2025-04-28T11:06:41-04:00 2024-06-30 460434947 ELO PROF LLC PO BOX 951 HURON SD 57350 990 2023-07-01 460345312 HURON REGIONAL MEDICAL CENTER INC HURO 6053536545 172 4TH ST SE HURON SD 57350 JUSTIN PICEK TREASURER 6053536545 2025-04-11 true true JAY TOLSMA CPA P00736087 6053528573 2025-04-11 2023 2025-03-06 01:10:19Z MARCIA ZWANZIGER 55446654 false X WWW.HURONREGIONAL.ORG X 1978 SD THE MISSION OF HURON REGIONAL MEDICAL CENTER IS TO IMPROVE THE WELLBEING OF INDIVIDUALS IN OUR REGION BY PROVIDING HIGH QUALITY HEALTH CARE. 12 8 465 32 -32066 337718 215303 49119900 50375252 1733025 3415540 2362396 1163299 53553039 55169394 0 0 28177230 28768980 0 0 23782790 25001993 51960020 53770973 1593019 1398421 111911651 113965413 7019860 7675201 104891791 106290212 THE MISSION OF HURON REGIONAL MEDICAL CENTER IS TO IMPROVE THE WELLBEING OF INDIVIDUALS IN OUR REGION BY PROVIDING HIGH QUALITY HEALTH CARE. false false 53770973 50375252 PROVIDED MEDICAL SERVICES AS FOLLOWS: INPATIENT ADMISSIONS 948 OUTPATIENT VISITS 97,822 SWING BED ADMISSIONS 65 HURON REGIONAL MEDICAL CENTER, INC. PROVIDED COMMUNITY BENEFIT IN THE AMOUNT OF 12,519,327 FOR 2024 AND 12,640,924 FOR 2023. 53770973 true true false false false false false false false false true true false false false false true false false false false false false false false false true true false false true false false false true false false false false false false false false false true false false false true 26 0 true 465 true true true false false false false false false false false false false false false false X 12 8 true true false false false false false true true false false true true true true true true true true false X X X JOEL NELSON 6053536545 172 4TH ST SE HURON SD 57350 DR VINCENT OYLER HCE 40.00 X 617456 0 26585 DR JULIS GUERRA HCE 40.00 X 379929 0 14508 DR BRETT MATHERS HCE 40.00 X 353803 0 24550 DR KRISTEN HUGHES DIRECTOR/HCE 40.00 X 345560 0 23736 DR RAUL OCTAVIANI HCE 40.00 0.00 X 286047 0 17555 DR TODD ANDERSON DIRECTOR 1.00 X 258564 0 0 DR CHRISTOPHER BRONSON FORMER DIREC 40.00 X 182382 0 15007 DR ROBERT HOHM BOARD VICE C 1.00 X 25387 0 0 DR WAYNE CARR DIRECTOR 1.00 X 0 0 0 DENIS DRAKE DIRECTOR 1.00 X 0 0 0 OSCAR LUQUE DIRECTOR 1.00 X 0 0 0 JUSTIN PICEK TREASURER 1.00 X 0 0 0 MARK ROBISH DIRECTOR 1.00 X 0 0 0 LAURIE SOLEM BOARD CHAIR 1.00 X 0 0 0 ANGIE UTTECHT SECRETARY 1.00 X 0 0 0 SPENCER WHITE DIRECTOR 1.00 X 0 0 0 LAURA WILLEMSSEN DIRECTOR 1.00 X 0 0 0 ERICK LARSON PRESIDENT/CE 50.00 X 0 0 0 MARCIA ZWANZIGER VP - FINANCE 50.00 X 0 0 0 2449128 121941 7 true true false OVATION HEALTHCARE 1573 MALLORY LANE STE 200 BRENTWOOD TN 37027 1113966 UNITED IMAGING SOLUTIONS 9370 KIRBY DRIVE HOUSTON TX 77054 1049510 UNIDINE CORPORTATION PO BOX 102289 ATLANTA GA 303682289 960882 COREWORKS 13028 COLLECTION CENTER DRIVE CHICAGO IL 60693 954630 FOCUSONE SOLUTIONS LLC PO BOX 3037 OMAHA NE 681030037 MEDICAL SERVICE 822755 32 215303 215303 OUTPATIENT REVENUES 120396735 120396735 ANCILLARY 14674303 14674303 ROUTINE SERVICES 8151700 8151700 SWING BED REVENUES 2423236 2423236 DEDUCTIONS FROM REVENUES -95270722 -95270722 50375252 2438232 2438232 245194 277260 -32066 -32066 -32066 977308 977308 977308 977308 OTHER OPERATING REVENUE 1195365 1195365 1195365 55169394 54986157 -32066 23524384 23524384 5244596 5244596 3757396 3757396 496879 496879 SUPPLIES 7918256 7918256 PURCHASED SERVICES & FEES 7256064 7256064 OTHER EXPENSES 1763757 1763757 REPAIRS & MAINTENANCE 1433795 1433795 2375846 2375846 53770973 53770973 0 0 1778201 1081663 11949636 12197739 58399 21833 241456 1017687 987404 1182057 618915 89121132 56990710 32716959 32130422 60549100 64454020 2418156 2473417 111911651 113965413 6747503 6522770 272357 1152431 7019860 7675201 X 104891791 106290212 104891791 106290212 111911651 113965413 1398421 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1208491 1208491 48099583 48099583 39813058 56990710 -17177652 32130422 INVESTMENTS 64454020 C 64454020 55169394 55169394 55169394 53770973 53770973 53770973 true true true X 1.250000000000 true X true true false true true 201205 201205 0.00370 4632378 5046584 248493 259785 5082076 5306369 201205 0.00370 412533 60765 351768 0.00650 86500 86500 0.00160 32303152 29244190 3058962 0.05690 59150 59150 0.00110 32861335 29304955 3556380 0.06610 37943411 34611324 3757585 0.06990 5000 5000 0.00010 135756 135756 0.00250 245818 245818 0.00460 386574 386574 0.00720 false 4823733 1205933 18966314 19000658 -34344 true true 1 1 HURON REGIONAL MEDICAL CENTER 172 4TH STREET HURON SD 57350 X X X X HURON REGIONAL MEDICAL CENTER 1 false false true X X X X X X X X X 22 true false true true X WWW.HURONREGIONAL.ORG X true 22 true WWW.HURONREGIONAL.ORG false false true X 125.000000000000 200.000000000000 X X X true true X X X true X WWW.HURONREGIONAL.ORG X WWW.HURONREGIONAL.ORG X WWW.HURONREGIONAL.ORG X X X X true X false true X X false false FACILITY 1, HURON REGIONAL MEDICAL CENTER - PART V, LINE 5 A CHNA SURVEY WAS DEPLOYED TO THE HOPITAL'S LOCAL EXPERT ADVISORS AND OFFERED TO THE COMMUNITY TO GAIN INPUT ON LOCAL HEALTH NEEDS AND THE NEEDS OF PRIORITY POPULATIONS. LOCAL EXPERT ADVISORS WERE LOCAL INDIVIDUALS SELECTED ACCORDING TO CRITERIA REQUIRED BY THE FEDERAL GUIDELINES AND REGULATIONS AND THE HOSPITAL'S DESIRE TO REPRESENT THE REGION'S GEOGRAPHICALLY DIVERSE POPULATION. COMMUNITY INPUT FROM 35 IDENTIFIED LOCAL EXPERT ADVISORS AND 76 COMMUNITY MEMBERS WERE RECIEVED. SURVEY RESPONSES STARTED IN JANUARY 2022 AND ENDED IN APRIL 2022. FACILITY 1, HURON REGIONAL MEDICAL CENTER - PART V, LINE 6B OTHER ORGANIZATIONS WITH WHICH THE HOSPITAL FACILITY CONDUCTED ITS CHNA: OVATION HEALTHCARE - HOSPITAL FACILITY MANAGEMENT COMPANY FACILITATED CHNA. JAMES VALLEY COMMUNITY HEALTH CLINIC AND COMMUNITY COUNSELING SERVICES, CARR CHIROPRACTIC CLINIC AND VARIOUS LARGE EMPLOYERS WITH NON ENGLISH SPEAKING EMPLOYEES PARTICIPATED IN CONFIRMING SIGNIFICANT NEEDS AND DEVELOPING IMPLEMENTATION STRATEGY. PART V, SECTION B, LINE 11 FACILITY 1 - HRMC SEE ATTACHED FACILITY 1 - HRMC - HRMC COMMUNITY HEALTH NEEDS ASSESSMENT GRID PART V, SECTION B, LINE 20(D) HRMC IN PROCESS OF OBTAINING AND MEETING PRESUMPTIVE ELIGIBILITY REQUIREMENTS OF STATE OF SOUTH DAKOTA. SCHEDULE H, PART I, LINE 7G COSTS ATTRIBUTABLE TO PHYSICIAN CLINIC AS SUBSIDIZED HEALTH SERVICES: ORTHOPEDIC CLINIC 1,204,510, OB/GYN CLINIC 1,202,097, FAMILY MEDICINE CLINIC 2,254,443, SURGICAL CLINIC 933,032, UROLOGY CLINIC 365,162, WOUND CARE CLINIC 605,417 AND IM CLINIC 1,711,781 FOR A TOTAL OF 8,276,442. BAD DEBT EXPENSE NOT REPORTED ON LINE 7G WAS 0. SCHEDULE H, PART I, LINE 7 WORKSHEET 2 WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN THE TABLES ALONG WITH COST REPORT AMOUNTS WHEN APPLICABLE. SCHEDULE H, PART II SEE ATTACHED SCHEDULE H, PART III, LINE 2 ACCOUNTS RECEIVABLE FROM PATIENTS CONSIST OF THE FOLLOWING: ACCOUNTS RECEIVABLE AS OF JUNE 30, 2024 AND 2023 WERE 15,741,924 AND 15,388,131. ALLOWANCE FOR DOUBTFUL ACCOUNTS AS OF JUNE 30, 2024 AND 2023 WERE (3,544,185) AND (3,438,495). ACCOUNTS RECEIVABLE, NET AS OF JUNE 30, 2024 AND 2023 WERE 12,197,739 AND 11,949,636. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED ON AN ESTIMATE USING PAST COLLECTION EXPERIENCE,FINANCIAL CLASS, AND AGE FOR THE PATIENT ACCOUNT. ESTIMATED BAD DEBTS EXPENSE REFLECTS THIS PROVISION FOR ACTUAL OR EXPECTED DOUBTFUL ACCOUNTS. DISCOUNTS AND PAYMENTS ON ACCOUNTS REDUCES ACCOUNTS RECEIVABLE BALANCES THEREFORE REDUCING BAD DEBTS EXPENSE. A STUDY OF FINANCIAL ASSISTANCE APPLICATIONS AND EXPERIENCE OF FINANCIAL ASSISTANCE STAFF WAS USED TO REASONABLY ESTIMATE THE PERCENTAGE OF BAD DEBT FOR PATIENTS WHO WHOULD HAVE QUALIFIED FOR ASSISTANCE IF THEY APPLIED. SEE FOOTNOTE 1 PATIENT ACCOUNTS RECEIVABLES SECTION AND FOOTNOTE 4 OF AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART VI, LINE 2 SEE ATTACHED 2 SCHEDULE H, PART VI, LINE 3 SEE ATTACHED 3 SCHEDULE H, PART VI, LINE 4 SEE ATTACHED 4 SCHEDULE H, PART VI, LINE 5 SEE ATTACHED 5 SCHEDULE H, PART VI SEE ATTACHED 1 FORM 990, PART VI, LINE 2 - FAMILY/BUSINESS RELATIONSHIP ONE HOSPITAL BOARD TRUSTEE IS A DIRECTOR ON GREATER HURON DEVELOPMENT BOARD. ONE HOSPITAL BOARD TRUSTEE IS THE MAYOR OF HURON,SD. ONE HOSPITAL BOARD TRUSTEE SERVES ON THE BEADLE COUNTY COMMISSION. ONE HOSPITAL OFFICER, EMPLOYED BY OVATION HEALTHCARE, HAS HIS SPOUSE AND DAUGHTER EMPLOYED BY THE HOSPITAL. ONE HOSPITAL BOARD TRUSTEE HAS HIS WIFE AND DAUGHTER-IN-LAW EMPLOYED BY THE HOSPITAL. THREE BOARD TRUSTEES ARE EMPLOYED BY THE HOSPITAL - NOT INDEPENDENT. X X true true X X X X X false false false false false false false false false DR VINCENT OYLER HCE 554464 15000 47992 5134 21451 644041 DR JULIS GUERRA HCE 360843 19086 993 13515 394437 DR BRETT MATHERS HCE 326533 10714 16556 1353 23197 378353 DR KRISTEN HUGHES DIRECTOR/HCE 312624 10000 22936 2432 21304 369296 DR RAUL OCTAVIANI HCE 251668 20000 14379 1733 15822 303602 DR TODD ANDERSON DIRECTOR 246564 12000 258564 DR CHRISTOPHER BRONSON FORMER DIRECTOR 137964 12500 31918 1281 13726 197389 SCHEDULE J, PART III OVATION HEALTHCARE WHO IS CONTRACTED BY THE BOARD OF DIRECTORS TO MANAGE THE HOSPITAL PAYS THE PRES/CEO AND VP-FINANCE SINCE THEY ARE EMPLOYEES OF OVATION HEALTH CARE. HRMC PAID THE PLANE FARE FOR A SPOUSE OF A TRUSTEE TO ATTEND A BOARD TRAINING CONFERENCE. DR KRISTEN HUGHES MD HOUSING X 50000 21833 false true true 21833 FORM 990, PAGE 6, PART VI, LINE 2 SEE ATTACHED FORM 990, PAGE 6, PART VI, LINE 3 HRMC CONTRACTED WITH OVATION HEALTHCARE TO PROVIDE MANAGEMENT SERVICES AS DIRECTED BY THE BOARD. OVATION HEALTHCARE THEN EMPLOYS PRESIDENT/CEO AND VP-FINANCE/CFO. FORM 990, PAGE 6, PART VI, LINE 11B ORGANIZATION'S PROCESS IS TO PROVIDE FORM 990 TO THE BOARD OF DIRECTORS PRIOR TO SUBMISSION. FORM 990 ALSO PRESENTED TO BOARD BY AUDITOR/CFO. FORM 990, PAGE 6, PART VI, LINE 12C ENFORCEMENT OF CONFLICTS OF INTEREST POLICY FOR BOARD OF DIRECTORS IS DONE THROUGH THE EXECUTIVE COMMITTEE WHO ACTIVELY MONITORS COMPLIANCE. FORM 990, PAGE 6, PART VI, LINE 15A COMPENSATION COMMITTEE IN CONJUNCTION WITH OVATION HEALTHCARE REVIEWED INDEPENDENT COMPENSATION CONSULTANT'S COMPENSATION SURVEY FOR BOTH CEO AND CFO. BOARD APPROVED EXECUTIVE COMPENSATION POLICY, REQUIRES AN INDEPENDENT COMPENSATION SURVEY EVERY 4 YEARS AND REVIEW OF CEO AND CFO COMPENSATION ANNUALLY. FORM 990, PAGE 6, PART VI, LINE 15B COMPENSATION COMMITTEE IN CONJUNCTION WITH OVATION HEALTHCARE REVIEWED INDEPENDENT COMPENSATION CONSULTANT'S COMPENSATION SURVEY FOR BOTH CEO AND CFO. BOARD APPROVED EXECUTIVE COMPENSATION POLICY, REQUIRES AND INDEPENDENT COMPENSATION SURVEY EVERY 4 YEARS AND REVIEW OF CEO AND CFO COMPENSATION ANNUALLY. FORM 990, PAGE 6, PART VI, LINE 19 FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY AVAILABLE FOR PUBLIC INSPECTION AT THE ADMINISTRATION OFFICE OF THE ORGANIZATION. FINANCIAL STATEMENTS MADE PUBLIC AND ANNUAL POSTING OF FORM 990 THROUGH GUIDESTAR AND ON HOSPITAL WEBSITE HURON REG MEDICAL CTR FOUNDATION 110 4TH STREET SE HURON SD 57350 460437171 FUNDRAISER SD 501C 3 NA false false false false false false false false false false false false false false false false false false false false