.

WINNER REGIONAL HEALTHCARE CENTER
PART V, SECTION B, LINE 6A: WINNER REGIONAL WORKED IN PARTNERSHIP WITH SANFORD HEALTH.

WINNER REGIONAL HEALTHCARE CENTER
PART V, SECTION B, LINE 7D: BOUND COPIES ARE DISPLAYED IN OPEN SITTING AREAS THROUGHOUT THE FACILITY FOR READING BY ANY CUSTOMER OR EMPLOYEE. THE CHNA REPORT AND IMPLEMENTATION STRATEGY ARE AVAILABLE AT HTTPS://WINNERREGIONAL.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/

WINNER REGIONAL HEALTHCARE CENTER
"PART V, SECTION B, LINE 11: THE GOAL FOR THE 2020-2022 COMMUNITY HEALTH NEEDS ASSESSMENT IS TWO-FOLD. PRIORITY 1 IS TO FOCUS ON CHILDREN AND YOUTH, AND PRIORITY 2 IS TO FOCUS ON HEALTHCARE AND WELLNESS.DUE TO COVID, PROVIDING EDUCATION TO STUDENTS ON MAKING HEALTHY FOOD CHOICES AND LIVING AN ACTIVE LIFESTYLE HAS NOT BEEN ACCOMPLISHED.THE HEALTH AND WELLNESS COMMITTEE HAS BEEN VERY ACTIVE WITH WINNER REGIONAL STAFF. THERE HAVE BEEN SEVERAL ACTIVITIES THROUGHOUT THE YEAR. MOST RECENTLY, HEALTHY SMOOTHIES WERE AVAILABLE FOR STAFF TO PURCHASE, A POKER RUN/WALK EVENT OCCURRED, AND WE CELEBRATED NATIONAL NUTRITION MONTH. THE ORGANIZATION HAD TO MODIFY ITS GOALS DUE TO COVID. INSTEAD OF DOING EDUCATION OUT IN THE PUBLIC, THE ORGANIZATION FOCUSED ON THE IMPORTANCE OF BEING HEALTHY AND ACTIVE INTERNALLY BY EDUCATING STAFF ON EXERCISE AND HEALTHY EATING THROUGH PLACING EDUCATIONAL INFORMATION IN RESTROOMS THROUGHOUT THE ORGANIZATION.THE ORGANIZATION SUPPORTS A PROGRAM ""BETTER CHOICES BETTER HEALTH"". AS A RESULT OF COVID, THE PROGRAM TRANSITIONED TO ONLINE AND OF RECENT CAN AGAIN BE ATTENDED IN PERSON AS ANOTHER OPTION. IT IS TAUGHT THROUGHOUT SOUTH DAKOTA. ANOTHER PROGRAM CALLED ""A MATTER OF BALANCE"" IS SUPPORTED BY WRH. THIS PROGRAM IS IN PERSON AND OPEN TO THE PUBLIC.A PRESS RELEASE WAS DONE REGARDING VISITOR RESTRICTIONS AND ADDRESSING WHAT PATIENTS SHOULD DO PRIOR TO COMING IN FOR MEDICAL ATTENTION. THERE WAS COMMUNICATION TO THE PUBLIC WHEN COVID VACCINATIONS WERE AVAILABLE. WRH DID HOLD A HEALTH AND WELLNESS FAIR IN JUNE 2022 THAT WAS WELL ATTENDED."

WINNER REGIONAL HEALTHCARE CENTER
PART V, SECTION B, LINE 13B: PATIENTS WHOSE FAMILY INCOME IS OVER 100% AND BELOW 150% OF THE FPL ARE ELIGIBLE FOR UP TO A 50% DISCOUNT.

WINNER REGIONAL HEALTHCARE CENTER
PART V, SECTION B, LINE 13H: IN ADDITION TO UTILIZING THE FACTORS IDENTIFIED IN LINE 13, THE ORGANIZATION CONSIDERS THE INDIVIDUAL'S LIABILITIES, NET WORTH, EMPLOYMENT STATUS OR EARNING CAPACITY, OTHER FINANCIAL OBLIGATIONS, FREQUENCY OF HEALTH SERVICES AND OTHER SOURCES OF PAYMENT FOR HEALTHCARE SERVICES RENDERED.PATIENTS WHOSE FAMILY INCOME EXCEEDS 150% OF THE FPL MAY BE ELIGIBLE TO RECEIVE DISCOUNTED RATES ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE, AT THE DISCRETION OF WINNER REGIONAL HEALTHCARE. HOWEVER, THE DISCOUNTED RATES SHALL NOT BE LESS THAN THE AMOUNTS GENERALLY BILLED COMMERCIALLY INSURED PATIENTS. ONCE THE PATIENT HAS BEEN DEEMED ELIGIBLE, WINNER REGIONAL WILL APPLY THE FAP DISCOUNT TO THE PATIENT'S ACCOUNT. PRESUMPTIVE ELIGIBILITY MAY ALSO BE USED IF OTHER AVENUES FOR FINANCIAL ASSISTANCE HAVE BEEN EXHAUSTED.

