MONUMENT HEALTH RAPID CITY HOSPITAL INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- MONUMENT HEALTH RAPID CITY HOSPITAL INC (EIN 46-0319070)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-10
- IRS object ID
- 201701309349300705
- Schema version
- 2015v3.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-10T07:16:06-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eide Bailly LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 Nicollet Mall Ste 1300 | AddressLine1Txt |
| City | Minneapolis | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 554027033 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 460319070 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Rapid City Regional Hospital Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | RAPI | BusinessNameControlTxt |
| Phone | 6057559130 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 353 Fairmont Blvd PO Box 6000 | AddressLine1Txt |
| City | Rapid City | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57701 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Mark Thompson | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 6057559130 | PhoneNum |
| Signature | 2017-05-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Kim Hunwardsen CPA | PreparerPersonNm |
| PTIN | P00484560 | PTIN |
| Phone | 6122536500 | PhoneNum |
| Preparation | 2017-05-08 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Brent Phillips | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 353 Fairmont Blvd PO Box 6000 | AddressLine1Txt |
| City | Rapid City | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $622,349,990 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.regionalhealth.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1973 | FormationYr |
| Legal Domicile State | SD | LegalDomicileStateCd |
| Activity Or Mission | Helping Patients and Communities Live Well | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 4324 | TotalEmployeeCnt |
| Total Volunteers | 413 | TotalVolunteersCnt |
| Total Gross UBI | $7,883,186 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $320,671 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,824,646 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,503,829 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $524,969,244 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $594,165,731 | CYProgramServiceRevenueAmt |
| PY Investment Income | $14,259,712 | PYInvestmentIncomeAmt |
| CY Investment Income | $16,754,640 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,304,855 | PYOtherRevenueAmt |
| CY Other Revenue | $5,211,301 | CYOtherRevenueAmt |
| PY Total Revenue | $543,358,457 | PYTotalRevenueAmt |
| CY Total Revenue | $618,635,501 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $222,995,701 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $252,267,378 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $606,055 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $270,618,343 | PYOtherExpensesAmt |
| CY Other Expenses | $321,433,762 | CYOtherExpensesAmt |
| PY Total Expenses | $493,614,044 | PYTotalExpensesAmt |
| CY Total Expenses | $573,701,140 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $49,744,413 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $44,934,361 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $918,466,588 | TotalAssetsBOYAmt |
| Total Assets EOY | $924,629,930 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $294,609,276 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $294,479,856 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $623,857,312 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $630,150,074 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PURPOSE: Helping Patients and Communities Live WellVISION: We aspire to be the best healthcare system in AmericaVALUES: Courage, Integrity, Compassion, Innovation, and Mutual RespectPRIORITIES: Patient & Family EXPERIENCE; Culture of Safety & Quality CARE; Physician & Caregiver ENGAGEMENT; Community & Financial STEWARDSHIP | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $339,098,908 | ExpenseAmt |
| Revenue | $339,293,147 | RevenueAmt |
| Desc | Rapid 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 |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $21,952,594 | ExpenseAmt |
| Revenue | $7,848,665 | RevenueAmt |
| Desc | Hospitalists - provides care for hospitalized patients who may or may not have a primary care physician. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $26,383,436 | ExpenseAmt |
| Revenue | $140,111,198 | RevenueAmt |
| Desc | Pharmacy - provide pharmaceuticals in support of acute care hospital patients. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $20,336,583 | ExpenseAmt |
| Revenue | $107,008,239 | RevenueAmt |
| Desc | Surgical Services - provide in and out patient surgical services to acute care patients. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $20,336,583 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $107,008,239 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $407,771,521 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 476 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 4324 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | NC | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mark Thompson | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6057559127 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 6000 | AddressLine1Txt |
| City | Rapid City | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57701 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Dennis Popp | ||||||||||
| Chairman | 1.50 | 0.00 | Yes (X) | Yes (X) | $696 | $0 | $0 | |||
| Jack Lynass | ||||||||||
| Vice Chairman | 1.35 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Stephen Kovarik MD | ||||||||||
| Secretary | 1.12 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Roy Dishman | ||||||||||
| Treasurer | 2.14 | 0.01 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Steven Benn MD | ||||||||||
| Director | 1.49 | 0.00 | Yes (X) | $18,975 | $0 | $0 | ||||
| Diedre Budahl | ||||||||||
| Director | 1.28 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Sandra Burns | ||||||||||
| Director | 0.61 | 0.00 | Yes (X) | $811 | $0 | $0 | ||||
| Timothy Frost MD | ||||||||||
| Director | 0.91 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Robert Mudge | ||||||||||
| Director | 1.44 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Tamara Riddle-Schumacher | ||||||||||
| Director | 1.49 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Lisa Seaman | ||||||||||
| Director | 2.31 | 0.02 | Yes (X) | $0 | $0 | $0 | ||||
| Kyle White | ||||||||||
| Director | 1.01 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Brent Phillips | ||||||||||
| President & CEO | 47.17 | 12.83 | Yes (X) | Yes (X) | $724,743 | $0 | $62,004 | |||
| Mark A Thompson | ||||||||||
| VP CFO | 43.24 | 11.76 | Yes (X) | $419,639 | $0 | $67,323 | ||||
| Paul W Clemments | ||||||||||
| VP Professional Services | 55.00 | 0.00 | $194,328 | $0 | $43,135 | Yes (X) | ||||
| Michael Gibbs | ||||||||||
| President Rapid City Market | 55.00 | 0.00 | $381,659 | $0 | $54,574 | Yes (X) | ||||
| Maureen G Henson | ||||||||||
| VP Human Resources | 43.24 | 11.76 | $242,973 | $0 | $21,876 | Yes (X) | ||||
| Richard S Latuchie | ||||||||||
| VP Info Technology CIO | 43.24 | 11.76 | $297,230 | $0 | $44,951 | Yes (X) | ||||
| Mary E Masten | ||||||||||
| General Counsel | 43.24 | 11.76 | $330,753 | $0 | $42,033 | Yes (X) | ||||
| John Pierce | ||||||||||
| VP Rapid City Market | 31.35 | 23.65 | $159,174 | $138,945 | $50,675 | Yes (X) | ||||
| Samuel Durr MD | ||||||||||
| Physician - Cardiology | 40.00 | 0.00 | $882,097 | $0 | $71,995 | Yes (X) | ||||
| Michael P D'urso MD | ||||||||||
| Physician - Cardiology | 40.00 | 0.00 | $722,448 | $0 | $38,802 | Yes (X) | ||||
| John K Heilman III MD | ||||||||||
| Physician - Cardiology | 40.00 | 0.00 | $823,643 | $0 | $27,800 | Yes (X) | ||||
| Joseph Tuma MD | ||||||||||
| Physician - Cardiology | 40.00 | 0.00 | $983,831 | $0 | $85,636 | Yes (X) | ||||
| Amad Zineldine MD | ||||||||||
| Physician - Cardiology | 40.00 | 0.00 | $746,633 | $0 | $87,287 | Yes (X) | ||||
| Charles E Hart MD | ||||||||||
| Former President Emeritus | 47.17 | 12.83 | $210,452 | $0 | $10,516 | Yes (X) | ||||
| Timothy Sughrue | ||||||||||
| Former CEO RCRH & RHN; COO RHI | 43.37 | 11.63 | $595,718 | $0 | $17,808 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,735,803 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $138,945 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $726,415 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 234 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Emergency Services PA | |||||
| 353 Fairmont Blvd | Rapid City | SD | 57701 | ER Physician Coverage | $4,203,596 |
| Comphealth Medical Staffing | |||||
| PO Box 972651 | Dallas | TX | 753972651 | Temporary Medical Staff Coverage | $3,306,851 |
| MEDEFIS | |||||
| 10826 Old Mill Rd 101 | Omaha | NE | 68105 | Temporary Medical Staff Coverage | $2,087,679 |
| Microsoft | |||||
| One Microsoft Way | Redmond | WA | 98052 | Software Maintenance | $1,791,687 |
| Weatherby Locums Inc | |||||
| PO Box 972633 | Dallas | TX | 75397 | Temporary Medical Staff Coverage | $1,760,853 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 114 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $5,140 | RelatedOrganizationsAmt |
| Government Grants | $257,084 | GovernmentGrantsAmt |
| All Other Contributions | $2,241,605 | AllOtherContributionsAmt |
| Total Contributions | $2,503,829 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| In Patient Pharmacy | 446110 | $135,778,901 | $135,778,901 |
| Surgical Services | 622110 | $107,008,239 | $107,008,239 |
| Laboratory | 621500 | $104,123,494 | $104,123,494 |
| Cardiac Services | 622110 | $62,548,761 | $62,548,761 |
| MIS CT Scan | 621500 | $55,799,563 | $55,799,563 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $128,906,773 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $125,863,194 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $3,043,579 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $594,165,731 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,779,211 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $56,021 | UnrelatedBusinessRevenueAmt |
| Exclusion | $12,723,190 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,428 | TotalRevenueColumnAmt |
| Exclusion | $9,428 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $620,468 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $459,219 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $161,249 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $161,249 | TotalRevenueColumnAmt |
| Exclusion | $161,249 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,213,866 | SecuritiesAmt |
| Other | $2,643,754 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,313,355 | SecuritiesAmt |
| Other | $1,578,264 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,900,511 | SecuritiesAmt |
| Other | $1,065,490 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,966,001 | TotalRevenueColumnAmt |
| Exclusion | $3,966,001 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $344,993 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $174,045 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $170,948 | TotalRevenueColumnAmt |
| Exclusion | $170,948 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $285,124 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $189,606 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $95,518 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $95,518 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Other UBI | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $4,783,586 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $4,783,586 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,783,586 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $618,635,501 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $591,217,670 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $7,883,186 | UnrelatedBusinessRevenueAmt |
| Exclusion | $17,030,816 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,391,772 | TotalAmt |
| Program Services | $3,705,727 | ProgramServicesAmt |
| Management And General | $2,686,045 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $158,367 | TotalAmt |
| Program Services | $158,367 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $218,933,220 | TotalAmt |
| Program Services | $170,148,872 | ProgramServicesAmt |
| Management And General | $48,469,672 | ManagementAndGeneralAmt |
| Fundraising | $314,676 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,056,606 | TotalAmt |
| Program Services | $3,130,617 | ProgramServicesAmt |
| Management And General | $920,328 | ManagementAndGeneralAmt |
| Fundraising | $5,661 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,341,074 | TotalAmt |
| Program Services | $6,437,083 | ProgramServicesAmt |
| Management And General | $1,892,351 | ManagementAndGeneralAmt |
| Fundraising | $11,640 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,386,339 | TotalAmt |
| Program Services | $10,770,018 | ProgramServicesAmt |
| Management And General | $3,594,252 | ManagementAndGeneralAmt |
| Fundraising | $22,069 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,071,637 | TotalAmt |
| Management And General | $1,071,637 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $263,316 | TotalAmt |
| Management And General | $263,316 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,068 | TotalAmt |
| Management And General | $32,068 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,958,978 | TotalAmt |
| Program Services | $34,279,295 | ProgramServicesAmt |
| Management And General | $17,559,411 | ManagementAndGeneralAmt |
| Fundraising | $120,272 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $711,784 | TotalAmt |
| Program Services | $5,137 | ProgramServicesAmt |
| Management And General | $666,212 | ManagementAndGeneralAmt |
| Fundraising | $40,435 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,528,557 | TotalAmt |
| Program Services | $822,515 | ProgramServicesAmt |
| Management And General | $694,775 | ManagementAndGeneralAmt |
| Fundraising | $11,267 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,717,275 | TotalAmt |
| Program Services | $2,712,746 | ProgramServicesAmt |
| Management And General | $10,001,142 | ManagementAndGeneralAmt |
| Fundraising | $3,387 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,521,700 | TotalAmt |
| Program Services | $587,597 | ProgramServicesAmt |
| Management And General | $6,933,747 | ManagementAndGeneralAmt |
| Fundraising | $356 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $600,168 | TotalAmt |
| Program Services | $345,095 | ProgramServicesAmt |
| Management And General | $253,232 | ManagementAndGeneralAmt |
| Fundraising | $1,841 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,849,462 | TotalAmt |
| Program Services | $853,598 | ProgramServicesAmt |
| Management And General | $985,752 | ManagementAndGeneralAmt |
| Fundraising | $10,112 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,716,037 | TotalAmt |
| Program Services | $41,447 | ProgramServicesAmt |
| Management And General | $3,674,590 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,085,728 | TotalAmt |
| Program Services | $9,718,941 | ProgramServicesAmt |
| Management And General | $13,364,134 | ManagementAndGeneralAmt |
| Fundraising | $2,653 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,835,259 | TotalAmt |
| Program Services | $1,284,395 | ProgramServicesAmt |
| Management And General | $550,864 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $98,059,309 | $98,059,309 | |
| Interco. Serv. & Suppl. | $49,565,371 | $7,798,110 | $41,767,261 |
| Bad Debt Expense | $47,934,033 | $47,934,033 | |
| UBI Tax | $150,141 | $150,141 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,832,939 | TotalAmt |
| Program Services | $8,978,619 | ProgramServicesAmt |
| Management And General | $9,792,634 | ManagementAndGeneralAmt |
| Fundraising | $61,686 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $573,701,140 | TotalAmt |
| Program Services | $407,771,521 | ProgramServicesAmt |
| Management And General | $165,323,564 | ManagementAndGeneralAmt |
| Fundraising | $606,055 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,533,022 | BOYAmt |
| EOY | $26,148,140 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,871,216 | BOYAmt |
| EOY | $3,928,821 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,063,000 | BOYAmt |
| EOY | $78,213,679 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,838,900 | BOYAmt |
| EOY | $14,101,774 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,287,028 | BOYAmt |
| EOY | $10,771,464 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $522,434,226 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $326,115,284 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $190,637,616 | BOYAmt |
| EOY | $196,318,942 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $538,098,563 | BOYAmt |
| EOY | $532,129,654 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $996,384 | BOYAmt |
| EOY | $57,268,789 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,580,906 | BOYAmt |
| EOY | $3,580,906 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,559,953 | BOYAmt |
| EOY | $2,167,761 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $918,466,588 | BOYAmt |
| EOY | $924,629,930 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,303,449 | BOYAmt |
| EOY | $52,261,730 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $149,788,896 | BOYAmt |
| EOY | $141,481,645 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,516,931 | BOYAmt |
| EOY | $100,736,481 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $294,609,276 | BOYAmt |
| EOY | $294,479,856 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $607,693,923 | BOYAmt |
| EOY | $614,095,839 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,500,460 | BOYAmt |
| EOY | $14,391,306 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,662,929 | BOYAmt |
| EOY | $1,662,929 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $623,857,312 | BOYAmt |
| EOY | $630,150,074 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $918,466,588 | BOYAmt |
| EOY | $924,629,930 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $44,934,361 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$10,863,600 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$27,777,999 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | Yes (1) | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $75,383 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $75,383 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Schedule 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 2016 dues, which were paid in fiscal year 2016, in the amount of $326,540, 4.56% 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 2016 dues, which were paid in fiscal year 2016, in the amount of $60,732, 22.12% 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 2016 dues, which were paid in fiscal year 2016, in the amount of $10,400, 36.00% was used for lobbying purposes. In fiscal year 2016, $28,315 of employee salary expense and $15,000 of consulting expense were incurred in regard to lobbying. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,662,929 | BeginningYearBalanceAmt |
| End Year Balance | $1,662,929 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,662,929 | BeginningYearBalanceAmt |
| End Year Balance | $1,662,929 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,662,929 | BeginningYearBalanceAmt |
| End Year Balance | $1,662,929 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,747,979 | BeginningYearBalanceAmt |
| Contributions | $10,000 | ContributionsAmt |
| Other Expenditures | $95,050 | OtherExpendituresAmt |
| End Year Balance | $1,662,929 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,747,979 | BeginningYearBalanceAmt |
| End Year Balance | $1,747,979 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,054,096 | OtherCostOrOtherBasisAmt |
| Book Value | $4,054,096 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $265,476,371 | OtherCostOrOtherBasisAmt |
| Depreciation | $142,918,243 | DepreciationAmt |
| Book Value | $122,558,128 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $225,357,938 | OtherCostOrOtherBasisAmt |
| Depreciation | $175,302,360 | DepreciationAmt |
| Book Value | $50,055,578 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $27,545,821 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,894,681 | DepreciationAmt |
| Book Value | $19,651,140 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $196,318,942 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| Mortgage-Backed Securities | $157,298 | F |
| Investment in WDHC/RHN | $38,690,676 | F |
| Investment in Privately Held Companies | $18,420,815 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $57,268,789 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Payable Under Interest Rate Swap | $11,275,091 |
| Other Long Term Liabilities | $16,947,583 |
| Accrued Pension Liability | $27,574,772 |
| Intercompany Payable | $44,939,035 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $100,736,481 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 and subsidiaries are organized as nonprofit corporations as described in Section 501(c)(3) of the Internal Revenue Code and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Regional Health and subsidiaries are annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the Internal Revenue Service (IRS). In addition, Regional Health and subsidiaries may be subject to income tax on income that is derived from business activities that are unrelated to its tax exempt purpose. 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 2012. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Duck Race | Event1Nm |
| Gross Receipts Event1 | $100,905 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $100,905 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $54,687 | OtherDirectExpensesEvent1Amt |
| Event2 | Tough Enough to Wear Pink | Event2Nm |
| Gross Receipts Event2 | $107,801 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $107,801 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $56,689 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 6 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $136,287 | GrossReceiptsOtherEventsAmt |
| Gross Revenue Other Events | $136,287 | GrossRevenueOtherEventsAmt |
| Oth Direct Expnss Other Events | $62,669 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $344,993 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $344,993 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $174,045 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $174,045 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $170,948 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent250 | Yes (X) | Percent250Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,117,474 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,117,474 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01920 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $53,990,435 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $36,261,888 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,728,547 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03370 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $64,107,909 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $36,261,888 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $27,846,021 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05290 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 2740 | PersonsServedCnt |
| Total Community Benefit Expns | $59,614 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $59,614 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 177 | PersonsServedCnt |
| Total Community Benefit Expns | $6,031,021 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,805,680 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,225,341 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00420 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,053,051 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,902,607 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $150,444 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,808,405 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,550,633 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $257,772 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $342,256 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $342,256 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 10 | ActivitiesOrProgramsCnt |
| Persons Served | 2917 | PersonsServedCnt |
| Total Community Benefit Expns | $15,294,347 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,258,920 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,035,427 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00580 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 10 | ActivitiesOrProgramsCnt |
| Persons Served | 2917 | PersonsServedCnt |
| Total Community Benefit Expns | $79,402,256 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $48,520,808 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $30,881,448 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05870 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $6,113 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,113 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $1,497 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,497 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 20 | PersonsServedCnt |
| Total Community Benefit Expns | $1,395 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,395 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 20 | PersonsServedCnt |
| Total Community Benefit Expns | $9,005 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,005 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $47,934,033 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $413,606 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $154,637,881 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $159,254,733 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$4,616,852 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (6 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|
| 1 Black Hills Medical Office BD LLC | ||
| Office Building | 0.67930 | 0.32070 |
| 2 Medical & Dental Building | ||
| Office Building | 0.71450 | 0.28550 |
| 3 The Imaging Center LLC | ||
| Medical Imaging | 0.50000 | 0.50000 |
| 4 The MRI Center LLC | ||
| Medical Imaging | 0.33330 | 0.66670 |
| 5 Same Day Surgery Center | ||
| Specialty and Ambulatory Srvcs | 0.40000 | 0.60000 |
| 6 Western Providers Inc | ||
| PHO | 0.50000 | 0.50000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Teaching HospitalTeachingHospitalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | OtherOtherDesc |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Rapid City Regional Hospital | |||||||||||
| 1 | 353 Fairmont Blvd | Rapid City | SD | 57701 | www.regionalhealth.com | 10558 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 7 Provider-based clinics; 1 behavioral health facility |
| Same Day Surgery Center | |||||||||||
| 2 | 651 Cathedral Drive | Rapid City | SD | 57701 | www.samedaysurgerycenter.org | 10581 | Yes (X) | ||||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Information GapsInformationGapsInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Strategy AttachedStrategyAttachedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Asset Level CriteriaAssetLevelCriteriaInd | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Residency CriteriaResidencyCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Provided Nonprofit ContactProvidedNonprofitContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Available On Website URLFAPAvailableOnWebsiteURLTxt | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | FAP Notice DisplayedFAPNoticeDisplayedInd | Communtity Notified FAPCommuntityNotifiedFAPInd | Other PublicityOtherPublicityInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd | FAP Notified All PatientsFAPNotifiedAllPatientsInd | Documented Elig DeterminationDocumentedEligDeterminationInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Medicare RatesMedicareRatesInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd | Other WebsiteOtherWebsiteInd | Other Website URLOtherWebsiteURLTxt | No Emergency CareNoEmergencyCareInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Rapid City Regional Hospital Inc | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 15 | Yes (1) | Yes (1) | 0 | Yes (1) | Yes (X) | http://www.regionalhealth.com/about-us/community-needs-assessment | Yes (X) | Yes (1) | 15 | Yes (1) | http://www.regionalhealth.com/about-us/community-needs-assessment | 0 | 0 | Yes (1) | Yes (X) | 200.000000000000 | 250.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | http://www.regionalhealth.com/patients-and-families | Yes (X) | http://www.regionalhealth.com/patients-and-families | Yes (X) | http://www.regionalhealth.com/patients-and-families | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (1) | |||
| Same Day Surgery Center | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 15 | Yes (1) | Yes (1) | 0 | Yes (1) | http://www.samedaysurgerycenter.org/community-health-needs-assessment/ | Yes (X) | Yes (1) | 15 | Yes (1) | http://www.samedaysurgerycenter.org/community-health-needs-assessment/ | 0 | 0 | Yes (1) | Yes (X) | 200.000000000000 | 250.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | http://www.samedaysurgerycenter.org/financial-assistance/ | Yes (X) | http://www.samedaysurgerycenter.org/financial-assistance/ | Yes (X) | http://www.samedaysurgerycenter.org/financial-assistance/ | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | 0 | Yes (X) | 0 | Yes (1) | Yes (X) | http://www.regionalhealth.com/about-us/community-needs-assessment | Yes (X) | ||
Supplemental Information SupplementalInformationGrp (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 Center | 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. 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 Center | 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. |
| Rapid City Regional Hospital, Inc. | Part V, Section B, Line 11: In review of the needs identified in the 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.This most recent assessment identified the following three priority areas that three Regional Health workgroups are addressing:Access to Healthcare Services: Focus on developing strategies to support timely access to primary care, specialty care, diagnostics, and inpatient services. This area has four primary objectives:1. Improve Patient Access for Primary Care, Specialists, and Diagnostic Procedures2. Develop and implement a community-based population health program3. Investigate, Plan, Build and Launch First Phase of a Digital Health Strategy4. Support access to primary and preventive care for vulnerable populations.Strategies to meet these objectives are as follows:-Optimize scheduling rules, templates, and processes-Standardize scheduling practices-Develop specialist referral criteria-Build Population Health Infrastructure-Develop Primary Case Management program-Provide education and promotion concerning use of advanced directives-Determine organizational and community needs and solutions options-Develop business plan for the digital health strategy-Increase support of All Women Count SD programMental Health: Increase access and awareness of culturally appropriate mental health resources and education. This priority has three objectives:1. Reduce stigma of mental health and increase public and provider awareness of available mental health resources available in their community.2. Improve mental health screening process across the Black Hills region (starting with Regional Health system)3. Explore adding mental health access into primary care clinicsStrategies to meet these objectives are as follows:-Partner with 211 Helpline to develop a comprehensive list of mental health resources in the service area -Create a community mental health asset map-Develop publicity campaign in partnership with community to reduce stigma of mental health-Develop education for providers on importance of screening process-Standardize mental health screening tool -Standardize process for referrals of patients who screen positive -Develop case management program for mental health-Build business case -Explore other access solutions (telehealth, mobile)Wellness: 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:1. Increase community awareness of chronic disease prevention and management programs that promote healthy lifestyle choices 2. Enhance access to organized well-being programs and activities in the community Strategies to meet these objectives are as follows:-Marketing campaign for existing health promotion programs -Enhance access to the Regional Health Diabetes Prevention Program-Develop pediatric diabetes prevention program (pilot in Rapid City and Spearfish communities)-Enhance access to the Better Choices Better Health (BCBH) Program -Explore partnership with local Native American agency (non-healthcare)-Expand Regional Health Employee Well-being program to offer consulting to organizations in the Rapid City and Spearfish Communities by the end of 2017 and Lead/Deadwood, Custer, and Sturgis communities by end of 2018-Live Well Black Hills resource support-Develop toolkit of disease prevention and disease management resources for providers (including referral process) |
| Same Day Surgery Center | Part V, Section B, Line 11: In review of the needs identified in the 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 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.This most recent assessment identified the following three priority areas that three Regional Health workgroups are addressing:Access to Healthcare Services: Focus on developing strategies to support timely access to primary care, specialty care, diagnostics, and inpatient services. This area has four primary objectives:1. Improve Patient Access for Primary Care, Specialists, and Diagnostic Procedures2. Develop and implement a community-based population health program3. Investigate, Plan, Build and Launch First Phase of a Digital Health Strategy4. Support access to primary and preventive care for vulnerable populations.Strategies to meet these objectives are as follows:-Optimize scheduling rules, templates, and processes-Standardize scheduling practices-Develop specialist referral criteria-Build Population Health Infrastructure-Develop Primary Case Management program-Provide education and promotion concerning use of advanced directives-Determine organizational and community needs and solutions options-Develop business plan for the digital health strategy-Increase support of All Women Count SD programMental Health: Increase access and awareness of culturally appropriate mental health resources and education. This priority has three objectives:1. Reduce stigma of mental health and increase public and provider awareness of available mental health resources available in their community.2. Improve mental health screening process across the Black Hills region (starting with Regional Health system)3. Explore adding mental health access into primary care clinicsStrategies to meet these objectives are as follows:-Partner with 211 Helpline to develop a comprehensive list of mental health resources in the service area -Create a community mental health asset map-Develop publicity campaign in partnership with community to reduce stigma of mental health-Develop education for providers on importance of screening process-Standardize mental health screening tool -Standardize process for referrals of patients who screen positive -Develop case management program for mental health-Build business case -Explore other access solutions (telehealth, mobile)Wellness: 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:1. Increase community awareness of chronic disease prevention and management programs that promote healthy lifestyle choices 2. Enhance access to organized well-being programs and activities in the community Strategies to meet these objectives are as follows:-Marketing campaign for existing health promotion programs -Enhance access to the Regional Health Diabetes Prevention Program-Develop pediatric diabetes prevention program (pilot in Rapid City and Spearfish communities)-Enhance access to the Better Choices Better Health (BCBH) Program -Explore partnership with local Native American agency (non-healthcare)-Expand Regional Health Employee Well-being program to offer consulting to organizations in the Rapid City and Spearfish Communities by the end of 2017 and Lead/Deadwood, Custer, and Sturgis communities by end of 2018-Live Well Black Hills resource support-Develop toolkit of disease prevention and disease management resources for providers (including referral process) |
| Rapid City Regional Hospital, Inc. | Part V, Section B, Line 16i: 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 hospital is in the process of developing a new public website. Once completed the revised FAP full policy will be available on the Regional Health website. |
| 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 Center | 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 elective procedures. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 4 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Rapid City Regional Hospice House | ||||
| 224 Elk St | Rapid Ctiy | SD | 57701 | End of Life Care |
| 2 - Regional Dialysis Center - Spearfish | ||||
| 132 Yankee St | Spearfish | SD | 57783 | Dialysis Center |
| 3 - Wall Regional Medical Clinic | ||||
| 112 7th Ave | Wall | SD | 57790 | Clinic |
| 4 - Pine Ridge Regional Medical Clinic | ||||
| East Highway 18 | Pine Ridge | SD | 57702 | Clinic |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 $47,934,033. |
| 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. |
| Form 990, Schedule H, Part IV: | The MRI Center, LLC was merged into the Imaging Center, LLC effective September 1, 2015. |
| Part VI, Line 2: | In Tax Year 2015, Regional Health conducted a Community Health Needs Assessment (CHNA) that included Rapid City Regional Hospital, Same Day Surgery Center, Spearfish Regional Hospital, Sturgis Regional Hospital, Lead-Deadwood Regional Hospital, Custer Regional Hospital, and Hans P. Peterson Memorial Hospital. Regional Health contracted with Professional Research Consultants, Inc. (PRC) to conduct the needs assessment. PRC is a nationally recognized health care consulting firm with extensive experience conducting Community Health Needs Assessments in hundreds of communities across the United States since 1994. PRC conducted Regional Health's previous CHNA in Tax Year 2012. The assessment incorporated data from both quantitative and qualitative sources. Quantitative data input included primary research (the PRC Community Health Survey) and secondary research (vital statistics and other existing health-related data); these quantitative components allow for trending and comparison to benchmark data at the state and national levels. Qualitative data input included primary research gathered through an Online Key informant Survey.A variety of existing (secondary) data sources was consulted to complement the research quality of this Community Health Needs Assessment. Data for the service area was obtained from the following sources:* Center for Applied Research and Environmental Systems (CARES)* Centers for Disease Control & Prevention, Office of Infectious Disease, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention* Centers for Disease Control & Prevention, Office of Public Health Science Services, Center for Surveillance, Epidemiology and Laboratory Services, Division of Health Informatics and Surveillance (DHIS)* Centers for Disease Control & Prevention, Office of Public Health Science Services, National Center for Health Statistics* Community Commons* ESRI ArcGIS Map Gallery* National Cancer Institute, State Cancer Profiles* OpenStreetMap (OSM)* US Census Bureau, American Community Survey* US Census Bureau, County Business Patterns* US Census Bureau, Decennial Census* US Department of Agriculture, Economic Research Service* US Department of Health & Human Services* US Department of Health & Human Services, Health Resources and Services Administration (HRSA)* US Department of Justice, Federal Bureau of Investigation* US Department of Labor, Bureau of Labor StatisticsTo solicit input from key informants, those individuals who have a broad interest in the health of the community, an Online Key Informant Survey was also implemented as part of this process. A list of recommended participants was provided by Regional Health; this list included names and contact information for physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders. 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. In all, 294 community stakeholders from the Regional Health service area participated in the Online Key Informant Survey.The needs assessment report was completed in November 2015 (Tax Year 2015). Rapid City's Healers and Transformers Community group reviewed the areas of opportunity from the 2015 CHNA report, completed in Tax Year 2015. Utilizing input from this group, the Rapid City Regional Hospital Board of Directors approved the following priority areas as the focus of the community-based efforts and resources for FY2017-FY2019: Access to Healthcare Services, Mental Health, and Wellness (Nutrition, Physical Activity, and Weight). Workgroups comprised of caregivers representing each of the communities served by Regional Health developed the goals, objectives, and strategies for each of the selected priority areas from across the system. A proposed Community Health Implementation Strategy was then written to address the community's health needs. In September, 2016, the Rapid City Regional Hospital Board reviewed, discussed and approved the implementation strategies for addressing the community health priorities identified through the Community Health Needs Assessment. |
| 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 http://www.regionalhealth.com/patients-and-families. 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: | Rapid City Regional Hospital is governed by a community board that provides leadership to the organization to meet the needs of the communities it serves. Regional Health partners with several educational institutions to provide numerous clinical training programs that would otherwise not exist in our region.Regional Health provides numerous community health education events and screenings throughout the Black Hills Region. 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 and other charitable programs. |
| 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. |
| Financial Assistance Policy | As required under the final treasury regulations issued under Section 501(r) of Internal Revenue Code, Regional Health's (parent organization) Board of Directors adopted the current FAP for fiscal year ending June 30, 2016. Its approval is applicable to all of Regional Health's hospital facilities, including RCRH's hospital facility. On May 17, 2016, Regional Health's Finance and Investment Committee recommended that the current FAP be adopted by Regional Health's Board of Directors at its June 16, 2016 meeting. However, due to an inadvertent oversight, it was left off the agenda for that meeting. Once the error was discovered, an electronic vote of the Board was taken to adopt the FAP. Thus, the Board of Directors did not officially adopt the current FAP until August 2, 2016. The delay was slight, RCRH immediately corrected the error once discovered, and RCRH is not aware of any patient being harmed by this slight delay. Thus, because the error was not willful or egregious and RCRH is disclosing such error on its Form 990 in accordance with Treasury Regulation Section 1.501(r)-2(c), the error should not be considered a failure to meet the requirements of Section 501(r) of the Code. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | 0 | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | 0 | SubstantiationRequiredInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Brent Phillips | ||||||||||||||
| President & CEO | $664,243 | $0 | $54,500 | $0 | $6,000 | $0 | $47,250 | $0 | $14,754 | $0 | $786,747 | $0 | $0 | $0 |
| Mark A Thompson | ||||||||||||||
| VP CFO | $374,676 | $0 | $37,156 | $0 | $7,807 | $0 | $50,697 | $0 | $16,626 | $0 | $486,962 | $0 | $7,807 | $0 |
| Paul W Clemments | ||||||||||||||
| VP Professional Services | $182,898 | $0 | $11,430 | $0 | $0 | $0 | $20,569 | $0 | $22,566 | $0 | $237,463 | $0 | $0 | $0 |
| Michael Gibbs | ||||||||||||||
| President Rapid City Market | $356,413 | $0 | $25,246 | $0 | $0 | $0 | $32,267 | $0 | $22,307 | $0 | $436,233 | $0 | $0 | $0 |
| Maureen G Henson | ||||||||||||||
| VP Human Resources | $228,049 | $0 | $14,924 | $0 | $0 | $0 | $20,269 | $0 | $1,607 | $0 | $264,849 | $0 | $0 | $0 |
| Richard S Latuchie | ||||||||||||||
| VP Info Technology CIO | $278,400 | $0 | $18,830 | $0 | $0 | $0 | $14,588 | $0 | $30,363 | $0 | $342,181 | $0 | $0 | $0 |
| Mary E Masten | ||||||||||||||
| General Counsel | $310,536 | $0 | $20,217 | $0 | $0 | $0 | $24,203 | $0 | $17,830 | $0 | $372,786 | $0 | $0 | $0 |
| John Pierce | ||||||||||||||
| VP Rapid City Market | $135,607 | $117,162 | $23,567 | $0 | $0 | $21,783 | $0 | $27,557 | $13,206 | $9,912 | $172,380 | $176,414 | $0 | $17,720 |
| Samuel Durr MD | ||||||||||||||
| Physician - Cardiology | $589,881 | $0 | $79,408 | $0 | $212,808 | $0 | $53,529 | $0 | $18,466 | $0 | $954,092 | $0 | $212,808 | $0 |
| Michael P D'urso MD | ||||||||||||||
| Physician - Cardiology | $602,282 | $0 | $79,408 | $0 | $40,758 | $0 | $9,173 | $0 | $29,629 | $0 | $761,250 | $0 | $40,758 | $0 |
| John K Heilman III MD | ||||||||||||||
| Physician - Cardiology | $744,235 | $0 | $79,408 | $0 | $0 | $0 | $9,173 | $0 | $18,627 | $0 | $851,443 | $0 | $0 | $0 |
| Joseph Tuma MD | ||||||||||||||
| Physician - Cardiology | $851,371 | $0 | $79,408 | $0 | $53,052 | $0 | $54,723 | $0 | $35,516 | $0 | $1,074,070 | $0 | $53,052 | $0 |
| Amad Zineldine MD | ||||||||||||||
| Physician - Cardiology | $626,329 | $0 | $79,408 | $0 | $40,896 | $0 | $52,969 | $0 | $34,318 | $0 | $833,920 | $0 | $40,896 | $0 |
| Charles E Hart MD | ||||||||||||||
| Former President Emeritus | $126,523 | $0 | $83,929 | $0 | $0 | $0 | $7,605 | $0 | $2,911 | $0 | $220,968 | $0 | $0 | $0 |
| Timothy Sughrue | ||||||||||||||
| Former CEO RCRH & RHN; COO RHI | $254,755 | $0 | $0 | $0 | $340,963 | $0 | $9,712 | $0 | $8,096 | $0 | $613,526 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a | The following individuals received "Tax Indemnification and gross-up payments" for the cost of life insurance in excess of $50,000: Paul W. Clemments 630 Samuel Durr 1,330 Michael D'Urso 434 Michael E. Gibbs 274 Maureen G. Henson 1,778 Richard S. Latuchie 3,186 Mary E. Masten 3,215 Brent Phillips 2,731 John Y. Pierce 411 Mark A. Thompson 2,094 Joseph Tuma 274 Amad Zineldine 531 |
| Part I, Line 3 | The Compliance, Audit and Compensation 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-b | 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: Maureen G. Henson 12,792 Brent Phillips 39,300 Mark A. Thompson 32,081 Paul W. Clemments 10,857 Michael E. Gibbs 20,238 Samuel Durr, MD 44,356 Joseph Tuma MD 45,550 Amad Zineldine MD 38,479 Severance payments were made to the following individual: Timothy Sughrue 340,963 |
| Part I, Line 7 | Executives 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 Board's Compliance, Audit and Compensation 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 ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| SD Health & Educational Facilities Authority | ||||||||
| A | 460315509 | 83755VQJ6 | 2010-08-17 | $54,390,000 | Hospital Buildings & Equipment & Refund Series 1998 & 1999 Bonds | 0 | 0 | 0 |
| SD Health & Educational Facilities Authority | ||||||||
| B | 460315509 | 83755VSW5 | 2011-11-22 | $50,460,000 | Hospital Buildings & Equipment & Refund Series 2001 Bonds | 0 | 0 | 0 |
| SD Health & Educational Facilities Authority | ||||||||
| C | 460315509 | 2015-01-27 | $67,210,000 | Refund series 2008 bonds issued 8/14/08 | 0 | 0 | 0 | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $18,990,000 | $57,312,811 | $785,667 | $24,925,832 | $31,601,312 | 2013 | Yes (1) | 0 | Yes (1) | Yes (1) |
| B | $11,565,000 | $54,610,462 | $709,782 | $30,161,279 | $23,739,401 | 2013 | Yes (1) | 0 | Yes (1) | Yes (1) |
| C | $3,200,000 | $67,210,000 | $250,000 | $66,960,000 | 2015 | Yes (1) | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Engage Bond Counsel ResearchEngageBondCounselResearchInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | Yes (1) | 0 | Yes (1) | 0 | 0.00690 | 0.00070 | 0.00760 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | Yes (1) | 0 | Yes (1) | 0 | 0.00050 | 0.00610 | 0.00660 | 0 | 0 | Yes (1) |
| C | 0 | Yes (1) | Yes (1) | 0 | Yes (1) | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd | Term Of HedgeTermOfHedgePct | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| (no name) | ||||||||||||
| A | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) | |||
| (no name) | ||||||||||||
| B | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) | |||
| US Bank NA | ||||||||||||
| C | 0 | 0 | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | Yes (1) | 11.200000000000 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Date Rebate Computation Performed | Issuer 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 A | Part 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 (5 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Gregg Radtke | |||
| Family member of Director Sandra Burns | $33,592 | Employed by RCRH | 0 |
| Erika L Radtke | |||
| Family member of Director Sandra Burns | $18,100 | Employed by RCRH | 0 |
| Nadine E Radtke | |||
| Family member of Director Sandra Burns | $10,523 | Employed by RCRH | 0 |
| Caleb Hansen | |||
| Family member of Director Lisa Seaman | $50,730 | Employed by RCRH | 0 |
| Lindsey Hansen | |||
| Family member of Director Lisa Seaman | $45,422 | Employed by RCRH | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 1 | The membership of the Executive Committee of the corporation shall consist of the following: Chairman of the Board of Directors, Vice Chairman of the Board of Directors, Secretary, Treasurer, the Chief of the Medical Staff of Rapid City Regional Hospital, the most recent past Chairman of the Board of Directors unless such person is otherwise a member of the Committee (and only if the person continues to be a member of the Board of Directors), and the Corporation's President. The Chairman of the Board of Directors shall serve as Chairman 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 as otherwise provided by the Board of Directors. 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. 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. |
| Form 990, Part VI, Section A, line 2 | Brent Phillips has a business relationship with the following individuals due to being the CEO of the supporting organization that exercises reserve powers over the supported organizations that employ each of these key employees: Paul Clemments; Michael Gibbs; Maureen Henson; Richard Latuchie; Mary Masten; John Pierce; Timothy Sughrue; Mark Thompson. Directors Sandra Burns and Jack Lynass are Directors of the Black Hills Community Bank Board. |
| Form 990, Part VI, Section A, line 4 | The bylaws of the Organization were amended with the following significant changes: -Following changes made to Regional Health, Inc., the President/CEO was changed to a non-voting member of the board, -System Committees were established to further increase responsiveness and gain more direct and efficient input from the supported organization's in Regional Health, Inc.'s decision-making. The amended bylaws require that at least one member of each of RHI's supported entity's governing board be a member of the committee, along with members from the supporting organization's governing body. -Bylaw provisions were modernized to permit notices, meetings, etc. to be sent or attended and action to be taken through electronic means, -Added additional duties to the duties of the governing body related to accomplishment of strategic goals and Medical staff oversight. |
| Form 990, Part VI, Section A, line 6 | Regional Health, Inc. is the sole member of Rapid City Regional Hospital, Inc. |
| Form 990, Part VI, Section A, line 7a | The 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 two members of Rapid City Regional Hospital's board also serve as voting members 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 7b | Regional 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 11 | The 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 12c | As a part of the annual disclosure of potential conflicts process, all board members, officers, and management are required to complete a disclosure statement. Annually, a summary list of all conflicts disclosed by board members is prepared and provided to the full board so board members are aware of the conflicts/interests of other board members and are able to point out conflicts if an individual member with a conflict forgets. Additionally, the agenda for each board meeting and each board committee meeting includes an initial agenda item "Conflicts of Interest" where board members are asked if they have any conflicts related to the other items on the agenda. All employees are covered by the conflict of interest policy but completion of the annual disclosure statement is limited to board and board committee members, management, and certain physicians. When a proposed transaction involves a board member, the transaction is reviewed by the compliance and audit committee. At meetings, board members who have a conflict of interest may be invited to speak on the matter by the chairman, but are not permitted to vote on the matter and are required to leave the meeting during discussion, after they have made any comments invited by the chair. Failure to comply with this policy constitutes ground for removal from office or membership and in the case of all employees, termination of employment. |
| Form 990, Part VI, Section C, line 19 | The 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 XI, line 9: | Adj to the Funded Status of the Pension Plan -14,678,393. Medical Staff Net Income -93,763. Net Assets Released from Restriction 1,126,039. Gift Shop Net Income -95,518. Auxiliary Net Income -41,747. Amortized Bond Premium 463,224. Change in Interest Swap -3,557,613. Temporarily Restricted Net Asset Changes -2,607,148. Golden Ridge and Fairmont Grand Facility Sale Net Asset Adjustment -8,293,080. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Regional Health Inc | |||||||||||
| 353 Fairmont Blvd | Rapid City | SD | 57701 | 201487506 | Healthcare | SD | 501(c)(3) | Line 11c, III-FI | N/A | 0 | |
| Regional Health Network Inc | |||||||||||
| 353 Fairmont Blvd | Rapid City | SD | 57701 | 460360899 | Healthcare | SD | 501(c)(3) | Line 3 | 0 | Regional Health Inc | |
| Regional Health Physicians Inc | |||||||||||
| 353 Fairmont Blvd | Rapid City | SD | 57701 | 460372454 | Healthcare | SD | 501(c)(3) | Line 3 | 0 | Regional Health Inc | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Medical & Dental Building | |||||||||||||
| 2805 S 5th St | Rapid City | SD | 57701 | 460339629 | Medical Office Bldg | SD | Rapid City Regional Hospital Inc | Investment | -$29,365 | $921,508 | 0 | Yes (1) | 0.71450 |
| Black Hills Medical Office BD LLC | |||||||||||||
| 353 Fairmont Blvd | Rapid City | SD | 57701 | 411992146 | Medical Office Bldg | SD | Rapid City Regional Hospital Inc | Investment | $797 | $1,578,660 | 0 | 0 | 0.67930 |
| Same Day Surgery Center | |||||||||||||
| 651 Cathedral Drive | Rapid City | SD | 57701 | 411889892 | Medical Services | SD | Rapid City Regional Hospital Inc | RELATED | $3,057,728 | $2,492,427 | 0 | Yes (1) | 0.40000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | Yes (1) | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Same Day Surgery Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | F | TransactionTypeTxt |
| Involved | $2,760,000 | InvolvedAmt |
| Method Of Amount Determination | Accrual | MethodOfAmountDeterminationTxt |