Winner Regional Healthcare Center

Nonprofit profile at a glance

EIN
460274380
IRS 990 coverage
2010–2024
Forms available
Form 990 2024, Form 990-T 2024
Location
Winner, SD, USA
Phone
6058427100
Rating
75
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Hospital, General

Official website

Reported finances

Revenue
$27,901,855
Expenses
$31,984,788
Assets
$27,571,958
Liabilities
$21,638,002

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

18 people listed

Executive titles in this filing

  • BETSY PRAVECEK (PRESIDENT)
  • KIM VANNEMAN (VICE PRESIDENT)
  • BRIAN WILLIAMS (CEO)

Highest reported compensation

  • KEN NOGUCHI (MD): $424,847 total reported compensation
  • ANORA HENDERSON MD (DIRECTOR,CHIEF OF STAFF FROM 05/2024): $285,190 total reported compensation
  • RICK WAGNER MD (DIRECTOR, CHIEF OF STAFF UNTIL 05/24): $219,000 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

To improve the quality of life in our region by providing comprehensive healthcare in a local, nurturing environment. Through professionals who consider healthcare a calling, we will exceed the expectations of those we serve. Our role as a committed steward to our region will be sustained through fiscal responsibility, ensuring personalized healthcare for generations to come.

What it reported doing in 2024

Winner regional healthcare center, a 25-bed critical access hospital and 60 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 available to anyone in the public, a community health program and provides community education programs throughout the service area. Winner regional healthcare center had 1,367 acute patient days; 939 swing bed patient days; 159 newborn patient days; 106 births; 11,218 resident days; 1,339 home health visits; 11,013 rural health clinic visits; 7,099 observation hours; 1,828 specialty outreach visits.

Operating model

Revenue model
Other-operating. 98% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Expenses are high relative to revenue and some filing-based governance responses are negative or unanswered.

Rating breakdown

  • Financial Efficiency: 77
  • Transparency & Controls: 70
  • Accountability: 84
  • Sustainability: 19
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 91%; rating input score 91
  • Program expense ratio: 78.6%; rating input score 79
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
  • Pay-setting controls: 1 of 6 controls in place; rating input score 17
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 88.9%; rating input score 89; 21st percentile among comparable filings
  • Governance controls: 7 of 9 controls in place; rating input score 78
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Fail
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -14.6%; rating input score 7; 7th percentile among comparable filings
  • Total-asset coverage ratio: 0.86; rating input score 31; 31st percentile among comparable filings
  • Liabilities to assets ratio: 0.78; rating input score 14; 14th percentile among comparable filings
  • Officer compensation ratio: 5.8%; rating input score 44; 44th percentile among comparable filings

Growth

  • Program expense growth: 2.5% per year; rating input score 100; 22nd percentile among comparable filings
  • Revenue growth: 3.4% per year; rating input score 100; 29th percentile among comparable filings
  • Asset growth: 5.9% per year; rating input score 100; 42nd percentile among comparable filings

Details

  • Where the money goes: 91% of revenue deployed · 78.6% of spending went to programs
  • Governance: 8 of 9 board members independent · 7 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $25.1M in reported program spending
  • Leadership: top reported pay $425K · 18 people listed · 1 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $4.2M reported
  • Consistency: 35 of 35 current checks pass
  • Schedules: 8 filed schedules · includes major donors and executive pay
  • Filing history: 14 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 9 filed money-flow records
  • Related organizations: Filed and resolved organization relationships.
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

Grant-readiness screening is separate from the live rating, not a measure of program quality. Review the source records before making a grant decision.

  • High — Sustainability: Operating margin scored 7/100.
  • Review — Accountability: Governance controls: 2 of 9 not reported.
  • Moderate — Sustainability: Total-asset coverage ratio scored 31/100.
  • High — Sustainability: Liabilities to assets ratio scored 14/100.
  • Moderate — Sustainability: Officer compensation ratio scored 44/100.
  • High — Grant Readiness: Federal audit findings: this organization reported findings in its latest federal Single Audit.