Sw Mm Cmm H H C C P f Rk P P Tk f Og Ex Mm OB! v ff g m w g, k g f S m. T m f k fm. M b b m, b f m w m b v g m m mo b j w kw wf b, Tm k. M, S Sv, b w m w v x. w O T, w b.,, w b w b. S kw w w m..o w. O g, bs- wg Fb f 2016, w v b mvmg. w w f S w bg,,mmb b fv x, w b j 2 wk w g w bm. v w S x. g g g b Sw, m w g m bb. W F,. w b b v g f fg! O j f 201 2 x B 6 w gn. g ff, b mm! k b wsw g k.gk mm m f v. w v g g Mm v f B b mk. m v f ff. Af j M mvg fk w g S ms w b M bb, w b j m v w g b m b. Tff m b. T m w m 2 m v g g w m w j g. A f x m f w, wf x f vg w bb. b m k f m m. mv mm g. g w b D. S Hbk. S f A b v. f D w f m v fm m... w v. T ff g. k k kw w, S f m. q, w k m w m. m T. v w, W f v mk m f k g g x S bm. w g kw m b f k f m m g w b N w w v D. Hbk D. b w fg! w gmb T g ff, m, b, bg bm b m g ff f. A g, fm 3 b b m w k. W g ff f. B, b g m S f m. W w v m :) Af v m. O f ff Sw z j mm v B Ng b ff mmb Sw v TS w f f w qk, D w, m. M g H MC. bbr C w f m Mm Cmm f m b w v kf w g k m f k b. D mmf S P :w (f) Abb m 3 b w m. b f g m f w) w Hbk, mk S, PA-C, B x D. S m ( j G Ng, mm f, w f g LPN, m bb. RN, L MG, ww, Am Sm, ( w) L v b m D. Hbk Sw Mm! (f S Sv, RN,V M, LPN, M m w) ;) w) w w R, RT,Tmm Fk, MLT, (ff w f b. S Sv, J M, RP. x j g B. Ng f Fmv, A w Sw Mm Cmm H v fm H g x B Ng f Fmv w, vg f bb, S, w g f m v ff w m f m g. j B Ng vg w f m v fv S q Cmm H M f fm F 2017 ;) w. q b T w T k.... www.wmm.g
F 2017 2 V Sk Rf P S C T b w f f f v f. Rx Dff B wf, M, v k Mm G w. Af g, v mv v wk. Dff w g b Rkw C f 27, M wk USDA FSA ff f 31. W m m, Dff M. Pg 40 f ff-w m, vg m f vg gvg bk. T mé k v g. T v m O N F F g f m. T v f m Fg S Pk. T Hv Wf Rfg Az Cg Bk N F H M w m f m v. T v v U S Wf Rfg N Dk Lvw N F H Wg. Dff Smk B P V C Bk H f S Dk. A fv f Dff b m w k g g f M Smk Jm bk b Dff B Smk B g g g gm P V C Smk. Wg f Smk f m, f Dff, w mg m, m. m gwg, Dff g, b g w m k k! Wv, B wg g, vg m k. vg w m, fg k wm m f Tx. T f v f U.S. F Wf Sv v bf v. T f v wk v m f f fm k v v, w fm P Bk Obm. Dff f v qm q f N Ek Rfg Jk H, Wmg, w v wk 2016. W Dff m g m Rkw C, f., v m Rkw C RV Pk, mmg mvg f m. T mm f g ggg mb w Dff. J 2017 ff g w w Tx. H f 13 wk. g Rkw C wk RV Pk. W Dff w mvg b, f bw, jmmg. T k m w k gg w. F wk, Dff k g w mv. w g fm m b m m g b bk b f wk g. F, m m w f v g Bb Wb MC R C Rkw C. B m, Dff, b. Bb f Dff P S C Sw Mm Cmm H. Dff m w S C Jm J Lk C f. Af xm, w
m Dff mg mgg xm (MR). H w b v mgg fm fw Lk C. A, v g v, g k m. Dff MR m. S, W z m g. Dff vv m v v j. N m b w xg, b b x. S b wk bf f fmm, x S. Af j, Dff v MC R Rkw C w m vg. T w mzg f Dff. S m wk,. T P S C w. w fm 10+ g ( f 1-10) z v. B f P S, B v Tx f w w f vf. T x w Dff g g bk fm g J. T w b bk, vg f U.S. Dm f, g w v. Dff vg, fg x. f. v gfg. Dff M B v f f f v wk Lvw N F H Wg. g S C T v ff Sw Mm Cmm H MC R C wm f g S C. W mg m w, Sx C v f k b g f v bkb. S qk, Y, f, x--x bkb. S g g fm M S f Ng. S wk - v D M bf mg b mvg w m P. S b f g g fm Uv f w. S M S f H S w g wk f v. S m fw Hm Uv b f -g mgm. S f vg f f bg w wk. Sg f CRNA kg f m w v mm. Ofm k w g m gvg g wm b. F fv, S. S j Jm J, CRNA, Lk C H. Jm v m m f q. W v v m w mk g m. S k fw g P S w w m m f f. P mm mg, m, gv, bv,,, S. T g mv q f f f. W xg m b P S bv w k vg. W wk w m v v k,. S b, Kv, v 10--, Bk. m, S j bg, RAG- BRA, g, wg w S C g m w fm. S C, MNA, ARNP, NSPM-C A Jm J, CRNA A 3
F 2017 4 Lg C Sg Rg f Y? Ag C w, b b Uv f w Cg f H m b, g g f. A m 6,200 w w fm 2017 w 1,670 g fm g. T C f D C Pv, T mm g f g w- m mg ( w CT, LDCT)., X- m w f mk f g. Sw Mm Cmm H (SMCH) w ff g g. Lg w bm fm g gw f. T fm m f b. Lg f g g. Ab 9 f v 10 w g fm b f f. Tm g, m, g g. T Am C S, U mm f g v, -b g. Ev f g mm, m m mk m f bm, f g-m ff fm mkg. T m g. D v k f m f g g f g, b w kw LDCT w k f g fm. Y g g mm f w v f v mkg, 55-80, v g mm f g, v g bf. T U.S. Pvv Sv Tk F, m f x vv m, f v mkg m mkg f 30 k m. A k mkg vg f k f g f. F xm, v 30 k- b mkg k f 30 w k f 15. Af fv m CT, mg g w w xm g bk g m v. T xm fm b f m, q mvm f. A f vg LDCT m f x g g. LDCT x m m f w. fm CT, b m fm x-. Sm w m g m CT, w m m x. W f f, m fw v b, g,. SMCH g w N Rg D Rg (NRDR) w w. T m f NRDR f w q mvm gm ff mv b mg f f g. M R, f g SMCH, W x ff w CT f g g gm. O g f g w w v f LDCT mkg w m v. P w mk g g g w m v m f g g f m.
Sw Mm Cmm H E T Wk 2017 Aw Sw Mm Cmm H b m f 150 wk w b D M Rg f x m v. T g f Sw Mm Cmm H (SMCH) b b f v, b f m wk, b f. T T 150 Wk m b fbk fm m v. T v b WkDm, LLP, g fm gz m ggm. WkDm g T Wk gm w 40 mj bg U S. Ov, m 6,000 gz w m m U.S. v WkDm b w m f m. Tg wk mvm ffg, WkDm v, g mv wk. T v D M Rg f wk w. T b w WkDm m f v. Cm w b WkDm v m b m. WkDm v m bmk f 64% SMCH fm bv 79% f m vg v g v. w, m gf b. Hvg g m v v v bg T Wk. O mb g g fmg ff, g g w bv b g. O v g q, bg v b g gg, f gz. O ff v g f wk v mk g wk v, mm H Ev, Cf P Off Sw Mm. C C, Cf Exv Off SMCH, T w m m vm g. T gz v m g wk w m wk, ww mk ff w v, b f. f SMCH m b gz T Wk f x m. A gz, w b w b f g f w v q x x. T T Wk w. Ofm, m b f k bf, Dg Cff, CEO f WkDm. B b T Wk, gz m m f gz. A w b k b wk f w v v m. Tm m g, v w m m m g bf w gz, w gg g, fg v g. Cff, W f, gz v bg m T Wk. T ff v (x m v) w v b m T Wk f 5
P Rv T N C Dg Emg Sg A F O v m fm M Lv, g g w wv f m. Af f, w m b f w m m. S v Ab L gg mg m. F, w b g f w m. H m bg 2013 w F v M. S mv w b fm, b v v wk f g f m. A m, w v v ER M. T w gv m m v. T w b g w,. H m v b xv g g gg. F, m m v w, Y v mg, w g m g, F mmb. A mg mg (MR) mg f F bm. v vv, w bw. A vv f g, w xm 1 3 f g bw b. f, vv g b bw, f bw, fmg. F, g w. F 2017 F w v v mg m f bg f k. B m m, F w w bg Sw Mm Cmm H ER w w b b f Mk Mg, w w b MR g J 6 D. J Sm F O m f D. Sm fm g F w bw f f. Sm w w. D. Sm xm F mm g bm. Sg f w m vb f F. H w f fm. mv bk fx b f bm w, x. D. Sm x f. k. f w x w w gg. H m, m gg k g f. A, F. D. Sm fm g SMCH, w v m g. Af g m w v f gg m, w w g w f v. v w f f g. m m f. w m v g. w k wk, b b f g v f w v k f bk bw wk. w v m w f fm b f. v w.