WINNER REGIONAL HEALTHCARE CENTER
PART V, SECTION B, LINE 16J: PART V, SECTION B, LINE 16A-C: THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION, AND FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY ARE POSTED AT HTTPS://WINNERREGIONAL.ORG/PATIENTS-AND-VISITORS/FINANCIAL-ASSISTANCE/.PART V, SECTION B, LINE 16I: PLEASE REFER TO THE NARRATIVE PROVIDED IN PART VI, LINE 3 REGARDING ADDITIONAL MEANS OF EDUCATING PATIENTS ABOUT OUR CHARITY CARE POLICY.

WINNER REGIONAL HEALTHCARE 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.

Supplemental Information

Schedule H (Form 990) Part VI

PART I, LINE 3C:
IN ADDITION TO UTILIZING FEDERAL POVERTY GUIDELINES, THE FOLLOWING ITEMS ARE USED TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE: PERSONAL ASSETS, LIABILITIES, INDIVIDUAL AND/OR FAMILY INCOME, NET WORTH, EMPLOYMENT STATUS OR EARNING CAPACITY, OTHER FINANCIAL OBLIGATIONS, FREQUENCY OF HEALTH SERVICES, INSURANCE STATUS, UNDERINSURANCE STATUS AND OTHER SOURCES OF PAYMENT FOR HEALTHCARE SERVICES RENDERED. THIS INFORMATION IS REVIEWED AND A DETERMINATION OF ELIGIBILITY FOR ASSISTANCE IS MADE BY THE PATIENT SERVICES REPRESENTATIVE AND THE CFO. PRESUMPTIVE ELIGIBILITY MAY ALSO BE USED IF OTHER AVENUES FOR FINANCIAL ASSISTANCE HAVE BEEN EXHAUSTED.

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 7F WAS OBTAINED UTILIZING THE ACTUAL GENERAL LEDGER SYSTEM. LINES 7B AND 7G WERE DETERMINED USING THE COST REPORTS.

PART I, LINE 7G:
PHYSICIAN CLINIC NET REVENUE OF $2,442,243 AND COSTS OF $3,589,506 ARE INCLUDED ON LINE 7G FOR A NET COMMUNITY BENEFIT OF $1,147,263.

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.

PART III, LINE 3:
THE ESTIMATED AMOUNT RELATED TO CHARITY CARE IS 19.3% OF IMPLICIT PRICE CONCESSIONS, WHICH IS BASED ON THE POVERTY LEVEL OF THE SERVICE AREA.

PART III, LINE 4:
FOOTNOTE FROM FINANCIAL STATEMENT: PLEASE SEE FINANCIAL STATEMENT NOTE 2 - PATIENT AND RESIDENT SERVICE REVENUE ON PAGES 16-17 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 12/31/2021. MEDICAL SERVICES ARE PROVIDED TO PATIENTS WITH MEDICARE COVERAGE REGARDLESS OF WHETHER OR NOT A SURPLUS OR DEFICIT IS REALIZED. PROVIDING MEDICARE SERVICES PROMOTES ACCESS TO HEALTHCARE SERVICES WHICH ARE VITALLY NEEDED BY OUR COMMUNITY.THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES.

PART III, LINE 9B:
"THE COLLECTION POLICY ALLOWS FOR CHARITY CARE TO BE OBTAINED DURING THE COLLECTION PROCESS IF THE PATIENT DID NOT QUALIFY DUE TO A LACK OF DOCUMENTATION IN THE PATIENT'S FILE. THE POLICY SPECIFICALLY STATES ""A PATIENT WILL NOT BE DENIED CHARITY CARE CONSIDERATION BECAUSE OF A LACK OF DOCUMENTATION TO VERIFY INCOME."" IF A PATIENT IS IN COMPLIANCE WITH FINANCIAL ARRANGEMENTS MADE DURING THE FINANCIAL ASSISTANCE PROCESS, THEIR ACCOUNT WILL NOT BE SENT TO COLLECTION. IF A PATIENT IS FOUND TO POTENTIALLY QUALIFY FOR FINANCIAL ASSISTANCE AND THE ACCOUNT IS IN COLLECTION, COLLECTION ACTIVITY WILL CEASE WHILE THE PATIENT COMPLETES THE APPLICABLE PAPERWORK."

PART VI, LINE 2:
WRHC HOLDS PUBLIC AFFAIRS MEETINGS THREE TIMES PER YEAR IN WHICH IT REQUESTS INPUT FROM PROFESSIONALS AND COMMUNITY MEMBERS REGARDING NEEDS OF THE COMMUNITY.

PART VI, LINE 3:
OUR PROCESS FOR NOTIFYING PATIENTS OF FINANCIAL ASSISTANCE IS TO VISIT WITH THEM WHILE THEY ARE IN THE FACILITY. OUR PATIENT FINANCIAL REPRESENTATIVE REVIEWS THE CENSUS EVERY MORNING TO DETERMINE IF A PATIENT IS PRIVATE PAY. THE REPRESENTATIVE VISITS WITH THE PATIENT TO DETERMINE WHETHER THEY HAVE INSURANCE IN ADDITION TO WHAT HAS BEEN PROVIDED TO THE HOSPITAL, AND WHETHER THEY NEED ASSISTANCE WITH APPLYING FOR MEDICAID (IF APPLICABLE). THE REPRESENTATIVE PROVIDES CHARITY CARE INFORMATION IF THE PATIENT BELIEVES THIS TYPE OF FINANCIAL ASSISTANCE MAY BE NEEDED. CHARITY CARE APPLICATIONS ARE ALSO PROVIDED UPON REQUEST AND TO PERSONS WHO HAVE NOT BEEN MAKING PAYMENTS AS SCHEDULED.

PART VI, LINE 4:
WINNER REGIONAL HEALTHCARE CENTER (WRHC) IS LOCATED IN WINNER, SOUTH DAKOTA WHICH IS AT THE CENTER OF TRIPP COUNTY. COMMUNITIES IN TRIPP COUNTY INCLUDE CARTER, CLEARFIELD, COLOME, HAMILL, IDEAL AND WINNER. WRHC'S SERVICE AREA EXTENDS INTO GREGORY, MELLETTE, LYMAN AND TODD COUNTIES IN SOUTH DAKOTA AND INCLUDES THE CITIES OF PRESHO, MISSION, WOOD, WHITE RIVER, GREGORY, BURKE, DALLAS, HERRICK, BONESTEEL AND FAIRFAX. THE SERVICE AREA INCLUDES NORTHERN CHERRY, BROWN AND KEYA PAHA COUNTIES IN NEBRASKA AND ENCOMPASSES THE CITIES OF SPRINGVIEW, SPARKS, AINSWORTH AND VALENTINE. FARMING AND RANCHING ARE THE PRIMARY INDUSTRIES IN THIS RURAL AREA. THE POPULATION OF TRIPP COUNTY, THE PRIMARY SERVICE AREA, IS 5,569. THE AVERAGE MEDIAN INCOME IS $54,054. PERCENTAGE OF RESIDENTS BELOW THE POVERTY LEVEL IS 19.3%. OTHER HOSPITALS SERVING THE AREA INCLUDE VALENTINE HOSPITAL, BURKE COMMUNITY MEMORIAL, GREGORY HOSPITAL AND ROSEBUD HOSPITAL. ALL COUNTIES IN THE SERVICE AREA ARE FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS.THE DATA ABOVE IS FROM 2020. THE COMMUNITY DEMOGRAPHICS REMAIN STABLE.

PART VI, LINE 5:
THE WINNER REGIONAL GOVERNING BOARD IS A 9 MEMBER VOLUNTEER BOARD COMPRISED OF BOTH MEN AND WOMEN THAT RESIDE IN THE WINNER REGIONAL HEALTHCARE CENTER SERVICE AREA. WINNER REGIONAL HEALTHCARE CENTER EXTENDS PRIVILEGES TO PHYSICIANS IN THE IMMEDIATE AREA. WINNER REGIONAL HEALTHCARE CENTER UTILIZES SURPLUS FUNDS TO FUND BUILDING IMPROVEMENTS AND TO ENHANCE SERVICES TO PATIENTS.

Operating expenses	$ 27,822,494
Total amount spent on community benefits as % of operating expenses	$ 6,094,251 21.90 %