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MONUMENT HEALTH RAPID CITY HOSPITAL INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
MONUMENT HEALTH RAPID CITY HOSPITAL INC (EIN 46-0319070)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-15
IRS object ID
201831359349302763
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-05-15T09:01:32-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Eide Bailly LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1800 Nicollet Mall Ste 1300AddressLine1Txt
CityMinneapolisCityNm
State AbbreviationMNStateAbbreviationCd
ZIP554027033ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN460319070EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Rapid City Regional Hospital IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlRAPIBusinessNameControlTxt
Phone6057559130PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1353 Fairmont Blvd PO Box 6000AddressLine1Txt
CityRapid CityCityNm
State AbbreviationSDStateAbbreviationCd
ZIP57701ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMark ThompsonPersonNm
Person TitleCFOPersonTitleTxt
Phone6057559130PhoneNum
Signature2018-05-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKim Hunwardsen CPAPreparerPersonNm
PTINP00484560PTIN
Phone6122536500PhoneNum
Preparation2018-05-10PreparationDt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBrent PhillipsPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1353 Fairmont Blvd PO Box 6000AddressLine1Txt
CityRapid CityCityNm
State AbbreviationSDStateAbbreviationCd
ZIP57701ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$691,776,957GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.regionalhealth.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1973FormationYr
Legal Domicile StateSDLegalDomicileStateCd
Activity Or MissionHelping Patients and Communities Live WellActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee4809TotalEmployeeCnt
Total Volunteers345TotalVolunteersCnt
Total Gross UBI$6,390,045TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$983,160NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,503,829PYContributionsGrantsAmt
CY Contributions Grants$5,580,515CYContributionsGrantsAmt
PY Program Service Revenue$594,165,731PYProgramServiceRevenueAmt
CY Program Service Revenue$648,592,391CYProgramServiceRevenueAmt
PY Investment Income$16,754,640PYInvestmentIncomeAmt
CY Investment Income$33,161,670CYInvestmentIncomeAmt
PY Other Revenue$5,211,301PYOtherRevenueAmt
CY Other Revenue$325,810CYOtherRevenueAmt
PY Total Revenue$618,635,501PYTotalRevenueAmt
CY Total Revenue$687,660,386CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$252,267,378PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$274,104,003CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$889,571CYTotalFundraisingExpenseAmt
PY Other Expenses$321,433,762PYOtherExpensesAmt
CY Other Expenses$373,459,215CYOtherExpensesAmt
PY Total Expenses$573,701,140PYTotalExpensesAmt
CY Total Expenses$647,563,218CYTotalExpensesAmt
PY Revenues Less Expenses$44,934,361PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$40,097,168CYRevenuesLessExpensesAmt
Total Assets BOY$924,629,930TotalAssetsBOYAmt
Total Assets EOY$963,416,356TotalAssetsEOYAmt
Total Liabilities BOY$294,479,856TotalLiabilitiesBOYAmt
Total Liabilities EOY$271,456,316TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$630,150,074NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$691,960,040NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionPURPOSE: Helping Patients and Communities Live WellVISION: We aspire to be the best healthcare system in AmericaVALUES: Compassion, Innovation, Courage, Mutual Respect and IntegrityPRIORITIES: Patient & Family EXPERIENCE; Culture of Safety & Quality CARE; Physician & Caregiver EMPOWERMENT; Financial & Community STEWARDSHIPMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$446,013,654ExpenseAmt
Revenue$642,378,788RevenueAmt
DescRapid City Regional Hospital, Inc. (RCRH) is a tertiary hospital serving Western South Dakota. The nearest larger hospital is in Sioux Falls, SD, more than 350 miles away. As such, the services provided by RCRH are truly a healthcare safety net for Western South Dakota. The Hospital provides comprehensive care, including Level II Trauma Care.Desc
Total Program Service Expenses$446,013,654TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document497IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee4809EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldNCStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Mark ThompsonBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6057559127PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 6000AddressLine1Txt
CityRapid CityCityNm
State AbbreviationSDStateAbbreviationCd
ZIP57701ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Jack Lynass
Chairman1.150.00Yes (X)Yes (X)$0$0$0
Lisa Seaman
Vice Chairman1.530.00Yes (X)Yes (X)$0$0$0
Diedre Budahl
Director1.400.00Yes (X)$0$0$0
Sandra Burns
Director0.710.00Yes (X)$0$0$0
Bruce Eaton MD
Director1.2540.00Yes (X)$0$539,779$60,264
Timothy Frost MD
Director0.740.00Yes (X)$0$0$0
Lia Green
Director2.840.02Yes (X)$0$0$0
Robert Mudge
Director0.820.00Yes (X)$0$0$0
Dennis Popp
Director1.280.00Yes (X)$0$0$0
Tamara Riddle-Schumacher
Director1.180.00Yes (X)$0$0$0
Brent Phillips
President & CEO47.1712.83Yes (X)Yes (X)$1,002,798$0$180,200
Mark A Thompson
CFO/Treasurer43.2411.76Yes (X)$486,982$0$89,668
Mary E Masten
General Counsel/Secretary43.2411.76Yes (X)$382,350$0$81,638
Paul W Clemments
VP Professional Services55.000.00$223,307$0$54,205Yes (X)
Paulette R Davidson
Chief Operating Officer43.2411.76$487,508$0$91,910Yes (X)
Michael Gibbs
President Rapid City Marke55.000.00$529,919$0$28,282Yes (X)
Maureen G Henson
VP Human Resources43.2411.76$317,431$0$43,944Yes (X)
Michael E Latour
VP Rapid City Market55.000.00$200,867$0$48,509Yes (X)
Richard S Latuchie
VP Info Technology CIO43.2411.76$403,618$0$25,252Yes (X)
John Pierce
VP Rapid City Market55.000.00$294,997$0$64,394Yes (X)
Laura C Wightman
Chief Nursing Officer43.2411.80$280,207$0$52,803Yes (X)
Thomas S Worsley
VP Rapid City Market55.000.00$288,249$0$56,264Yes (X)
John Karl Heilman III MD
Physician - Cardiology40.000.00$729,260$0$25,644Yes (X)
Drew A Purdy MD
Physician - Cardiology40.000.00$833,637$0$30,098Yes (X)
Bhaskar Purushottam MD
Physician - Cardiology40.000.00$856,933$0$72,521Yes (X)
Joseph Tuma MD
Physician - Cardiology40.000.00$917,674$0$85,634Yes (X)
Michael O Robinson MD
Physician - Oncology40.000.00$737,925$0$23,117Yes (X)
Timothy Sughrue
Former CEO RCRH & RHN; COO0.000.00$151,539$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$9,125,201TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$539,779TotReportableCompRltdOrgAmt
Total Other Compensation$1,114,347TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K257IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MEDEFIS
10826 Old Mill Rd 101OmahaNE68105Temporary Medical Staff Coverage$16,367,137
Healthsource Partners LLC
2134 Industrial Dr Suite BBOZEMANMT59715Temporary Medical Staff Coverage$6,536,985
Comphealth Medical Staffing
PO Box 972651DallasTX753972651Temporary Medical Staff Coverage$4,021,962
Weatherby Locums Inc
PO Box 972633DallasTX75397Temporary Medical Staff Coverage$3,487,982
Athena Health
311 Arsenal StWATERTOWNMA02472Computer Software-Practice Management Bi$2,462,579
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K111CntrctRcvdGreaterThan100KCnt
Fundraising$195,722FundraisingAmt
Related Organizations$5,320RelatedOrganizationsAmt
Government Grants$81,503GovernmentGrantsAmt
All Other Contributions$5,297,970AllOtherContributionsAmt
Total Contributions$5,580,515TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
In Patient Pharmacy446110$152,247,286$152,247,286
Surgical Services622110$119,872,063$119,872,063
Laboratory621500$111,346,259$111,346,259
Cardiac Services622110$80,766,342$80,766,342
MIS CT Scan621500$61,454,882$61,454,882

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$122,905,559TotalRevenueColumnAmt
Related Or Exempt Func Income$116,585,910RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$6,319,649UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$648,592,391TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,727,579TotalRevenueColumnAmt
Exclusion$9,727,579ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,847TotalRevenueColumnAmt
Exclusion$27,847ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$577,744RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$424,970RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$152,774RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$152,774TotalRevenueColumnAmt
Exclusion$152,774ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$23,624,325SecuritiesAmt
Other$3,115,720OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$3,333,801OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$23,624,325SecuritiesAmt
Other-$218,081OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$23,406,244TotalRevenueColumnAmt
Exclusion$23,406,244ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$159,783FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$195,722ContriRptFundraisingEventAmt
Fundraising Direct Expenses$163,189FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$3,406TotalRevenueColumnAmt
Exclusion-$3,406ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$300,657GrossSalesOfInventoryAmt
Cost Of Goods Sold$194,611CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$106,046TotalRevenueColumnAmt
Related Or Exempt Func Income$106,046RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescUBI from PartnershipsDesc
