MONUMENT HEALTH PHYSICIANS INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- MONUMENT HEALTH PHYSICIANS INC (EIN 46-0372454)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-13
- IRS object ID
- 201511339349300026
- Schema version
- 2013v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-13T07:47:05-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | 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 | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 Nicollet Mall Ste 1300 | AddressLine1 |
| City | Minneapolis | City |
| State | MN | State |
| ZIP Code | 554027033 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 460372454 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Regional Health Physicians Inc | BusinessNameLine1 |
| 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 | AddressLine1 |
| City | Rapid City | City |
| State | SD | State |
| ZIP Code | 57701 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Mark Thompson | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 6057559027 | PhoneNum |
| Signature | 2015-05-08 | 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 | 2015-05-08 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | 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 | AddressLine1 |
| City | Rapid City | City |
| State | SD | State |
| ZIP Code | 57701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $57,203,958 | 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 | 2003 | FormationYr |
| Legal Domicile State | SD | LegalDomicileStateCd |
| Activity Or Mission | To provide and support health care excellence in partnership with the communities we serve. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 737 | TotalEmployeeCnt |
| Total Volunteers | 14 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $27,369 | PYContributionsGrantsAmt |
| CY Contributions Grants | $36,930 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $54,031,367 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $57,070,265 | CYProgramServiceRevenueAmt |
| PY Investment Income | $35,525 | PYInvestmentIncomeAmt |
| CY Investment Income | $67,143 | CYInvestmentIncomeAmt |
| PY Other Revenue | $25,477 | PYOtherRevenueAmt |
| CY Other Revenue | -$638 | CYOtherRevenueAmt |
| PY Total Revenue | $54,119,738 | PYTotalRevenueAmt |
| CY Total Revenue | $57,173,700 | 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 | $52,942,806 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $57,827,257 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $26,040,255 | PYOtherExpensesAmt |
| CY Other Expenses | $26,038,718 | CYOtherExpensesAmt |
| PY Total Expenses | $78,983,061 | PYTotalExpensesAmt |
| CY Total Expenses | $83,865,975 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$24,863,323 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$26,692,275 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $14,347,091 | TotalAssetsBOYAmt |
| Total Assets EOY | $12,544,680 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $148,814,230 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $173,704,094 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$134,467,139 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$161,159,414 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | To provide and support health care excellence in partnership with the communities we serve. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $5,776,951 | ExpenseAmt |
| Revenue | $4,797,088 | RevenueAmt |
| Desc | Regional Health Physicians Spearfish Queen City Regional Medical Clinic Primary Care - provide clinic services to patients. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,186,582 | ExpenseAmt |
| Revenue | $6,817,288 | RevenueAmt |
| Desc | Regional Health Physicians Spearfish Surgery Center Specialty Hospital - provide ambulatory surgery services. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,667,550 | ExpenseAmt |
| Revenue | $3,485,302 | RevenueAmt |
| Desc | Regional Health Physicians Aspen Regional Medical Clinic Primary Care - provide clinic services to patients. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $47,333,925 | ExpenseAmt |
| Revenue | $41,970,587 | RevenueAmt |
| Desc | Regional Health maintains clinics in surrounding communities to provide general and specialized medical services to people within the Black Hills Region. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $47,333,925 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $41,970,587 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $62,965,008 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | 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 | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | 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 | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| 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 | 737 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| 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 | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | 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 | Yes (1) | 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 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6057559127 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2925 Regional Way | AddressLine1 |
| City | Rapid City | City |
| State | SD | State |
| ZIP Code | 57701 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (30 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 |