g mm m. W wk f g w m g, F. H v w bf. w. g fm v v f ff. W m, w qk m. T f w b v v, g F. W w g m, F w m v w. Dg g, v. w ff v fm ff. F g, v f,. Af f f vg w, F m mfb. m g m b w w k w w mk g w. H x w D. Sm mv Gw m v MC R C Gw. w f fm R G b f f m Mg V Gw. T. A g, m vb m. m m w w w g, mm F. R, D. V, D. Sm. Bg bv w k b m mm vg m w v m. F gf D. Sm. H m m. w bv, w kwgb, m. W Y N Sg... O Tm R W g, g g m Sw Mm Cmm H Lk C. O m g x m ff f v fm. W v v v, m m, z g. O g g m g, g g,. W b, mm vv g q v qk w. G/Gg Abm Sg (C, Gb, H, Hm) C R R L Sg (Gb, Am, Tb Lg, Hm) C S B B Mm Lmm D&C Ex L, C, Tm P C Ex Hmm Vm V A P Pm O F Mgm (C) O R Fx (P & Sw) H Sg ( C & Cb T, Gg) T J Rm ENT E Tb Pm Tm Am N/S P Nk/F L Ex Omg C Sg P F/Ak Sg G E EGD C P Mgm Lmb & Cv S j Ug C 7
F 2017 8 O T: Rg F H Dw A D Sbg fb f w q, mg f w Sw Mm Cmm H g. L w, D k fg w bgg w m. S g w f fg g m. w f. S ff g, k g bv q, wg g q w f q. 2004 g ff m mm. T g w D. T M C b fm v v. T ff f k f m. K f fm k v g k m fg b. T kw f, b m mm m, v g f 50, f E, fm w f. T g, D v g. Dg g mv ff b. M 2017 D v m g f. W g m f D g m f. W k w f b mg g, mm z v SMCH. T m L F b f, D. F Rkw C, v Lk C w v. A wk f g, D w L F w Am Kb, f. D x v w. W wk z q v g. T z g, gg g f m q, mg. D g ff. T fg m g. W gg, b v-w wkg. L F, MS, OTR/L, (f) Am Kb, OTD, (g) wk w D Sbg () f D g f fg f g. D SMCH Smb 15. A m mg fm b b Am. S w f g. m b mv m fg. w g m. m gg bk m f, w m. M Am Kb, OTD, OTR/L Am Kb, OTD, OTR/L, Cg Uv M 2017, x wkg w v w v g g v xm g. A, Am wk w v w Azm gv, vg b. Am wk w,, m. S f Azm A Mm Mkg g gm Dm Cb C g. A, Am w b g v gwg SMCH O H gm. Am Kb OTD, OTR/L
Sw Mm Cmm H Rv USDA N L Sw Mm Cmm H (SMCH) f Lk C, w v $360,000 z fm Wb-C Cv T A (WCCTA) f Gw f f P C Hg Evm Pj. T bg f j $860,000 fg ff. vvg f, WCCTA w w $300,000 g g USDA R Em Dvm L G Pgm. A f qm WCCTA mm $30,000. T m w f m b A R Eff g f $30,000. SMCH mmm q w f v fm mm b vg x x vm f P C Hg Evm Pj. T j m f Lk C, Rkw C, Lk Vw Gw, b f w, w b f f. T w b 30 g, bf Am w Db A w. Pvg mm w b f f, g g m xm m,, f f mv f w v x b g v mg. T g vm w b w, m m f m, f m q f v, v m. T j bg w g vm f f $860,000, C C, CEO SMCH. W mm vg q mm w v. Tg fg w Wb C T A mm w v bf f vg x x. Eff w f f j w mv fw w ADA - f g. Fg f j bg Dmb 2016. WCCTA, fg b Ax. T Ax mm g f x w f j $200,000. T Ax f g mmb, fg v, gf. T mb f ff f $67,000 f 2016-2017 fg. Sw Mm Cmm H mm f fm bg. A, 50 f f b w b b b Sw Mm -k. B SMCH v -f f f fg mg f mvm, m g f b g m f. C j bg Ob w b mm 2019. Sv w w mm. Dg mvm f Gw Sw Mm Cmm H P C Hg Evm Pj D C, EVP, G Mg M B, ff mg, f Wb- C Cv T A, K Sw, ARNP-C, D. Am Sw, SMCH CEO C C. 9
Sw Mm Cmm H Ax P M. C b vb. Tk $25 C Cmm f m : M Lwg (712) 464-4117 K Bk (712) 656-2523 M D (712) 464-3670 M S (712) 464-9991 M Swm (920) 213-9018 S, Fb 3, 2018 D 5:45.m. Gm bg 7:00.m. O Lvg, Lk C, A Hw wk: C w m f g. Y m w v b wg q. T wg m v z! W x b g b, g m, g x v bw. T Pm Ev f Y! J F Exm! Sw Mm Cmm H Ax 2017-2018 Mg S T, Nvmb 7, 9:30m M f B b Bb R, C C H Am T, Dmb 5, 9:30m A Cm T T, J 2, 9:30m w T T b D Mb T, Fb 6, 9:30m K B T b D. Fgfk, M.D. Z Wk, D f Ng T, M 6, 9:30m Pk U w E Fk, Cff R, w T, A 3 *N V A L Rv q T, M 1, 9:30m W Nw N b J J F 2017 10 Ev Wm! A mg SMCH Lw Lv Cf C A *TBA
T, Dmb 5, 2017 6:30.m. Lb U M C g b ff m f g gf, Lm F Hm SMCH H v j f gm w mg f v. F m fm b gm 712-464-7665. S b: Lm F Hm www.mfm.m SMCH H A Cmm Sv f Rmmb A gm w v v. T Dmb, g m w H Lvg T g. E m w b w m f v wm fm f w mmb g Cm. T Lvg T w b Sw Mm Cmm H bb MC-R C bb g m f Dmb. f w mmb v w g m, m fm, g w $10 mmm, Sw Mm Cmm H, PO Bx 114, Lk C, A 51449. PLEASE PCK UP YOUR KEEPSAKE ANGEL AFTER CHRSTMAS. H Lvg T Ag Cmm H Lvg T Nmb f Ag : Nm() b m(): ( ) D gv b: ( m w b bk b ) A: $10 b Sw Mm Cmm H, PO Bx 114, 1301 W. M S. Lk C, A 51449 11
H C C F 2017 Sw Mm Cmm H 1301 W. M Lk C, A 51449 T b f m v. Ag b, b m b f mg m. f v m q, m f. Wb bgg gz v f fm. N m m. mg m b fm m f : Tkk, F. O C Sw Mm Cmm H Sw Mm Cmm H ff w g f m vg f mm. Am f b m b g 712-464-7907 1-800-560-7500. Ag B P, H..S. Cg Mk B, D.O. Sz Fgfk, M.D. E, N T D Sm, ARNP T Wf, M.D. G Sg R C, D.O. M M, D.O. J Sm, D.O. M H Sv H G, DNP, ARNP K Wk, ARNP Omg R D. V, M.D. O Tm D, M.D. P S S C, CRNA Jm J, CRNA P Mk Hm, D.P.M. Pmg Jm C. M, D.O. R Bv H Am Rbg, LSW Em MN, LSW K M, LSW Ug S L. P, M.D. Nw Ex Sw Mm Cmm H m w b F v g w m b f,, g, g, b, x, g, x. ATENCÓN: b ñ, ó v g güí. Lm 1-712-464-4203. 注意 : 如果您使用繁體中文, 您可以免費獲得語言援助服務 請致電 1-712-464-4203. Sw Mm Cmm H C f Ev O Bb! C T g, 712-464-3171, x. 6040. E B C W, Nvmb 8, 6:30.m. W, Fb 7, 6:30.m. P-N C S, J 20, 8:30.m. S, A 14, 8:30.m. Bg B/Bg S C W, J 31, 6:00.m. W, A 25, 6:00.m. L C Rgzg Sb Sg f M T, Nvmb 2 SMCH Cf C RSVP: 712-464-4214 b Ob 26 F mm, q m fm, SMCH 712-464-3171 g www.wmm.g Ax Mg A mg SMCH Cf C. N g. Ev wm! H v Sw Mm Cmm H MC-R C D A, P.A.-C. Tj P-A, ARNP-C S Bk, ARNP-C S C, CRNA Dk D, D.O. T, Nvmb 7, 9:30m M f B b Bb R, C C H Am T, Dmb 5, 9:30m A Cm T T, J 2, 9:30m w T T b D Mb T, Fb 6, 9:30m K B T b D. Fgfk, M.D. Z Wk, D f Ng T, M 6, 9:30m Pk U w E Fk, Cff R, w Fw Fbk www.fbk.m/ SMCHLkC Nw P Aw Wm! N Fk, P.A.-C. Mk Mg, P.A.-C. Mg G, P.A.-C. Am Sw, D.O. R G, FNP-C K Sw, ARNP-C S Hbk, D.O. Mg V, D.O. Jm J, CRNA Bb Wb, ARNP-C