Business900099BusinessCd
Total Revenue Column$70,396TotalRevenueColumnAmt
Unrelated Business Revenue$70,396UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$70,396OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$687,660,386TotalRevenueColumnAmt
Related Or Exempt Func Income$642,378,788RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$6,390,045UnrelatedBusinessRevenueAmt
Exclusion$33,311,038ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,824,361TotalAmt
Management And General$3,824,361ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$308,585TotalAmt
Program Services$308,585ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$242,497,265TotalAmt
Program Services$187,027,821ProgramServicesAmt
Management And General$54,925,662ManagementAndGeneralAmt
Fundraising$543,782FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,777,047TotalAmt
Program Services$3,628,569ProgramServicesAmt
Management And General$1,137,945ManagementAndGeneralAmt
Fundraising$10,533FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,653,131TotalAmt
Program Services$5,053,613ProgramServicesAmt
Management And General$1,584,849ManagementAndGeneralAmt
Fundraising$14,669FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$16,043,614TotalAmt
Program Services$11,557,262ProgramServicesAmt
Management And General$4,458,000ManagementAndGeneralAmt
Fundraising$28,352FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$593,552TotalAmt
Management And General$593,552ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$226,676TotalAmt
Management And General$226,676ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$80,612TotalAmt
Management And General$80,612ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$66,062,156TotalAmt
Program Services$44,965,542ProgramServicesAmt
Management And General$21,004,782ManagementAndGeneralAmt
Fundraising$91,832FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$766,890TotalAmt
Program Services$21,384ProgramServicesAmt
Management And General$705,063ManagementAndGeneralAmt
Fundraising$40,443FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,765,589TotalAmt
Program Services$836,703ProgramServicesAmt
Management And General$904,381ManagementAndGeneralAmt
Fundraising$24,505FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$14,777,129TotalAmt
Program Services$2,689,866ProgramServicesAmt
Management And General$12,062,833ManagementAndGeneralAmt
Fundraising$24,430FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$8,228,943TotalAmt
Program Services$815,238ProgramServicesAmt
Management And General$7,412,964ManagementAndGeneralAmt
Fundraising$741FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$825,878TotalAmt
Program Services$468,587ProgramServicesAmt
Management And General$352,903ManagementAndGeneralAmt
Fundraising$4,388FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,620,454TotalAmt
Program Services$924,064ProgramServicesAmt
Management And General$691,599ManagementAndGeneralAmt
Fundraising$4,791FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,217,900TotalAmt
Program Services$5,311ProgramServicesAmt
Management And General$3,212,589ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$27,224,538TotalAmt
Program Services$10,948,167ProgramServicesAmt
Management And General$16,269,089ManagementAndGeneralAmt
Fundraising$7,282FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,666,378TotalAmt
Program Services$1,509,832ProgramServicesAmt
Management And General$156,546ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Medical Supplies$115,985,083$115,985,083
Interco. Serv. & Suppl.$71,058,735$12,444,393$58,614,342
Bad Debt Expense$36,141,163$36,141,163
All other expenses$23,217,539$10,682,471$12,441,245$93,823

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$647,563,218TotalAmt
Program Services$446,013,654ProgramServicesAmt
Management And General$200,659,993ManagementAndGeneralAmt
Fundraising$889,571FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$26,148,140BOYAmt
EOY$6,955,120EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,928,821BOYAmt
EOY$2,729,674EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$78,213,679BOYAmt
EOY$75,237,627EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$14,101,774BOYAmt
EOY$17,071,266EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$10,771,464BOYAmt
EOY$8,568,982EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$428,977,674LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$170,014,181LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$196,318,942BOYAmt
EOY$258,963,493EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$532,129,654BOYAmt
EOY$521,106,376EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$57,268,789BOYAmt
EOY$60,346,239EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$3,580,906BOYAmt
EOY$3,580,906EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,167,761BOYAmt
EOY$8,856,673EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$924,629,930BOYAmt
EOY$963,416,356EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$52,261,730BOYAmt
EOY$50,762,441EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$141,481,645BOYAmt
EOY$132,708,107EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$100,736,481BOYAmt
EOY$87,985,768EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$294,479,856BOYAmt
EOY$271,456,316EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$614,095,839BOYAmt
EOY$670,667,836EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$14,391,306BOYAmt
EOY$19,629,275EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,662,929BOYAmt
EOY$1,662,929EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$630,150,074BOYAmt
EOY$691,960,040EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$924,629,930BOYAmt
EOY$963,416,356EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$40,097,168ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$16,426,772NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$5,286,026OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$80,612OtherActivitiesAmt
Total Lobbying Expenditures$80,612TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationSchedule C, Part II-B, Line 1i: Annual dues are paid to the South Dakota Association of Healthcare Organizations. A portion of the dues are applicable to lobbying activities. For calendar year 2017 dues, which were paid in fiscal year 2017, in the amount of $326,540, 6.42% was used for lobbying purposes. Annual dues were paid to the American Hospital Association, a portion of which is applicable to lobbying activities. For calendar year 2017 dues, which were paid in fiscal year 2017, in the amount of $61,947, 21.78% was used for lobbying purposes. Annual dues were paid to the American Medical Rehab Providers Association, a portion of which is applicable to lobbying activities. For calendar year 2017 dues, which were paid in fiscal year 2017, in the amount of $10,604, 39.00% was used for lobbying purposes. In fiscal year 2017, $27,021 of employee salary expense and $15,000 of consulting expense were incurred in regard to lobbying.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,662,929BeginningYearBalanceAmt
End Year Balance$1,662,929EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,662,929BeginningYearBalanceAmt
End Year Balance$1,662,929EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,662,929BeginningYearBalanceAmt
End Year Balance$1,662,929EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,662,929BeginningYearBalanceAmt
End Year Balance$1,662,929EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,747,979BeginningYearBalanceAmt
Contributions$10,000ContributionsAmt
Other Expenditures$95,050OtherExpendituresAmt
End Year Balance$1,662,929EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,346,017OtherCostOrOtherBasisAmt
Book Value$8,346,017BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$203,009,879OtherCostOrOtherBasisAmt
Depreciation$88,564,203DepreciationAmt
Book Value$114,445,676BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,143,294OtherCostOrOtherBasisAmt
Depreciation$2,604,814DepreciationAmt
Book Value$5,538,480BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$130,846,559OtherCostOrOtherBasisAmt
Depreciation$78,845,164DepreciationAmt
Book Value$52,001,395BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$78,631,925OtherCostOrOtherBasisAmt
Book Value$78,631,925BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$258,963,493TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Mortgage-Backed Securities$460,183F
Investment in Western Dakota Health Care/RHN$43,000,231F
Investment in Privately Held Companies$16,885,825F
FieldValueIRS element (for citing)
Total Book Value Securities$60,346,239TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Payable Under Interest Rate Swap$7,868,275
Other Long Term Liabilities$18,770,404
Accrued Pension Liability$25,535,057
Intercompany Payable$35,812,032
FieldValueIRS element (for citing)
Total Liability$87,985,768TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:Endowed funds are held in an interest bearing account subject to the terms as specified by the donor and Board of Directors. The earnings on the endowment funds become temporariliy restricted funds and therefore are not part of the endowment balance. Of the $1,662,929 endowment funds, $692,332 are restricted to be used for grants/scholarships to students in a healthcare program, $512,197 is restricted for use in the pediatrics unit, $100,000 for promotion of a healthy community, $197,400 for cardiac services, $100,000 for hospice patients, $36,000 for plants in public areas and $25,000 for cancer care.
Part X, Line 2:References to "Regional Health" apply to all entities controlled or leased by Regional Health, Inc. and its subsidiaries. This includes the reporting entity. Regional Health is organized as a nonprofit corporation as described in Section 501(c)(3) of the Internal Revenue Code, and is exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Certain consolidated subsidiaries, including Regional Health Home Plus are not tax-exempt entities and are considered disregarded entities for tax purposes. Regional Health is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. In addition, Regional Health is subject to income tax on net income that is derived from business activities that are unrelated to its exempt purpose (Form 990T). Regional Health believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. Regional Health would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. Regional Health's federal Form 990T filings are no longer subject to federal tax examinations by tax authorities for years before 2013.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Duck RaceEvent1Nm
Gross Receipts Event1$107,168GrossReceiptsEvent1Amt
Charitable Contri Event1$92,812CharitableContriEvent1Amt
Gross Revenue Event1$14,356GrossRevenueEvent1Amt
Other Direct Expenses Event1$58,251OtherDirectExpensesEvent1Amt
Event2Tough Enough to Wear PinkEvent2Nm
Gross Receipts Event2$102,910GrossReceiptsEvent2Amt
Charitable Contri Event2$102,910CharitableContriEvent2Amt
Other Direct Expenses Event2$48,326OtherDirectExpensesEvent2Amt
Other Events Total5OtherEventsTotalCnt
Gross Receipts Other Events$145,427GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$145,427GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$56,612OthDirectExpnssOtherEventsAmt
Gross Receipts Total$355,505GrossReceiptsTotalAmt
Charitable Contributions Tot$195,722CharitableContributionsTotAmt
Gross Revenue Total Events$159,783GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$163,189OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$163,189DirectExpenseSummaryEventsAmt
Net Income Summary-$3,406NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent250Yes (X)Percent250Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,612,669TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$13,612,669NetCommunityBenefitExpnsAmt
Total Expense0.02230TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$58,368,948TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$39,552,226DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,816,722NetCommunityBenefitExpnsAmt
Total Expense0.03080TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$71,981,617TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$39,552,226DirectOffsettingRevenueAmt
Net Community Benefit Expns$32,429,391NetCommunityBenefitExpnsAmt
Total Expense0.05310TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs10ActivitiesOrProgramsCnt
Persons Served932PersonsServedCnt
Total Community Benefit Expns$4,415,548TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,954DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,409,594NetCommunityBenefitExpnsAmt
Total Expense0.00720TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served103PersonsServedCnt
Total Community Benefit Expns$6,232,874TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,745,958DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,486,916NetCommunityBenefitExpnsAmt
Total Expense0.00410TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,259,925TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,413,035DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,846,890NetCommunityBenefitExpnsAmt
Total Expense0.01120TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,834,654TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,138,582DirectOffsettingRevenueAmt
Net Community Benefit Expns$696,072NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served60PersonsServedCnt
Total Community Benefit Expns$369,724TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$369,724NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs14ActivitiesOrProgramsCnt
Persons Served1095PersonsServedCnt
Total Community Benefit Expns$36,112,725TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,303,529DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,809,196NetCommunityBenefitExpnsAmt
Total Expense0.02420TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs14ActivitiesOrProgramsCnt
Persons Served1095PersonsServedCnt
Total Community Benefit Expns$108,094,342TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$60,855,755DirectOffsettingRevenueAmt
Net Community Benefit Expns$47,238,587NetCommunityBenefitExpnsAmt
Total Expense0.07730TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$823TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$823NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$4,858TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,858NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served76PersonsServedCnt
Total Community Benefit Expns$16,273TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$16,273NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$116TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$116NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served162PersonsServedCnt
Total Community Benefit Expns$18,697TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$18,697NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs7ActivitiesOrProgramsCnt
Persons Served238PersonsServedCnt
Total Community Benefit Expns$40,767TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$40,767NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$36,141,163BadDebtExpenseAmt
Bad Debt Expense Attributable$2,279,044BadDebtExpenseAttributableAmt
Reimbursed By Medicare$171,169,155ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$181,024,395CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$9,855,240MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (5 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 Black Hills Medical Office BD LLC
Office Building0.679300.32070
2 Medical & Dental Building
Office Building0.714500.28550
3 The Imaging Center LLC
Medical Imaging0.500000.50000
5 Same Day Surgery Center
Specialty and Ambulatory Srvcs0.400000.60000
6 Western Providers Inc
PHO0.500000.50000
FieldValueIRS element (for citing)
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndEmergency Room24 HrsEmergencyRoom24HrsIndOtherOtherDesc
Rapid City Regional Hospital
1353 Fairmont BlvdRapid CitySD57701www.regionalhealth.com10558Yes (X)Yes (X)Yes (X)Yes (X)8 Provider-based clinics; 1 behavioral health facility
Same Day Surgery Center
2651 Cathedral DriveRapid CitySD57701www.samedaysurgerycenter.org10581Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNumFirst Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndPrior CHNA ImpactPriorCHNAImpactIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctAsset Level CriteriaAssetLevelCriteriaIndMedical Indigency CriteriaMedicalIndigencyCriteriaIndResidency CriteriaResidencyCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndProvided Nonprofit ContactProvidedNonprofitContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgIndNotified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayIndCommuntity Notified FAPCommuntityNotifiedFAPIndOther PublicityOtherPublicityIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndProvided Written NoticeProvidedWrittenNoticeIndMade Effort Orally NotifyMadeEffortOrallyNotifyIndProcessed FAP ApplicationProcessedFAPApplicationIndMade Presumptive Elig DetermMadePresumptiveEligDetermIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndProspective Medicare MedicaidProspectiveMedicareMedicaidIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesIndOther WebsiteOtherWebsiteIndOther Website URLOtherWebsiteURLTxtNo Emergency CareNoEmergencyCareInd
Rapid City Regional Hospital Inc
100Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)15Yes (1)Yes (1)0Yes (1)Yes (X)See Section C, Line 7dYes (X)Yes (1)15Yes (1)See Section C, Line 7d0Yes (1)Yes (X)200.000000000000250.000000000000Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)See Section C, Line 16a-cYes (X)See Section C, Line 16a-cYes (X)See Section C, Line 16a-cYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (1)
Same Day Surgery Center
200Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)15Yes (1)Yes (1)0Yes (1)Yes (X)See Line 10aYes (X)Yes (1)15Yes (1)http://www.samedaysurgerycenter.org/community-health-needs-assessment/0Yes (1)Yes (X)200.000000000000250.000000000000Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)See Section C, Line 16a-cYes (X)See Section C, Line 16a-cYes (X)See Section C, Line 16a-cYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (X)Yes (X)0Yes (X)0Yes (1)Yes (X)http://www.regionalhealth.com/about-us/community-needs-assessmentYes (X)

Supplemental Information SupplementalInformationGrp (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Rapid City Regional Hospital, Inc.Part V, Section B, Line 5: As part of the community health needs assessment, an online key informant survey was conducted that solicited input from individuals who have a broad interest in the health of the community. Participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall.Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online; reminder emails were sent as needed to increase participation. A total of 294 community stakeholders comprised of physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders completed the key informant survey for the Regional Health service area.
Same Day Surgery CenterPart V, Section B, Line 5: As part of the community health needs assessment, an online key informant survey was conducted that solicited input from individuals who have a broad interest in the health of the community. Potential participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall.Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online; reminder emails were sent as needed to increase participation. A total of 294 community stakeholders comprised of physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders completed the key informant survey for the Regional Health service area.
Rapid City Regional Hospital, Inc.Part V, Section B, Line 6a: The Community Health Needs Assessment was undertaken by Regional Health, including: Rapid City Regional Hospital, Same Day Surgery Center, Spearfish Regional Hospital, Sturgis Regional Hospital, Lead-Deadwood Regional Hospital, and Custer Regional Hospital. Under a management contract with Regional Health, Hans P. Peterson Memorial Hospital in Philip, SD, also collaborated on the project. Hans P. Peterson Memorial Hospital provided funding for their portion of the assessment.
Same Day Surgery CenterPart V, Section B, Line 6a: The Community Health Needs Assessment was undertaken by Regional Health, including: Rapid City Regional Hospital, Same Day Surgery Center, Spearfish Regional Hospital, Sturgis Regional Hospital, Lead-Deadwood Regional Hospital, and Custer Regional Hospital. Under a management contract with Regional Health, Hans P. Peterson Memorial Hospital in Philip, SD, also collaborated on the project. Hans P. Peterson Memorial Hospital provided funding for their portion of the assessment.
Rapid City Regional Hospital, Inc.Part V, Section B, Line 7d: http://www.regionalhealth.com/about-us/community-needs-assessment
Rapid City Regional Hospital, Inc.Part V, Section B, Line 11: In review of the needs identified in the 2015 CHNA, Rapid City Regional Hospital has identified the areas below that will not be addressed due to prioritization of health needs:1) Cancer: This issue will not be addressed as a primary need, but will be impacted through the access to healthcare services priority. Awareness activities through the American Cancer Society also currently exist in the community and surrounding area. 2) Dementia, Including Alzheimer's Disease: This issue will not be addressed as a primary need, but will be impacted through the mental health priority. In addition, there are local licensed skilled nursing facilities providing services to the elderly of the community. 3) Diabetes: This issue will not be addressed as a primary need, but will be impacted through the Nutrition, Physical Activity and Weight priority.4) Heart Disease & Stroke: This issue will not be addressed as a primary need, but will be impacted through the Nutrition, Physical Activity and Weight priority.5) Infant health and Family Planning: Data from the CHNA revealed that infant mortality and teen births were of greatest concern in this area in the community. However, limited resources excluded this as an area chosen for action. 6) Injury & violence: RCRH has partnered with Kohl's Cares, Safe & Sound South Dakota, Farm Bureau of South Dakota, and Community Organized Resources in Educating Youth in order to address this area of opportunity. With these partnerships, Rapid City Regional Hospital determined that progress is being made in this area and that other areas of opportunity required more immediate and focused attention. 7) Oral Health: RCRH has limited resources, services and expertise available to address oral health and access to oral health insurance. Other community organizations have infrastructure and programs in place to better meet this need. Limited resources excluded this as an area chosen for action.8) Respiratory Diseases: RCRH believes this priority area falls more within the purview of other community resources, including outpatient clinical settings.9) Sexually Transmitted Diseases: This issue will not be addressed as a primary need, but will be impacted through the access to healthcare services priority. 10) Substance Abuse: This issue will not be addressed as a primary need, but will be impacted through the mental health priority.11) Tobacco Use: Rapid City Regional Hospital is a tobacco-free facility. The facility provides smoking cessation screening to patients and provides reference to the South Dakota Quit Line as applicable. Limited resources and lower priority excluded this as an area chosen for action.During FY17, Regional Health focused on the following three priority areas identified through the most recent CHNA: Access to Healthcare Services, Mental Health, and Wellness (Physical Activity, Nutrition, and Weight). A workgroup for each priority was formed comprised of representatives from Rapid City Regional Hospital, Same Day Surgery Center, Regional Health Network, and the community. Workgroups met on a monthly basis to work on the strategies outlined in the Community Health Improvement Plan (CHIP) for the selected priority area. Oversight for the workgroups was provided by a Community Health Steering Team which includes leadership representing Rapid City Regional Hospital, Same Day Surgery Center, and Regional Health Network. In FY17, the Access to Healthcare Services workgroup focused on strategies to support access to primary and preventive care for vulnerable populations. This included increasing support for the All Women Count SD program which provides free breast and cervical cancer screenings for low income women. The team worked to identify methods of identifying and reaching out to patients that would qualify for the program. The other three objectives identified on the Access portion of the CHIP were addressed through the work of strategic objective teams formed at a system level.These include the following:Improve Patient Access for Primary Care, Specialists, and Diagnostic ProceduresDevelop and implement a community-based population health programInvestigate, Plan, Build and Launch First Phase of a Digital Health StrategyThe goal of the Mental Health priority is to increase access and awareness of culturally appropriate mental health resources and education using the following three objectives:Reduce stigma of mental health and increase public and provider awareness of mental health resources available in their community.Improve mental health screening process across the Black Hills region (starting with Regional Health system)Explore adding mental health access into primary care clinicsIn FY17, the Mental Health workgroup worked on the following strategies to meet these objectives: Review and create process for updating 211 Helpline's Behavioral Health Guide to ensure accuracy of the list of mental health resources in the service area Standardize mental health screening tool - review current mental health screening tools used across the Regional Health system and provide recommendations to the Epic implementation team on which tool to include in the new electronic health record going live in October 2017Develop publicity campaign in partnership with community to reduce stigma of mental health - exploring collaboration with statewide youth suicide grantThe goal of the Wellness priority is to explore, develop, and support opportunities that will positively impact the health of our community in the areas of physical activity, nutrition, and weight management. There are two objectives under this priority area: Increase community awareness of chronic disease prevention and management programs that promote healthy lifestyle choices Enhance access to organized well-being programs and activities in the community In FY17, the Wellness workgroup worked on the following strategies to meet these objectives: Enhance access to the Regional Health Diabetes Prevention Program - developed and sent surveys to current DPP participants to help identify future locations and times of classes and need for additional trainersDevelop pediatric diabetes prevention program - grant development for CATCH (Coordinated Approach to Child Health) Program to be piloted in Spearfish and Rapid City communitiesEnhance access to the Better Choices Better Health (BCBH) Program - Regional Health's Community Health Specialist served on BCBH steering team and the Senior Director for Community Case Management from Rapid City Regional Hospital selected as a fellow for the programLive Well Black Hills resource support - 3 members of workgroup serving on Live Well Black Hills.
Same Day Surgery CenterPart V, Section B, Line 11: In review of the needs identified in the 2015 CHNA, Same Day Surgery Center has identified the areas below that will not be addressed due to prioritization of health needs:1) Cancer: This issue will not be addressed as a primary need, but will be impacted through the access to healthcare services priority. Awareness activities through the American Cancer Society also currently exist in the community and surrounding area. 2) Dementia, Including Alzheimer's Disease: This issue will not be addressed as a primary need, but will be impacted through the mental health priority. In addition, there are local licensed skilled nursing facilities providing services to the elderly of the community. 3) Diabetes: This issue will not be addressed as a primary need, but will be impacted through the Nutrition, Physical Activity and Weight priority.4) Heart Disease & Stroke: This issue will not be addressed as a primary need, but will be impacted through the Nutrition, Physical Activity and Weight priority.5) Infant health and Family Planning: Data from the CHNA revealed that infant mortality and teen births were of greatest concern in this area in the community. However, limited resources and lower priority excluded this as an area chosen for action. 6) Injury & violence: Limited resources and lower priority excluded this as an area chosen for action. 7) Oral Health: SDSC has limited resources, services and expertise available to address oral health and access to oral health insurance. Other community organizations have infrastructure and programs in place to better meet this need. Limited resources excluded this as an area chosen for action.8) Respiratory Diseases: SDSC believes this priority area falls more within the purview of other community resources, including outpatient clinical settings.9) Sexually Transmitted Diseases: This issue will not be addressed as a primary need, but will be impacted through the access to healthcare services priority. 10) Substance Abuse: This issue will not be addressed as a primary need, but will be impacted through the mental health priority.11) Tobacco Use: SDSC is a tobacco-free facility. The facility provides smoking cessation screening to patients and provides reference to the South Dakota Quit Line as applicable. Limited resources and lower priority excluded this as an area chosen for action.During FY17, Same Day Surgery Center focused on the following three priority areas identified through the most recent CHNA: Access to Healthcare Services, Mental Health, and Wellness (Physical Activity, Nutrition, and Weight). A workgroup for each priority was formed comprised of representatives from Same Day Surgery Center, Rapid City Regional Hospital, Regional Health Network, and the community. Workgroups met on a monthly basis to work on the strategies outlined in the Community Health Improvement Plan (CHIP) for the selected priority area. Oversight for the workgroups was provided by a Community Health Steering Team which includes leadership representing Same Day Surgery Center, Rapid City Regional Hospital, and Regional Health Network. In FY17, the Access to Healthcare Services workgroup focused on strategies to support access to primary and preventive care for vulnerable populations. This included increasing support for the All Women Count SD program which provides free breast and cervical cancer screenings for low income women. The team worked to identify methods of identifying and reaching out to patients that would qualify for the program. The other three objectives identified on the Access portion of the CHIP were addressed through the work of strategic objective teams formed at a system level. These include the following:Improve Patient Access for Primary Care, Specialists, and Diagnostic Procedures.Develop and implement a community-based population health program.Investigate, Plan, Build and Launch First Phase of a Digital Health Strategy.The goal of the Mental Health priority is to increase access and awareness of culturally appropriate mental health resources and education using the following three objectives:Reduce stigma of mental health and increase public and provider awareness of mental health resources available in their community.Improve mental health screening process across the Black Hills region (starting with Regional Health system).Explore adding mental health access into primary care clinicsIn FY17, the Mental Health workgroup worked on the following strategies to meet these objectives: Review and create process for updating 211 Helpline's Behavioral Health Guide to ensure accuracy of the list of mental health resources in the service area. Standardize mental health screening tool - review current mental health screening tools used across the Regional Health system and provide recommendations to the Epic implementation team on which tool to include in the new electronic health record going live in October 2017.Develop publicity campaign in partnership with community to reduce stigma of mental health - exploring collaboration with statewide youth suicide grant.The goal of the Wellness priority is to explore, develop, and support opportunities that will positively impact the health of our community in the areas of physical activity, nutrition, and weight management. There are two objectives under this priority area: Increase community awareness of chronic disease prevention and management programs that promote healthy lifestyle choices. Enhance access to organized well-being programs and activities in the community.In FY17, the Wellness workgroup worked on the following strategies to meet these objectives: Enhance access to the Regional Health Diabetes Prevention Program - developed and sent surveys to current DPP participants to help identify future locations and times of classes and need for additional trainers.Develop pediatric diabetes prevention program - grant development for CATCH (Coordinated Approach to Child Health) Program to be piloted in Spearfish and Rapid City communities.Enhance access to the Better Choices Better Health (BCBH) Program - Regional Health's Community Health Specialist served on BCBH steering team and the Senior Director for Community Case Management from Rapid City Regional Hospital selected as a fellow for the program.Live Well Black Hills resource support - 3 members of workgroup serving on Live Well Black Hills.
Rapid City Regional Hospital, Inc.Part V, Section B, Line 16j: A summary of the hospital's financial assistance policy is posted for all patients at various points of entry, on the facility website, in waiting rooms, and in the admissions office. The policy in its entirety is also available upon request.The FAP application form was translated into the primary language spoken by LEP populations. This is posted on the website listed for line 16a.
Same Day Surgery CenterPart V, Section B, Line 16j: The FAP application and plain language summary were translated into the primary language spoken by LEP populations. These documents are posted on the website listed for line 16a.
Rapid City Regional Hospital, Inc.Part V, Section B, Line 24: All individuals eligible under the hospital financial assistance policy are provided a discount for medically necessary care. The financial assistance policy does not apply to certain elective procedures. Therefore, FAP-eligible patients without insurance may be charged gross charges on certain elective procedures.
Same Day Surgery CenterPart V, Section B, Line 24: All individuals eligible under the hospital financial assistance policy are provided a discount for medically necessary care. The financial assistance policy does not apply to certain elective procedures. Therefore, FAP-eligible patients without insurance may be charged gross charges on elective procedures.
Part V, Lines 16a-c Rapid City Regional HealthThe Financial Assistance Policy, Application form, and plain language summary are available at http://www.regionalhealth.com/patients-and-families
Part V, Lines 16a-c Same Day Surgery CenterThe Financial Assistance Policy, Application form, and plain language summary are available at http://www.samedaysurgerycenter.org/financial-assistance
FieldValueIRS element (for citing)
Facility6FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - Rapid City Regional Hospice House
224 Elk StRapid CtiySD57701End of Life Care
2 - Regional Dialysis Center - Spearfish
132 Yankee StSpearfishSD57783Dialysis Center
3 - Wall Regional Medical Clinic
112 7th AveWallSD57790Clinic
4 - Pine Ridge Regional Medical Clinic
East Highway 18Pine RidgeSD57702Clinic
5 - Regional Health Dermatology
717 Meade Street 100Rapid CtiySD57701Clinic
6 - Regional Health Home Hospice - Spearfis
1440 North Main StreetSpearfishSD57783End of Life Care

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c:References to "Regional Health" apply to all entities controlled or leased by Regional Health, Inc. and its subsidiaries. This includes the reporting entity.Part I, Line 3c: Financial assistance debt reduction write-offs for free or discounted care are based on an income matrix utilizing the current Federal Poverty Level (FPL) income guidelines after satisfying applicable co-pay requirements. The income matrix may be updated annually as the FPL guidelines are released.
Part I, Line 7:Ratio of patient care cost to charges is used for the calculation of cost of services provided for lines 7a, 7b, and 7g. Actual costs are used for the calculation of costs of services provided for lines 7e, 7f, 7h, and 7i.
Part I, Ln 7 Col(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 $ 36,141,163.
Part II, Community Building Activities:Regional Health collaborates with agencies and community-wide coalitions to address prioritized health needs within the communities we serve. Regional Health addresses its community's health needs by: 1) sustaining efforts operating within a targeted health priority area; 2) developing new programs and initiatives to address identified health needs: and 3) promoting an understanding of these health needs among other community organizations and within the public itself. Regional Health also provides financial support to other nonprofit organizations to help support community health outreach. Additionally, Regional Health provides in-kind support and employee volunteers to help support community health events and activities.
Part III, Line 2:The bad debt reported on line 2 is at charges as reported on the financial statements.
Part III, Line 3:The estimated amount of bad debt attributable to patients eligible under the financial assistance policy is determined through a review of the bad debt records to identify patient accounts that would be eligible for a discount under the financial assistance policy. The organization follows HFMA Statement 15, however the amount reported on Part III, Line 3 reflects amounts not previously determined to be charity care in prior years, however were determined in the current year to be charity care amounts.
Part III, Line 4:The footnote to the Organization's financial statements can be found on page nine and ten of the attached audited financial statements.
Part III, Line 8:The payments are compared to the actual cost of providing the service as arrived at through the Medicare cost reports. 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.
Part III, Line 9b:The collection policy requires invoking of the financial assistance policy at any time a patient expresses financial difficulty in meeting their debt obligation. Upon invoking the FAP, all collection activity is suspended. If the patient is approved for charity, then the account is closed out of the collection process and classified as charity. If a patient expresses financial concern but fails to complete the application process, additional notification is sent to the patient prior to re-instituting collection activity. We are following the 501(r) Final Regulations timelines for notifications and collections.
Part V, Line 16i Financial Assistance PolicyDescription of failureType of failure: 501(r)(4) - The hospital is required to translate the financial assistance policy, plain language summary and financial assistance policy application into Spanish as more than the lesser of 1,000 individuals or 5% of the community served by the hospital speaks Spanish as a primary language. The hospital did not translate the financial assistance policy or plain language summary into Spanish. Cause of the failure: The hospital facility did not realize the FAP and plain language summary were required to be translated in addition to the application. The facility uses an interpreter telephone service that allows for interpretation in 170 languages, including Spanish. This service can be used by limited English proficiency (LEP) patients for questions related to the financial assistance policy.Facility or facilities where the failure occurred: The failure occurred in all facilities operated under Regional Health. However, it is possible that the service area of some of the individual facilities may not be subject to the translation requirements based on specific populations.The date(s) of the failure and its discovery: February 2, 2018 The number of occurrences: UnknownDescription of the correction of the failureMethod of correction: The financial assistance policy and plain language summary were translated into Spanish. The documents were made available at each facility and on the website.Date of correction: March 26, 2018Description of the practices or procedures put into placeThe financial assistance policy and plain language summary were translated into Spanish and posted on the website at https://www.regionalhealth.com/patients-and-families. The translated documents are also available at each facility. In addition, Regional Health continues to provide translation services to assist LEP patients with questions they may have regarding financial assistance.
Part VI, Line 2:Providing patient and family centered care is essential for advancing the patient experience here at Regional Health. Currently, HealthStream, a third party CMS approved survey vendor, has partnered with Regional Health to conduct and analyze survey data from our Inpatient, Emergency Department, Urgent Care, Physician Clinics, Outpatient ancillary services, outpatient ambulatory surgical services, and Dialysis services. Recently, HealthStream has been acquired by Press Ganey so we will still conduct Patient Experience surveys with the same intention but on different survey platform. Regional Health currently meets all CAHPS requirements and adequately prepares for future regulatory programs related to patient experience metrics. Through our several patient experience surveys types, we focus on the patient perception of communication, coordination and compassion. Meeting with executives frequently to discuss current data, areas of opportunity and highlighting achievements. Physicians are held accountable for their individual performance as measured by patient experience surveys and are evaluated, supported, and coached on best practices by members of the Regional Health patient experience team. In our current process, HealthStream collects patient experience survey feedback through mail, phone and electronic survey options after discharge/or after visit.
Part VI, Line 3:Financial Assistance Program brochures explaining the policy, a copy of the policy and Financial Assistance applications are available at each point of entry. Signs alerting patients to the availability of Financial Assistance are prominently displayed and a plain language summary describing the Financial Assistance program accompanies one billing statement for hospital services sent to the patient. The Financial Assistance policy, plain language summary and Financial Assistance application are provided free upon request and are also available on the hospital website at www.regionalhealth.com. Regional Health contracts with Midland Medical Group (an unrelated entity) to meet with uninsured patients to assist them with finding a funding source or applying for financial assistance; and our self-pay outsource partner also communicates any funding and financial assistance opportunities with our patients.
Part VI, Line 4:Regional Health and its affiliates provide health care services to the 380,000 people who live in the Black Hills of South Dakota and the surrounding region, as well as thousands of visitors each year. Regional Health serves a 38-county region comprised of western South Dakota, southeastern Montana, northeastern Wyoming, southwestern North Dakota and northwestern Nebraska.
Part VI, Line 5:Regional Health collaborates with agencies and community-wide coalitions to address prioritized health needs within the communities we serve. Regional Health addresses its community's health needs by: 1) sustaining efforts operating within a targeted health priority area; 2) developing new programs and initiatives to address identified health needs: and 3) promoting an understanding of these health needs among other community organizations and within the public itself. Regional Health also provides financial support to other nonprofit organizations to help support community health outreach. Additionally, Regional Health provides in-kind support and employee volunteers to help support community health events and activities.
Part VI, Line 6:Regional Health is committed to partnering with the communities it serves to meet the needs of each respective community. Regional Health, Inc. is the parent organization of Rapid City Regional Hospital, Inc., Regional Health Network, Inc., and Regional Health Physicians, Inc. These corporations work together to meet the health care needs of the region.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Bruce Eaton MD
Director$0$497,646$0$0$0$42,133$0$35,120$0$25,144$0$600,043$0$42,133
Brent Phillips
President & CEO$775,117$0$222,181$0$5,500$0$161,691$0$18,509$0$1,182,998$0$0$0
Mark A Thompson
CFO/Treasurer$407,154$0$74,136$0$5,692$0$76,949$0$12,719$0$576,650$0$5,692$0
Mary E Masten
General Counsel/Secretary$322,717$0$59,633$0$0$0$69,302$0$12,336$0$463,988$0$0$0
Paul W Clemments
VP Professional Services$200,284$0$23,023$0$0$0$31,336$0$22,869$0$277,512$0$0$0
Paulette R Davidson
Chief Operating Officer$406,326$0$66,221$0$14,961$0$69,824$0$22,086$0$579,418$0$0$0
Michael Gibbs
President Rapid City Marke$297,244$0$53,963$0$178,712$0$12,388$0$15,894$0$558,201$0$48,327$0
Maureen G Henson
VP Human Resources$268,475$0$48,956$0$0$0$45,908$0-$1,965$0$361,374$0$0$0
Michael E Latour
VP Rapid City Market$179,890$0$20,977$0$0$0$32,464$0$16,045$0$249,376$0$0$0
Richard S Latuchie
VP Info Technology CIO$347,006$0$56,612$0$0$0$15,017$0$10,235$0$428,870$0$0$0
John Pierce
VP Rapid City Market$251,445$0$29,814$0$13,738$0$39,473$0$24,921$0$359,391$0$13,738$0
Laura C Wightman
Chief Nursing Officer$255,718$0$24,489$0$0$0$33,950$0$18,852$0$333,009$0$0$0
Thomas S Worsley
VP Rapid City Market$238,027$0$50,222$0$0$0$32,151$0$24,114$0$344,514$0$0$0
John Karl Heilman III MD
Physician - Cardiology$684,499$0$44,761$0$0$0$9,447$0$16,197$0$754,904$0$0$0
Drew A Purdy MD
Physician - Cardiology$614,973$0$44,761$0$173,903$0$9,447$0$20,651$0$863,735$0$172,326$0
Bhaskar Purushottam MD
Physician - Cardiology$812,172$0$44,761$0$0$0$46,450$0$26,071$0$929,454$0$0$0
Joseph Tuma MD
Physician - Cardiology$828,761$0$47,807$0$41,106$0$53,297$0$36,939$0$1,007,910$0$41,106$0
Michael O Robinson MD
Physician - Oncology$729,425$0$8,500$0$0$0$9,184$0$13,933$0$761,042$0$0$0
Timothy Sughrue
Former CEO RCRH & RHN; COO$0$0$0$0$151,539$0$0$0$0$0$151,539$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3The Executive Committee, which is a committee of the Regional Health (parent) Board, reviews and approves base salary and total compensation ranges for all executives within the Regional Health System.
Part I, Lines 4a-bSeverance payments were made to the following individuals: Timothy Sughrue 151,539 Michael E. Gibbs 115,386 Regional Health provides a supplemental nonqualified retirement plan and a flexible benefit plan that can include deferred compensation for its executives. The following individuals had amounts deferred into the account as reported in column c on Schedule J: Brent Phillips 153,500 Paulette R. Davidson 61,874 Maureen G. Henson 37,575 Mary E. Masten 44,401 Mark A. Thompson 57,787 Laura C. Wightman 26,000 Paul W. Clemments 20,200 Michael E. Latour 18,382 John Y. Pierce 25,898 Thomas S. Worsley 24,201 Bhaskar Purushottam, MD 38,500 Joseph L. Tuma, MD 43,850 Bruce Eaton, MD 25,673 The following individuals had supplemental non-qualified retirement plan amounts included in schedule J, column B(iii) that were previously reported as deferred compensation on Form 990. These amounts are identified in Schedule J, column f. Bruce Eaton, MD 42,133 Mark A. Thompson 5,692 Michael Gibbs 48,327 John Y. Pierce 13,738 Drew A. Purdy, MD 172,326 Joseph L. Tuma, MD 41,106
Part I, Line 7Executives and Other Employees of System Entities will be eligible to receive annual incentive awards that are competitive with the incentives offered by the organizations in the System's Peer group(s) in accordance with the terms of the Regional Health, Inc. Annual Incentive Plan for Selected Executives and Other Employees (Incentive Plan). In accordance with this plan, the parent Board's Executive Committee will review and approve all incentive compensation performance measures and all awards, if any.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
SD Health & Educational Facilities Authority
A46031550983755VQJ62010-08-17$54,390,000Hospital Buildings & Equipment & Refund Series 1998 & 1999 Bonds000
SD Health & Educational Facilities Authority
B46031550983755VSW52011-11-22$50,460,000Hospital Buildings & Equipment & Refund Series 2001 Bonds000
SD Health & Educational Facilities Authority
C4603155092015-01-27$67,210,000Refund series 2008 bonds issued 8/14/08000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$23,758,083$57,312,811$785,667$24,925,832$31,601,3122013Yes (1)0Yes (1)Yes (1)
B$18,960,500$54,610,462$709,782$30,161,279$23,739,4012013Yes (1)0Yes (1)Yes (1)
C$6,465,000$67,210,000$250,000$66,960,0002015Yes (1)0Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0Yes (1)Yes (1)0Yes (1)00.006500.000600.0071000Yes (1)
B0Yes (1)Yes (1)0Yes (1)00.000600.007500.0081000Yes (1)
C0Yes (1)Yes (1)0Yes (1)00.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedInd
(no name)
A000Yes (1)0000Yes (1)
(no name)
B000Yes (1)0000Yes (1)
US Bank NA
C0000Yes (1)Yes (1)00Yes (1)10.20000000000000

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Date Rebate Computation PerformedIssuer Name: SD Health & Educational Facilities Authority Date the Rebate Computation was Performed: 10/22/2013 Issuer Name: SD Health & Educational Facilities Authority Date the Rebate Computation was Performed: 12/19/2013
Schedule K, Part II, Line 3, Bond APart I issue price and Part II, line 3 Bond Proceeds differ due to interest earned on the proceeds and a net premium earned. Bond A: Issue Price 54,390,000 Plus Interest Earnings 25,040 Net Premium 2,897,771 Total Part II, Line 3 57,312,811 Bond B: Issue Price 50,460,000 Plus Interest Earnings 161,279 Net Premium 3,989,183 Total Part II, Line 3 54,610,462

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Gregg Radtke
Family member of Director Sandra Burns$33,709Employed by RCRH0
Erika L Radtke
Family member of Director Sandra Burns$58,161Employed by RCRH0
Nadine E Radtke
Family member of Director Sandra Burns$64,633Employed by RCRH0
Caleb Hansen
Family member of Director Lisa Seaman$48,682Employed by RCRH0
Lindsey Hansen
Family member of Director Lisa Seaman$48,492Employed by RCRH0
Kelsey Olson
Family member of Director Tamara Riddle-Schumacher$15,890Employed by RCRH0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part IV, Line 24a:Bond Issues: The issue price of the bonds includes the filing organization's share of the entire bond issue, which was issued to Rapid City Regional Hospital on behalf of the Obligated Group. The Obligated Group consists of Rapid City Regional Hospital, Regional Health Inc, Regional Health Network Inc, and Regional Health Physicians Inc. In accordance with IRS instructions, information related to the tax exempt bond reporting is being reported on Rapid City Regional Hospital's tax return.
Form 990, Part VI, Section A, line 1The membership of the Executive Committee of the Corporation shall consist of the following: Chair of the Board of Directors, Vice Chair of the Board of Directors, two other Board members appointed by the Chair, and the Corporation's President. The Chair of the Board of Directors shall serve as the Chair of the Executive Committee. Directors on the Executive Committee shall serve during the term of office they hold which places them on the Executive Committee, or, for the two Chair-appointed members, for a term of one (1) year or until their successors are appointed. The Executive Committee, when the Board of Directors is not in session, shall have and may exercise all of the authority of the Board of Directors, except to the extent, if any, that such authority shall be limited by a motion or resolution of the Board of Directors or that is authority reserved to the Member. It is intended that the powers of the Executive Committee to act for the whole Board be confined to such urgent matters as reasonably should not be deferred until the next regularly-scheduled meeting of the full Board. Additionally, the Executive Committee is delegated the Board's final authority to act on individual applications for Medical Staff and Allied Health Professional Staff appointments, reappointments and privileges.
Form 990, Part VI, Section A, line 2Brent Phillips has a business relationship with Bruce Eaton, MD due to being the CEO of the supporting organization that exercises reserve powers over the supported organization that employs Dr. Eaton. Directors Sandra Burns and Jack Lynass are Directors of the Black Hills Community Bank Board.
Form 990, Part VI, Section A, line 4Amended the language regarding the composition of each Board of Directors to require "at least one" overlapping board member as between RH and RCRH and between RH and RHN. Previously, two overlapping members were required. (The board membership of RH and Regional Health Physicians, Inc. is identical - 100% overlap.) The overlapping membership is one way we assure that RH, as a Supporting Organization, remains responsive to its Supported Organizations. The reason for the change is that with the implementation of "System Committees" in 2016 (Governance, Clinical Quality, Finance and Investment, and Compliance Audit and Compensation) we are better assuring responsiveness by the supporting organization because the System Committee membership consists of at least one member from each Board (RH, RCRH and RHN). The System Committees, through representation from each corporation, not only assure RH responsiveness; they provide a means of shared decision-making. Also, by using the language "at least one", more than one overlapping member remains permitted. For FY17 two overlapping members remained in place as between RCRH and RH and three overlapping members remained in place as between RHN and RH. Amended the language regarding Board Officers. Each corporation's bylaws provide for four Board officers: Chair, Vice-Chair, Secretary and Treasurer. Previously all four offices were held by Board members elected by their respective boards. The bylaws were amended to designate the person (employee) holding the position of General Counsel as the Secretary and the person holding the position of Chief Financial Officer as Treasurer. The amended bylaw language makes clear the Secretary and Treasurer are not members of the Board; they simply fulfill the duties of the respective offices as described in the bylaws. Amended the composition of the Executive Committees of each Board. Because the Executive Committee membership previously consisted of all four Board Officers, but, per the above amendment, two of the Offices were now filled by non-board member employees, the bylaws were amended to delete the Secretary and Treasurer as members of each Executive Committee. Instead the amended language includes the Board Chair and Vice-Chair and two other Board members appointed by the Board Chair. Amended the language regarding Quorum to clarify that a quorum (majority of members) is required to start a meeting but that the meeting may continue even if a quorum is lost unless a Point of Order is made. Deleted the language included under the System Compliance, Audit and Compensation Committee regarding hire/fire/evaluation of the Compliance Officer. Amended the provision regarding composition of the Board to add the President of Medical Services as an ex-officio, non-voting member of the Board. Amended the Executive Committee composition to delete the Chief of Staff as a required member of the Committee. The Board Chair may still appoint the Chief of Staff but it is no longer mandatory.
Form 990, Part VI, Section A, line 6Regional Health, Inc. is the sole member of Rapid City Regional Hospital, Inc.
Form 990, Part VI, Section A, line 7aThe organization's sole member and supporting organization, Regional Health, Inc., appoints the members of Rapid City Regional Hospital's governing body. The bylaws require that at least one member of Rapid City Regional Hospital's board also serves as a voting member of the sole member's board to better assure the sole member's continued responsiveness to Rapid City Regional Hospital.
Form 990, Part VI, Section A, line 7bRegional Health, Inc. provides compliance, governance, financial, and planning support to its Supported Organizations to best assure the functions and services of the Supported Organizations are coordinated and supported in a manner that furthers the shared charitable mission of the Supported Organizations and RHI, as a whole (the System). Regional Health, Inc. has final authority in significant business decisions affecting Supported Organizations.
Form 990, Part VI, Section B, line 11bThe 990 is prepared and reviewed by an independent accounting firm. It is then reviewed internally by finance and legal management. The Form 990 is further reviewed, prior to filing, by the organization's board of directors through a portal to the organization's internal information system, to which each board member has access. Educational sessions have been provided to each board member on how to access the portal.
Form 990, Part VI, Section B, line 12cAs part of the annual disclosure of potential conflicts process, all board members, officers, and management are required to complete an annual disclosure statement on financial interests and conflicting interests. At Board and Board Committee meetings, the meeting agenda includes an initial item "Conflicts of Interest" where the Chair asks members if they have any conflicting interests or financial interests related to an agenda item. If a conflicting or financial interest is disclosed, it is noted in the minutes and there is discussion or determination of whether the disclosure requires the board or committee member to be excused from discussion or action on that agenda item. Board or committee members whose disclosure is found to be a conflicting may be invited to speak on the matter by the Chair, but are not permitted to vote on the matter and may be required to leave the meeting during discussion, after they have made any comments invited by the Chair. Failure to comply with the Conflict of Interest policy constitutes grounds for removal from office or membership on the Board or Board Committee and, in the case of all employees, termination of employment.
Form 990, Part VI, Section B, line 15aThe Executive Committee of Regional Health Inc. (RHI; parent) engaged an independent third party compensation firm to conduct a review of all executives, Vice President level and above, to determine an appropriate compensation range in which their compensation would be established. The independent compensation consultant provided peer group market comparative data for base salary, total cash compensation, benefits and total compensation for executives. The CEO or his designee determines the actual base salary of the executives within the committee-approved base salary range based on experience and performance, providing the total compensation is within the targeted market percentile, e.g. 50th percentile. In May 2017, the independent consultant met with Committee members and presented 2017 data upon which the Committee determined all elements of compensation for the member's CEO (base salary, total cash compensation, benefits and total compensation) and reaffirmed the organization's executive compensation philosophy, which includes the targeted market percentile for all other executives. Actual compensation is paid by Rapid City Regional Hospital and charged to RHI.
Form 990, Part VI, Section C, line 19The Articles of Incorporation of the organization are filed in the office of the Secretary of State of South Dakota and are available to the public from the Office of the Secretary of State. Other documents (Bylaws, conflict of interest policy and financial statements) are not posted for the public but are available or described in other public documents or sites such as offering statements in bond issues or municipal securities rulemaking board's electronic municipal market access (EMMA) data port.
Form 990, Part IX, line 11gOther Fees: Program service expenses 44,965,542. Management and general expenses 21,004,782. Fundraising expenses 91,832. Total expenses 66,062,156.
Form 990, Part XI, line 9:Adj to the Funded Status of the Pension Plan 4,042,606. Medical Staff Net Income 13,161. Temporarily Restricted Net Asset Changes -741,945. Auxiliary Net Income -90,150. Amortized Bond Premium 463,224. Change in Interest Swap 1,599,130.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Regional Health Home Plus LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12925 Regional Way PO Box 6000AddressLine1Txt
CityRapid CityCityNm
State AbbreviationSDStateAbbreviationCd
ZIP57701ZIPCd
FieldValueIRS element (for citing)
EIN364841157EIN
Primary ActivitiesHealthcare ServicesPrimaryActivitiesTxt
Legal Domicile StateSDLegalDomicileStateCd
Total Income$31,322,778TotalIncomeAmt
End Of Year Assets$15,431,130EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Rapid City Regional Hospital IncBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Regional Health Inc
353 Fairmont BlvdRapid CitySD57701201487506HealthcareSD501(c)(3)Line 12c, III-FIN/A0
Regional Health Network Inc
353 Fairmont BlvdRapid CitySD57701460360899HealthcareSD501(c)(3)Line 30Regional Health Inc
Regional Health Physicians Inc
353 Fairmont BlvdRapid CitySD57701460372454HealthcareSD501(c)(3)Line 30Regional Health Inc

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
Medical & Dental Building
2805 S 5th StRapid CitySD57701460339629Medical Office BldgSDRapid City Regional Hospital IncInvestment-$11,503$970,3840Yes (1)0.71450
Black Hills Medical Office BD LLC
353 Fairmont BlvdRapid CitySD57701411992146Medical Office BldgSDRapid City Regional Hospital IncInvestment-$6,799$1,575,731000.67930
Same Day Surgery Center
651 Cathedral DriveRapid CitySD57701411889892Medical ServicesSDRapid City Regional Hospital IncRELATED$2,896,148$2,358,0560Yes (1)0.40000
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationYes (1)DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Same day Surgery CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeFTransactionTypeTxt
Involved$3,240,000InvolvedAmt