|---|---|---|---|---|---|---|---|---|---|
| Tom Morrison | |||||||||
| Chairman | 1.90 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Peter J Cappa | |||||||||
| Vice Chairman | 1.70 | 1.80 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Roy Steven Dishman | |||||||||
| Treasurer | 0.50 | 2.60 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Lia Green | |||||||||
| Secretary | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| John E Brewer | |||||||||
| Director | 1.90 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Jonathan H Dahlstrom | |||||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $925 | $0 | |||
| Steven G Frost MD | |||||||||
| Director | 1.60 | 0.00 | Yes (X) | $0 | $1,800 | $0 | |||
| Terry M Graber MD | |||||||||
| Director | 41.00 | 1.10 | Yes (X) | $431,010 | $0 | $38,518 | |||
| Ross W McKie | |||||||||
| Director | 1.80 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Priscilla Romkema | |||||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Lisa Seaman | |||||||||
| Director | 0.40 | 2.10 | Yes (X) | $0 | $0 | $0 | |||
| Michael Statz MD | |||||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $78,000 | $0 | |||
| Charles E Hart MD | |||||||||
| President/CEO | 7.90 | 52.10 | Yes (X) | Yes (X) | $0 | $1,054,199 | $24,693 | ||
| Mark A Thompson | |||||||||
| VP CFO | 7.30 | 47.70 | Yes (X) | $0 | $407,685 | $49,642 | |||
| John Y Pierce | |||||||||
| COO | 55.00 | 0.00 | $196,246 | $0 | $24,772 | Yes (X) | |||
| James M Keegan MD | |||||||||
| CMO RH / CEO RHP (Thru 7/1/13) | 8.40 | 46.60 | $0 | $716,300 | $14,467 | Yes (X) | |||
| Joseph C Sluka Jr | |||||||||
| Executive VP / CAO | 7.30 | 47.70 | $0 | $485,122 | $52,696 | Yes (X) | |||
| Mark F Brodin | |||||||||
| VP Decision Support | 7.30 | 47.70 | $0 | $209,138 | $19,660 | Yes (X) | |||
| Sharmila M Chandran | |||||||||
| VP Corporate Responsibility | 7.30 | 47.70 | $0 | $156,536 | $11,749 | Yes (X) | |||
| Michael G Diedrich | |||||||||
| VP Human Resources - Interim | 7.30 | 47.70 | $0 | $192,861 | $13,852 | Yes (X) | |||
| Dale E Gisi | |||||||||
| VP Human Resources (Thru 8/14/13) | 7.30 | 47.70 | $0 | $272,869 | $16,357 | Yes (X) | |||
| Jennifer D Horton | |||||||||
| VP PR Marketing | 7.30 | 47.70 | $0 | $184,553 | $27,854 | Yes (X) | |||
| David L Klocke MD | |||||||||
| Chief Medical Officer | 7.30 | 47.70 | $0 | $311,124 | $31,522 | Yes (X) | |||
| Richard S Latuchie | |||||||||
| VP Info Technology / CIO | 7.30 | 47.70 | $0 | $307,590 | $18,302 | Yes (X) | |||
| Mary E Masten | |||||||||
| VP Legal Services | 7.30 | 47.70 | $0 | $345,898 | $28,736 | Yes (X) | |||
| Garry K Dunn MD | |||||||||
| Radiology | 40.00 | 0.00 | $0 | $930,724 | $70,937 | Yes (X) | |||
| Bart L Eastwood DO | |||||||||
| Orthopedic Surgery | 40.00 | 0.00 | $0 | $765,668 | $58,413 | Yes (X) | |||
| Kipp A Gould MD | |||||||||
| Orthopedic Surgery | 40.00 | 0.00 | $0 | $696,445 | $41,772 | Yes (X) | |||
| Wesley L Sufficool DO | |||||||||
| Bariatrics, General Surger | 40.00 | 0.00 | $0 | $684,704 | $43,824 | Yes (X) | |||
| Wayne L Wittenberg MD | |||||||||
| Neurosurgery | 40.00 | 0.00 | $0 | $770,131 | $65,298 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $627,256 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $8,572,272 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $653,064 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 102 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Athena Health Inc | |||||
| 311 Arsenal St | Waterown | MA | 02472 | Computer Software-Practice Management Bi | $3,259,148 |
| Alliance Recruiting Resources | |||||
| PO Box 670416 | Dallas | TX | 752670416 | Temporary Physician Staffing Services | $1,361,389 |
| Application Technology Inc | |||||
| PO Box 765 | Spearfish | SD | 57783 | PC and Help Desk Support | $569,612 |
| Mayo Collaborative Service | |||||
| PO Box 9146 | Minneapolis | MN | 554809146 | Patient Diagnostic Lab Tests | $321,406 |
| Comphealth | |||||
| PO Box 972651 | Dallas | TX | 753972651 | Temporary Physician Staffing ServT | $252,145 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $36,930 | GovernmentGrantsAmt |
| Total Contributions | $36,930 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Medical Clinics | 621110 | $46,542,428 | $46,542,428 |
| Specialty Hospital | 623000 | $6,271,537 | $6,271,537 |
| Outside Sales | 900099 | $641,441 | $641,441 |
| Intercompany | 900099 | $75,085 | $75,085 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,539,774 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,539,774 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $57,070,265 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $67,143 | TotalRevenueColumnAmt |
| Exclusion | $67,143 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $29,620 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $30,258 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$638 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$638 | TotalRevenueColumnAmt |
| Exclusion | -$638 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $57,173,700 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $57,070,265 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $66,505 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,039,603 | TotalAmt |
| Program Services | $753,445 | ProgramServicesAmt |
| Management And General | $286,158 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,169,288 | TotalAmt |
| Program Services | $40,479,786 | ProgramServicesAmt |
| Management And General | $6,689,502 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $930,997 | TotalAmt |
| Program Services | $798,964 | ProgramServicesAmt |
| Management And General | $132,033 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,088,438 | TotalAmt |
| Program Services | $5,224,982 | ProgramServicesAmt |
| Management And General | $863,456 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,598,931 | TotalAmt |
| Program Services | $2,126,838 | ProgramServicesAmt |
| Management And General | $472,093 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,748 | TotalAmt |
| Management And General | $22,748 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $974 | TotalAmt |
| Management And General | $974 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,676,735 | TotalAmt |
| Program Services | $1,976,784 | ProgramServicesAmt |
| Management And General | $3,699,951 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $294,839 | TotalAmt |
| Program Services | $89,692 | ProgramServicesAmt |
| Management And General | $205,147 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $224,340 | TotalAmt |
| Program Services | $69,037 | ProgramServicesAmt |
| Management And General | $155,303 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $139,780 | TotalAmt |
| Program Services | $100,420 | ProgramServicesAmt |
| Management And General | $39,360 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,634,731 | TotalAmt |
| Program Services | $325,279 | ProgramServicesAmt |
| Management And General | $1,309,452 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $226,495 | TotalAmt |
| Program Services | $154,287 | ProgramServicesAmt |
| Management And General | $72,208 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $377,638 | TotalAmt |
| Program Services | $341,958 | ProgramServicesAmt |
| Management And General | $35,680 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,566,040 | TotalAmt |
| Program Services | $908,485 | ProgramServicesAmt |
| Management And General | $657,555 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $691,286 | TotalAmt |
| Program Services | $506,550 | ProgramServicesAmt |
| Management And General | $184,736 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Intercompany Supplies & | $7,208,613 | $3,001,278 | $4,207,335 |
| Medical Supplies | $4,080,304 | $4,080,304 | |
| Maint Equip Contr | $931,713 | $389,083 | $542,630 |
| Bad Debt Expense | $717,082 | $717,082 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,245,400 | TotalAmt |
| Program Services | $920,754 | ProgramServicesAmt |
| Management And General | $1,324,646 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,865,975 | TotalAmt |
| Program Services | $62,965,008 | ProgramServicesAmt |
| Management And General | $20,900,967 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $191,679 | BOYAmt |
| EOY | -$110,294 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,412,148 | BOYAmt |
| EOY | $7,289,791 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $203,151 | BOYAmt |
| EOY | $16,664 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,840 | BOYAmt |
| EOY | $145,421 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $9,610,176 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,952,965 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,995,229 | BOYAmt |
| EOY | $3,657,211 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $6,778 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $464,395 | BOYAmt |
| EOY | $1,454,395 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,649 | BOYAmt |
| EOY | $84,714 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,347,091 | BOYAmt |
| EOY | $12,544,680 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,836,349 | BOYAmt |
| EOY | $4,368,783 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $144,977,881 | BOYAmt |
| EOY | $169,335,311 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $148,814,230 | BOYAmt |
| EOY | $173,704,094 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$134,467,139 | BOYAmt |
| EOY | -$161,159,414 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$134,467,139 | BOYAmt |
| EOY | -$161,159,414 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,347,091 | BOYAmt |
| EOY | $12,544,680 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$26,692,275 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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 | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
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 | $974 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $974 | 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 were paid to the American Hospital Association, a portion of which is applicable to lobbying activities. For fiscal year 2014, dues in the amount of $4,118 were paid to the American Hospital Association, 23.65% of which, ($974) were used for lobbying purposes. | ExplanationTxt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,299,891 | OtherCostOrOtherBasisAmt |
| Depreciation | $830,011 | DepreciationAmt |
| Book Value | $469,880 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,329,408 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,101,949 | DepreciationAmt |
| Book Value | $3,227,459 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | -$19,123 | OtherCostOrOtherBasisAmt |
| Depreciation | $21,005 | DepreciationAmt |
| Book Value | -$40,128 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,657,211 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Intercompany Payable | Desc |
| Amt | $169,335,311 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $169,335,311 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | Regional Health Physicians, Inc. is organized as a nonprofit corporation as described in Section 501(c)(3) of the Internal Revenue Code and is exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Regional Health Physicians, Inc. is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the Internal Revenue Service (IRS). In addition, Regional Health Physicians, Inc. may be subject to income tax on income that is derived from business activities that are unrelated to its tax-exempt purpose. Regional Health Physicians, Inc. 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 Physicians, Inc. 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 Physicians, Inc. federal Form 990T filings are no longer subject to federal tax examinations by tax authorities for years before 2010. | ExplanationTxt |
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 | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,382,326 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,382,326 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02870 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,517,043 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,016,373 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,500,670 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03010 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,899,369 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,016,373 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,882,996 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05880 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 9 | ActivitiesOrProgramsCnt |
| Persons Served | 1020 | PersonsServedCnt |
| Total Community Benefit Expns | $2,871 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,871 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,708,766 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,360,874 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,347,892 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08840 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 436 | PersonsServedCnt |
| Total Community Benefit Expns | $586 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $586 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 11 | ActivitiesOrProgramsCnt |
| Persons Served | 1456 | PersonsServedCnt |
| Total Community Benefit Expns | $23,712,223 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $16,360,874 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,351,349 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08840 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 11 | ActivitiesOrProgramsCnt |
| Persons Served | 1456 | PersonsServedCnt |
| Total Community Benefit Expns | $31,611,592 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,377,247 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,234,345 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14720 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $604 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $604 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $604 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $604 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $717,082 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $20,682 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $10,877,292 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $26,243,922 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$15,366,630 | 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 | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Spearfish Regional Surgery Center | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1316 N 10th Street | AddressLine1 |
| City | Spearfish | City |
| State | SD | State |
| ZIP Code | 57783 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.regionalhealth.com | WebsiteAddressTxt |
| State License | 11151 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Other | Specialty Hospital | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Spearfish Regional Surgery Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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 | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.regionalhealth.com/chna | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Other Needs Addressed | Yes (X) | OtherNeedsAddressedInd |
| All Needs Addressed | 0 | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 250.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| 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 | 0 | NondisEmergencyCarePolicyInd |
| No Emergency Care | Yes (X) | NoEmergencyCareInd |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | Yes (1) | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Spearfish Regional Surgery Center | Part V, Section B, Line 3: As part of the community health needs assessment, one focus group was held on September 24, 2012. The focus group participants were comprised of 13 key informants, including representatives from public health, Indian Health Services, other health professionals, social service providers, and other community leaders. Participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall. