MONUMENT HEALTH NETWORK INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- MONUMENT HEALTH NETWORK INC (EIN 46-0360899)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-10
- IRS object ID
- 201741309349300604
- 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 O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-10T07:16:23-05:00 | 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 | 460360899 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Regional Health Network Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | REGI | BusinessNameControlTxt |
| Phone | 6057559130 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2925 Regional Way 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 | 2925 Regional Way PO Box 6000 | AddressLine1Txt |
| City | Rapid City | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $164,619,034 | 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 | 1981 | FormationYr |
| Legal Domicile State | SD | LegalDomicileStateCd |
| Activity Or Mission | Helping Patients and Communities Live Well | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 1392 | TotalEmployeeCnt |
| Total Volunteers | 314 | TotalVolunteersCnt |
| Total Gross UBI | $1,874,084 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$544,501 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $274,440 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,497,752 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $113,012,198 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $154,371,886 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$141,718 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,077,127 | CYInvestmentIncomeAmt |
| PY Other Revenue | $48,110 | PYOtherRevenueAmt |
| CY Other Revenue | $78,333 | CYOtherRevenueAmt |
| PY Total Revenue | $113,193,030 | PYTotalRevenueAmt |
| CY Total Revenue | $159,025,098 | 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 | $52,989,347 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $83,859,273 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $44,870,278 | PYOtherExpensesAmt |
| CY Other Expenses | $68,987,437 | CYOtherExpensesAmt |
| PY Total Expenses | $97,859,625 | PYTotalExpensesAmt |
| CY Total Expenses | $152,846,710 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $15,333,405 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $6,178,388 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $64,461,705 | TotalAssetsBOYAmt |
| Total Assets EOY | $78,958,381 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,711,989 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,681,560 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $56,749,716 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $71,276,821 | 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, Mutual RespectGoals: Patient & Family EXPERIENCE; Culture of Safety & Quality CARE; Physician & Caregiver ENGAGEMENT; Community & Financial STEWARDSHIP | MissionDesc |
| Significant New Program Srvc | Yes (1) | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $6,743,360 | ExpenseAmt |
| Revenue | $6,146,753 | RevenueAmt |
| Desc | Spearfish Regional Hospital's Queen City Medical Clinic is a hospital outpatient department providing primary care. It has a total of 47.44 full time equivalents that includes physicians (10.09) and advanced practice providers (5.31) provided by its related entity, Regional Health Physicians. This hospital outpatient department had 44,342 encounters throughout the year. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,233,307 | ExpenseAmt |
| Revenue | $26,266,400 | RevenueAmt |
| Desc | Spearfish Regional Hospital's surgery department offers surgical services provided by General Surgeons, Dermatology, ENT, OB/Gyns, Orthopedic Surgeons and Podiatrists. In FY16, a total of 1,813 surgeries were completed. The facility incurred additional volume during FYE16 and, as a result, incurred additional expense for staffing. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,302,207 | ExpenseAmt |
| Revenue | $3,806,940 | RevenueAmt |
| Desc | Spearfish Regional Hospital's Orthopedic Clinic is a hospital outpatient department providing orthopedic care. It has a total of 15.77 full time equivalents that includes orthopedic surgeons (3.27) and advanced practice providers (3.61) provided by its related entity, Regional Health Physicians. This hospital outpatient department experienced 14,045 encounters during the year. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $100,972,980 | ExpenseAmt |
| Revenue | $118,151,793 | RevenueAmt |
| Desc | The Regional Health Network, Inc. is a network of small hospitals, nursing homes, and assisted living facilities in western South Dakota. These hospitals and long-term care facilities are located in small rural towns and provide a very necessary rural healthcare safety net. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $100,972,980 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $118,151,793 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $118,251,854 | 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 | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | 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 | 0 | TaxExemptBondsInd |
| 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 | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | 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 |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 1392 | 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 | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | 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 | 0 | InvestmentInJointVentureInd |
| 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 | 2925 Regional Way | AddressLine1Txt |
| City | Rapid City | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57701 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| Richard Tysdal | ||||||||||
| Chairman | 2.26 | 0.05 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| David Thom | ||||||||||
| Vice Chairman | 0.63 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Dusty Pinske | ||||||||||
| Secretary | 2.35 | 0.05 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Robert Haivala | ||||||||||
| Treasurer | 0.81 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Lee B Bailey MD | ||||||||||
| Director | 40.95 | 0.00 | Yes (X) | $382,292 | $0 | $59,933 | ||||
| Paul Bisson | ||||||||||
| Director | 0.92 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Christopher Gasbarre DO | ||||||||||
| Director | 1.66 | 40.00 | Yes (X) | $0 | $506,011 | $65,816 | ||||
| Ross Lamphere | ||||||||||
| Director | 0.73 | 0.00 | Yes (X) | $629 | $0 | $0 | ||||
| Donovin Sprague | ||||||||||
| Director | 0.08 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Pat Walker | ||||||||||
| Director | 0.68 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Brent Phillips | ||||||||||
| President and CEO | 12.56 | 47.44 | Yes (X) | $0 | $724,743 | $62,004 | ||||
| Mark A Thompson | ||||||||||
| CFO | 11.51 | 43.49 | Yes (X) | $0 | $419,639 | $67,323 | ||||
| Maureen Henson | ||||||||||
| VP Human Resources | 11.51 | 43.49 | $0 | $242,973 | $21,876 | Yes (X) | ||||
| Richard S Latuchie | ||||||||||
| VP Info Technology/ CIO | 11.51 | 43.49 | $0 | $297,230 | $44,951 | Yes (X) | ||||
| Mary E Masten | ||||||||||
| General Counsel | 11.51 | 43.49 | $0 | $330,753 | $42,033 | Yes (X) | ||||
| Kyle Richards | ||||||||||
| President - Hills Mkt | 55.00 | 0.00 | $279,855 | $0 | $45,763 | Yes (X) | ||||
| Veronica Schmidt | ||||||||||
| President - Custer | 55.00 | 0.00 | $159,301 | $0 | $39,189 | Yes (X) | ||||
| Mark Schulte | ||||||||||
| President - Sturgis | 55.00 | 0.00 | $173,255 | $0 | $37,036 | Yes (X) | ||||
| Larry Veitz | ||||||||||
| President - Spearfish | 55.00 | 0.00 | $246,797 | $0 | $43,865 | Yes (X) | ||||
| Krista Birkelo DO | ||||||||||
| Physician - Emergency Services | 40.00 | 0.00 | $301,995 | $0 | $37,703 | Yes (X) | ||||
| Christopher Fromm MD | ||||||||||
| Physician - Emergency Services | 40.00 | 0.00 | $338,101 | $0 | $56,481 | Yes (X) | ||||
| Jesse P Kurtenbach | ||||||||||
| Nurse Anesthetist | 40.00 | 0.00 | $169,611 | $0 | $21,839 | Yes (X) | ||||
| M Donald Potts MD | ||||||||||
| Physician - Emergency Services | 40.00 | 0.00 | $177,114 | $0 | $14,211 | Yes (X) | ||||
| Thomas Reid | ||||||||||
| Nurse Anesthetist | 40.00 | 0.00 | $186,768 | $0 | $32,860 | Yes (X) | ||||
| Charles E Hart MD | ||||||||||
| Former President Emeritus | 12.56 | 47.44 | $0 | $210,452 | $10,516 | Yes (X) | ||||
| Timothy H Sughrue | ||||||||||
| Former CEO RCRH/RHN & COO RHI | 11.55 | 43.45 | $0 | $595,718 | $17,808 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,415,718 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,327,519 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $721,207 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 37 | 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 |
|---|---|---|---|---|---|
| Alliance Recruiting Resources Inc | |||||
| PO Box 670416 | Dallas | TX | 752670416 | Temporary Physician Staffing Services | $1,507,014 |
| Athena Health Inc | |||||
| 311 Arsenal St | Watertown | MA | 02472 | Computer Software-Practice Management Bi | $731,197 |
| Sentry Data Systems Inc | |||||
| 800 Fairway Dr Suite 400 | Deerfield Beach | FL | 33441 | Pharmacy Data Processing | $412,456 |
| Weatherby Locums Inc | |||||
| PO Box 972633 | Dallas | TX | 75397 | Temporary Medical Staff Coverage | $390,367 |
| MEDEFIS | |||||
| 10826 Old Mill Rd 101 | Omaha | NE | 68105 | Temporary Medical Staff Coverage | $358,701 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 21 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $56,521 | FundraisingAmt |
| Government Grants | $98,986 | GovernmentGrantsAmt |
| All Other Contributions | $1,342,245 | AllOtherContributionsAmt |
| Total Contributions | $1,497,752 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Acute Care Hospital IP and OP | 623000 | $90,715,000 | $90,715,000 |
| Physician Clinics | 621110 | $28,975,000 | $28,975,000 |
| Long Term Care Facilities | 623000 | $10,310,000 | $10,310,000 |
| Home Care Services | 621610 | $5,725,000 | $5,725,000 |
| Assisted Living Facilities | 623000 | $1,735,000 | $1,735,000 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,911,886 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $15,037,802 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,874,084 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $154,371,886 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,449 | TotalRevenueColumnAmt |
| Exclusion | $6,449 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $76,597 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $34,983 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $41,614 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $41,614 | TotalRevenueColumnAmt |
| Exclusion | $41,614 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $8,587,181 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,516,503 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,070,678 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,070,678 | TotalRevenueColumnAmt |
| Exclusion | $3,070,678 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $79,169 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $56,521 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $42,450 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $36,719 | TotalRevenueColumnAmt |
| Exclusion | $36,719 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $159,025,098 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $152,497,802 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,874,084 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,155,460 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,299,936 | TotalAmt |
| Program Services | $365,556 | ProgramServicesAmt |
| Management And General | $934,380 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,121,705 | TotalAmt |
| Program Services | $56,065,651 | ProgramServicesAmt |
| Management And General | $10,056,054 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,153,563 | TotalAmt |
| Program Services | $965,520 | ProgramServicesAmt |
| Management And General | $188,043 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,138,349 | TotalAmt |
| Program Services | $9,322,681 | ProgramServicesAmt |
| Management And General | $1,815,668 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,145,720 | TotalAmt |
| Program Services | $3,411,205 | ProgramServicesAmt |
| Management And General | $734,515 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,253 | TotalAmt |
| Management And General | $14,253 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,406 | TotalAmt |
| Management And General | $13,406 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,334,727 | TotalAmt |
| Program Services | $8,148,134 | ProgramServicesAmt |
| Management And General | $3,186,593 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,855 | TotalAmt |
| Program Services | $6,229 | ProgramServicesAmt |
| Management And General | $21,626 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $408,483 | TotalAmt |
| Program Services | $219,518 | ProgramServicesAmt |
| Management And General | $188,965 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $885,559 | TotalAmt |
| Program Services | $671,304 | ProgramServicesAmt |
| Management And General | $214,255 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,219,657 | TotalAmt |
| Program Services | $951,131 | ProgramServicesAmt |
| Management And General | $2,268,526 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $297,782 | TotalAmt |
| Program Services | $214,571 | ProgramServicesAmt |
| Management And General | $83,211 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $394,652 | TotalAmt |
| Program Services | $343,219 | ProgramServicesAmt |
| Management And General | $51,433 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,491 | TotalAmt |
| Program Services | $1,166 | ProgramServicesAmt |
| Management And General | $2,325 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,327,358 | TotalAmt |
| Program Services | $2,808,293 | ProgramServicesAmt |
| Management And General | $2,519,065 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $654,678 | TotalAmt |
| Program Services | $525,959 | ProgramServicesAmt |
| Management And General | $128,719 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Intercompany Supplies a | $16,911,192 | $6,915,446 | $9,995,746 |
| Medical Supplies | $14,156,738 | $14,090,252 | $66,486 |
| Bad Debt Expense | $8,671,184 | $8,671,184 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,666,422 | TotalAmt |
| Program Services | $4,554,835 | ProgramServicesAmt |
| Management And General | $2,111,587 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $152,846,710 | TotalAmt |
| Program Services | $118,251,854 | ProgramServicesAmt |
| Management And General | $34,594,856 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,801 | BOYAmt |
| EOY | $119,100 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,648,439 | BOYAmt |
| EOY | $21,018,316 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,659,813 | BOYAmt |
| EOY | $1,880,769 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $509,299 | BOYAmt |
| EOY | $549,402 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $100,894,029 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $51,861,186 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,572,393 | BOYAmt |
| EOY | $49,032,843 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $255,911 | BOYAmt |
| EOY | $260,005 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,792,049 | BOYAmt |
| EOY | $6,097,946 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,461,705 | BOYAmt |
| EOY | $78,958,381 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,243,589 | BOYAmt |
| EOY | $7,681,560 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,468,400 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,711,989 | BOYAmt |
| EOY | $7,681,560 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,258,991 | BOYAmt |
| EOY | $68,501,806 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,390,725 | BOYAmt |
| EOY | $2,675,015 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,000 | BOYAmt |
| EOY | $100,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,749,716 | BOYAmt |
| EOY | $71,276,821 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,461,705 | BOYAmt |
| EOY | $78,958,381 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $6,178,388 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$4,055 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $8,352,772 | 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 | 0 | 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 | $13,406 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $13,406 | 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 | 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 $97,420.99, 4.487% was used for lobbying purposes. In addition, 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 $40,843.00, 22.120% was used for lobbying purposes. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $120,509 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,194 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $121,703 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $116,730 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $3,779 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $120,509 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $100,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $16,730 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $116,730 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $100,000 | BeginningYearBalanceAmt |
| End Year Balance | $100,000 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $100,000 | BeginningYearBalanceAmt |
| End Year Balance | $100,000 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.82170 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.17830 | 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 | $9,331,968 | OtherCostOrOtherBasisAmt |
| Book Value | $9,331,968 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $52,283,518 | OtherCostOrOtherBasisAmt |
| Depreciation | $25,472,047 | DepreciationAmt |
| Book Value | $26,811,471 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $35,617,302 | OtherCostOrOtherBasisAmt |
| Depreciation | $24,646,163 | DepreciationAmt |
| Book Value | $10,971,139 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,661,241 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,742,976 | DepreciationAmt |
| Book Value | $1,918,265 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $49,032,843 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Other Receivables | $1,871,443 |
| Other Long Term Assets | $1,705,105 |
| Due from Related Parties-Investment | $2,521,398 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $6,097,946 | TotalBookValueOtherAssetsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | Endowed funds are permanently restricted from use and are held in an interest bearing account. The interest earned may be used by the organization at its discretion. |
| 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 | Hospice Ball | Event1Nm |
| Gross Receipts Event1 | $64,139 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $1,475 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $62,664 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $5,576 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $17,564 | RentFacilityCostsEvent1Amt |
| Entertainment Event1 | $8,615 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $579 | OtherDirectExpensesEvent1Amt |
| Event2 | Hospice Golf Tournament | Event2Nm |
| Gross Receipts Event2 | $26,790 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $10,285 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $16,505 | GrossRevenueEvent2Amt |
| Non Cash Prizes Event2 | $692 | NonCashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $7,386 | RentFacilityCostsEvent2Amt |
| Other Direct Expenses Event2 | $1,292 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 2 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $44,761 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $44,761 | CharitableContriOtherEventsAmt |
| Rent Fclty Costs Other Events | $253 | RentFcltyCostsOtherEventsAmt |
| Oth Direct Expnss Other Events | $493 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $135,690 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $56,521 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $79,169 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $6,268 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $25,203 | RentFcltyCostsTotalEventsAmt |
| Entertainment Total Events | $8,615 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $2,364 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $42,450 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $36,719 | 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 | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,136,909 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,136,909 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02870 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,267,581 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,449,593 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,817,988 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02650 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,404,490 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,449,593 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,954,897 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05520 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 11 | ActivitiesOrProgramsCnt |
| Persons Served | 1134 | PersonsServedCnt |
| Total Community Benefit Expns | $52,631 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $52,631 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,111,997 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,046,027 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $65,970 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $7,818 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,818 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 16 | ActivitiesOrProgramsCnt |
| Persons Served | 1134 | PersonsServedCnt |
| Total Community Benefit Expns | $1,172,446 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,046,027 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $126,419 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 16 | ActivitiesOrProgramsCnt |
| Persons Served | 1134 | PersonsServedCnt |
| Total Community Benefit Expns | $20,576,936 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,495,620 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,081,316 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05620 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 218 | PersonsServedCnt |
| Total Community Benefit Expns | $27,690 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $27,690 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 218 | PersonsServedCnt |
| Total Community Benefit Expns | $27,690 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $27,690 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $8,671,184 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $37,734,146 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $37,804,118 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$69,972 | 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 |
| Hospital Facilities | 4 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (4 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | OtherOtherDesc | Facility Reporting GroupFacilityReportingGroupCd | Critical Access HospitalCriticalAccessHospitalInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Spearfish Regional Hospital | ||||||||||||
| 1 | 1440 N Main Street | Spearfish | SD | 57783 | www.regionalhealth.com | 10566 | Yes (X) | Yes (X) | Yes (X) | 5 Provider-based clinics | A | |
| Custer Regional Hospital | ||||||||||||
| 2 | 1039 Montgomery Street | Custer | SD | 57730 | www.regionalhealth.com | 47660 | Yes (X) | Yes (X) | Yes (X) | 2 Provider-based clinics | A | Yes (X) |
| Sturgis Regional Hospital | ||||||||||||
| 3 | 949 Harmon Street | Sturgis | SD | 57785 | www.regionalhealth.com | 10567 | Yes (X) | Yes (X) | Yes (X) | A | Yes (X) | |
| Lead-Deadwood Regional Hospital | ||||||||||||
| 4 | 61 Charles Street | Deadwood | SD | 57732 | www.regionalhealth.com | 10535 | Yes (X) | Yes (X) | Yes (X) | 1 Provider-based clinic | A | Yes (X) |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Facility Reporting Group - A | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Part V, Line 7d | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Part V, Line 7d | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 250.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | http://www.regionalhealth.com/patients-and-families | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Part V line 16i | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | http://www.regionalhealth.com/patients-and-families | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | Yes (1) | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (30 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Section B | Facility Reporting Group A |
| Facility Reporting Group A consists of: | - Facility 1: Spearfish Regional Hospital, - Facility 2: Custer Regional Hospital, - Facility 3: Sturgis Regional Hospital, - Facility 4: Lead-Deadwood Regional Hospital |
| Group A-Facility 1 -- Spearfish Regional Hospital 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. |
| Group A-Facility 1 -- Spearfish Regional Hospital 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. |
| Group A-Facility 1 -- Spearfish Regional Hospital Part V, Section B, line 7d: | http://www.regionalhealth.com/about-us/community-needs-assessment |
| Group A-Facility 1 -- Spearfish Regional Hospital Part V, Section B, line 11: | In acknowledging the wide range of priority health issues revealed through the 2015-2016 CHNA process, Spearfish Regional Hospital (SPRH), Sturgis Regional Hospital (STRH), Lead/Deadwood Regional Hospital (LDRH), and Custer Regional Hospital (CRH) each determined it could only focus on those which it deemed most pressing, most under-addressed, and most within their ability to influence.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 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: Limited resources, services and expertise available to address oral health and access to oral health insurance excluded this as an area chosen for action. Other community organizations have infrastructure and programs in place to better meet this need. 8) Respiratory Diseases: 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.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) |
| Group A-Facility 1 -- Spearfish Regional Hospital Part V, Section B, line 13b: | Must reside within 200 mile radius of the location where the service was received. |
| Group A-Facility 1 -- Spearfish Regional Hospital Part V, Section B, line 16i: | The FAP application form is widely available on a the URL: http://www.regionalhealth.com/patients-and-familiesA 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. |
| Group A-Facility 1 -- Spearfish Regional Hospital 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. |
| Group A-Facility 2 -- Custer Regional Hospital 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. |
| Group A-Facility 2 -- Custer Regional Hospital 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. |
| Group A-Facility 2 -- Custer Regional Hospital Part V, Section B, line 7d: | http://www.regionalhealth.com/about-us/community-needs-assessment |
| Group A-Facility 2 -- Custer Regional Hospital Part V, Section B, line 11: | In acknowledging the wide range of priority health issues revealed through the 2015-2016 CHNA process, Spearfish Regional Hospital (SPRH), Sturgis Regional Hospital (STRH), Lead/Deadwood Regional Hospital (LDRH), and Custer Regional Hospital (CRH) each determined it could only focus on those which it deemed most pressing, most under-addressed, and most within their ability to influence.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 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: Limited resources, services and expertise available to address oral health and access to oral health insurance excluded this as an area chosen for action. Other community organizations have infrastructure and programs in place to better meet this need. 8) Respiratory Diseases: 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) Potentially Disabling Conditions (CRH only): This issue will not be addressed as a primary need, but could be impacted through the Nutrition, Physical Activity and Weight and Access to Health Care Services priorities.12) Hearing & Vision (CRH only): Limited resources excluded this as an area chosen for action. Other community organizations have infrastructure and programs in place to better meet this need.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) |
| Group A-Facility 2 -- Custer Regional Hospital Part V, Section B, line 13b: | Must reside within 200 mile radius of the location where the service was received. |
| Group A-Facility 2 -- Custer Regional Hospital Part V, Section B, line 16i: | The FAP application form is widely available on a the URL: http://www.regionalhealth.com/patients-and-familiesA 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. |
| Group A-Facility 2 -- Custer Regional Hospital 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. |
| Group A-Facility 3 -- Sturgis Regional Hospital 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. |
| Group A-Facility 3 -- Sturgis Regional Hospital 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, Spearfish Regional Surgery Center, 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. |
| Group A-Facility 3 -- Sturgis Regional Hospital Part V, Section B, line 7d: | http://www.regionalhealth.com/about-us/community-needs-assessment |
| Group A-Facility 3 -- Sturgis Regional Hospital Part V, Section B, line 11: | In acknowledging the wide range of priority health issues revealed through the 2015-2016 CHNA process, Spearfish Regional Hospital (SPRH), Sturgis Regional Hospital (STRH), Lead/Deadwood Regional Hospital (LDRH), and Custer Regional Hospital (CRH) each determined it could only focus on those which it deemed most pressing, most under-addressed, and most within their ability to influence.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 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: Limited resources, services and expertise available to address oral health and access to oral health insurance excluded this as an area chosen for action. Other community organizations have infrastructure and programs in place to better meet this need. 8) Respiratory Diseases: 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 (STRH only): Limited resources and lower priority excluded this as an area chosen for action. Sturgis Regional Hospital does provide smoking/tobacco cessation information to patients.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) |
| Group A-Facility 3 -- Sturgis Regional Hospital Part V, Section B, line 13b: | Must reside within 200 mile radius of the location where the service was received. |
| Group A-Facility 3 -- Sturgis Regional Hospital Part V, Section B, line 16i: | The FAP application form is widely available on a the URL: http://www.regionalhealth.com/patients-and-familiesA 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. |
| Group A-Facility 3 -- Sturgis Regional Hospital 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. |
| Group A-Facility 4 -- Lead-Deadwood Regional Hospital 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. |
| Group A-Facility 4 -- Lead-Deadwood Regional Hospital 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. |
| Group A-Facility 4 -- Lead-Deadwood Regional Hospital Part V, Section B, line 7d: | http://www.regionalhealth.com/about-us/community-needs-assessment |
| Group A-Facility 4 -- Lead-Deadwood Regional Hospital Part V, Section B, line 11: | In acknowledging the wide range of priority health issues revealed through the 2015-2016 CHNA process, Spearfish Regional Hospital (SPRH), Sturgis Regional Hospital (STRH), Lead/Deadwood Regional Hospital (LDRH), and Custer Regional Hospital (CRH) each determined it could only focus on those which it deemed most pressing, most under-addressed, and most within their ability to influence.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 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: Limited resources, services and expertise available to address oral health and access to oral health insurance excluded this as an area chosen for action. Other community organizations have infrastructure and programs in place to better meet this need. 8) Respiratory Diseases: 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.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) |
| Group A-Facility 4 -- Lead-Deadwood Regional Hospital Part V, Section B, line 13b: | Must reside within 200 mile radius of the location where the service was received. |
| Group A-Facility 4 -- Lead-Deadwood Regional Hospital Part V, Section B, line 16i: | The FAP application form is widely available on a the URL: http://www.regionalhealth.com/patients-and-familiesA 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. |
| Group A-Facility 4 -- Lead-Deadwood Regional Hospital 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 10 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Custer Regional Senior Care | ||||
| 1065 Montgomery Street | Custer | SD | 57730 | Skilled Long Term Nursing Home |
| 2 - Massa Berry Regional Medical Clinic | ||||
| 890 Lazelle Street | Sturgis | SD | 57785 | Clinic |
| 3 - Sturgis Regional Senior Care | ||||
| 949 Harmon Street | Sturgis | SD | 57785 | Skilled Long Term Nursing Home |
| 4 - Newcastle Regional Medical Clinic | ||||
| 1121 Washington Blvd | Newcastle | WY | 82701 | Clinic |
| 5 - Fairmont Grand Regional Senior Care | ||||
| 409 east Fairlane Drive | Rapid Ctiy | SD | 57701 | Assisted Living |
| 6 - Golden Ridge Regional Senior Care | ||||
| 200 Montana Ave | Lead | SD | 57754 | Assisted Living |
| 7 - Wedgewood Regional Senior Care | ||||
| 423 N 10th Street | Custer | SD | 57730 | Assisted Living |
| 8 - Hot Springs Regional Medical Clinic | ||||
| 130 North 15th St | Hot Springs | SD | 57747 | Clinic |
| 9 - Buffalo Regional Medical Clinic | ||||
| 209 Ramsland Street | Buffalo | SD | 57720 | Clinic |
| 10 - Upton Regional Medical Clinic | ||||
| 717 Pine Street | Upton | WY | 82730 | Clinic |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 and 7i. |
| Part I, Ln 7 Col(f): | The Bad Debt expense included on Form 990, Part IX, Line 25(A), but subtracted for purposes of calculating the percentage in this column is $8,671,184. |
| Part II, Community Building Activities: | Regional Health provides numerous community benefit health 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 heath 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 4: | The footnote to the financial statements that describes bad debt expense is located on page nine and ten of the audited financials. |
| Part III, Line 8: | The Medicare shortfall is derived from the actual payments received from the Medicare program for services provided to patients with Medicare coverage. The payments are compared to the actual cost of providing the service as arrived at through the Medicare cost reports. The result is a shortfall with costs exceeding the reimbursement.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. |
| Schedule H Part V | In prior information returns a Schedule H was submitted for Spearfish Regional Surgery Center because it was a separately licensed hospital. Commencing with the reporting organization's fiscal year 2015 (July 1, 2014), Spearfish Regional Surgery Center (then operated by Regional Health Physicians, Inc.) became a department of Spearfish Regional Hospital (operated by Regional Health Network, Inc.). The Surgery Center and the Hospital were and are located in the same community but were operated by different, but related, entities. With the transfer of the Surgery Center to the Hospital, the Surgery Center was no longer a separately licensed hospital, and a separate Schedule H is no longer provided for it. The transfer of the Surgery Center to the Hospital did not change its financial assistance policies or identified community health needs which were and remain the same as those reflected in the Schedule H for Spearfish Regional Hospital. |
| 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 StatisticsThe needs assessment report was completed in November 2015 (Tax Year 2015). Each network hospital's Advisory Council reviewed the areas of opportunity from the 2015 CHNA report, completed in Tax Year 2015. Utilizing input from the Councils, the Regional Health Network 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 Regional Health Network 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: | Regional Health Network 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. and Regional Health Network, 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 RHN's hospital facilities. 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, RHN immediately corrected the error once discovered, and RHN is not aware of any patient being harmed by this slight delay. Thus, because the error was not willful or egregious and RHN 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 (18 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Lee B Bailey MD | ||||||||||||||
| Director | $358,659 | $0 | $0 | $0 | $23,633 | $0 | $36,132 | $0 | $25,707 | $0 | $444,131 | $0 | $23,633 | $0 |
| Christopher Gasbarre DO | ||||||||||||||
| Director | $0 | $506,011 | $0 | $0 | $0 | $0 | $0 | $43,250 | $0 | $22,566 | $0 | $571,827 | $0 | $0 |
| Brent Phillips | ||||||||||||||
| President and CEO | $0 | $664,243 | $0 | $54,500 | $0 | $6,000 | $0 | $47,250 | $0 | $14,754 | $0 | $786,747 | $0 | $0 |
| Mark A Thompson | ||||||||||||||
| CFO | $0 | $374,676 | $0 | $37,156 | $0 | $7,807 | $0 | $50,697 | $0 | $16,626 | $0 | $486,962 | $0 | $7,807 |
| Maureen Henson | ||||||||||||||
| VP Human Resources | $0 | $228,049 | $0 | $14,924 | $0 | $0 | $0 | $20,269 | $0 | $1,607 | $0 | $264,849 | $0 | $0 |
| Richard S Latuchie | ||||||||||||||
| VP Info Technology/ CIO | $0 | $278,400 | $0 | $18,830 | $0 | $0 | $0 | $14,588 | $0 | $30,363 | $0 | $342,181 | $0 | $0 |
| Mary E Masten | ||||||||||||||
| General Counsel | $0 | $310,536 | $0 | $20,217 | $0 | $0 | $0 | $24,203 | $0 | $17,830 | $0 | $372,786 | $0 | $0 |
| Kyle Richards | ||||||||||||||
| President - Hills Mkt | $251,151 | $0 | $28,704 | $0 | $0 | $0 | $21,708 | $0 | $24,055 | $0 | $325,618 | $0 | $0 | $0 |
| Veronica Schmidt | ||||||||||||||
| President - Custer | $149,737 | $0 | $9,564 | $0 | $0 | $0 | $14,560 | $0 | $24,629 | $0 | $198,490 | $0 | $0 | $0 |
| Mark Schulte | ||||||||||||||
| President - Sturgis | $162,335 | $0 | $10,920 | $0 | $0 | $0 | $14,846 | $0 | $22,190 | $0 | $210,291 | $0 | $0 | $0 |
| Larry Veitz | ||||||||||||||
| President - Spearfish | $219,996 | $0 | $14,441 | $0 | $12,360 | $0 | $26,715 | $0 | $17,150 | $0 | $290,662 | $0 | $12,360 | $0 |
| Krista Birkelo DO | ||||||||||||||
| Physician - Emergency Services | $301,995 | $0 | $0 | $0 | $0 | $0 | $29,741 | $0 | $7,962 | $0 | $339,698 | $0 | $0 | $0 |
| Christopher Fromm MD | ||||||||||||||
| Physician - Emergency Services | $327,788 | $0 | $0 | $0 | $10,313 | $0 | $34,092 | $0 | $22,389 | $0 | $394,582 | $0 | $10,313 | $0 |
| Jesse P Kurtenbach | ||||||||||||||
| Nurse Anesthetist | $169,111 | $0 | $500 | $0 | $0 | $0 | $5,517 | $0 | $16,322 | $0 | $191,450 | $0 | $0 | $0 |
| M Donald Potts MD | ||||||||||||||
| Physician - Emergency Services | $175,326 | $0 | $0 | $0 | $1,788 | $0 | $6,446 | $0 | $7,765 | $0 | $191,325 | $0 | $0 | $0 |
| Thomas Reid | ||||||||||||||
| Nurse Anesthetist | $186,068 | $0 | $700 | $0 | $0 | $0 | $9,212 | $0 | $23,648 | $0 | $219,628 | $0 | $0 | $0 |
| Charles E Hart MD | ||||||||||||||
| Former President Emeritus | $0 | $126,523 | $0 | $83,929 | $0 | $0 | $0 | $7,605 | $0 | $2,911 | $0 | $220,968 | $0 | $0 |
| Timothy H Sughrue | ||||||||||||||
| Former CEO RCRH/RHN & COO RHI | $0 | $254,755 | $0 | $0 | $0 | $340,963 | $0 | $9,712 | $0 | $8,096 | $0 | $613,526 | $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: Lee Bailey 210 Krista Birkelo 169 Christopher Fromm 282 Christopher Gasbarre 265 Maureen G. Henson 1,778 Richard S. Latuchie 3,186 Mary E. Masten 3,215 Brent Phillips 2,731 Donald Potts 1,242 Kyle L. Richards 274 Veronica L. Schmidt 274 Mark D. Schulte 219 Mark A. Thompson 2,094 Larry W. Veitz 1,178 |
| 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. Please see Form 990, part VI, Lines 15a & 15b disclosure on Schedule O. |
| 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: Henson, Maureen $12,792 Phillips, Brent $39,300 Thompson, Mark $32,081 Richards, Kyle $13,561 Schmidt, Veronica $9,085 Schulte, Mark $9,360 Veitz, Larry $13,717 Bailey MD, Lee $21,935 Birkelo DO, Krista $21,141 Fromm MD, Christopher $20,542 Gasbarre DO, Christopher $34,333 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 reviews and approves all incentive compensation performance measures and all awards, if any. The committee ensures that the total compensation, including incentive awards, is reasonable. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, line 2 | Spearfish Regional Hospital started providing Chemotherapy services on 07/01/15. The Spearfish Regional Health Clinics all were designated as "Provider based clinics" to the Spearfish Hospital - Provider # 43-0048 as of 06/15/15. This includes Spearfish Regional Medical Clinic, Queen City Regional Medical Clinic, Spearfish Regional Orthopedics and Regional Dermatology. Also within this same time frame the Belle Fourche Rural Health Care Clinic - provider 43-3440 also became a provider based Rural Health Clinic. These clinics are now owned and operated under the Organization's EIN. The Spearfish REgional Hospital's Queen City Regional Medical Clinic did offer extended hours and same day appointments beginning in October 2015 in preparation for offering urgent care services. |
| Form 990, Part III, line 3 | RHN discontinued some of its assisted living services. |
| 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 Inc. on behalf of the Obligated Group. The Obligated Group consists of Rapid City Regional Hospital Inc., 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 Inc.'s tax return. |
| Form 990, Part V, Line 1a: | All 1099's are issued centrally by Rapid City Regional Hospital, Inc., a related organization. |
| 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 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: Maureen Henson; Richard Latuchie; Mary Masten; Kyle Richards; Veronica Schmidt; Mark Schulte; Mark Thompson; Larry Veitz and employed Board Members: Lee Bailey MD; Christopher Gasbarre DO. |
| 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 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 Regional Health Network, Inc. |
| Form 990, Part VI, Section A, line 7a | Regional Health, Inc., being the sole member of Regional Health Network, Inc., has the ability to appoint or remove all members of Regional Health Network, Inc.'s board. |
| 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 the 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 each 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: | Golden Ridge Facility Sale Net Asset Adjustment 1,198,469. Fairmont Grand Facility Sale Net Asset Adjustment 7,154,303. |
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 | |
| Rapid City Regional Hospital Inc | |||||||||||
| 353 Fairmont Blvd | Rapid City | SD | 57701 | 460319070 | 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 (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| Medical & Dental Building | |||||||
| 2805 S 5th St | Rapid City | SD | 57701 | 460339629 | Medical Office Bldg | SD | N/A |
| Black Hills Medical Office BD LLC | |||||||
| 353 Fairmont Blvd | Rapid City | SD | 57701 | 411992146 | Medical Office Bldg | SD | N/A |
| 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 | 0 | 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 | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |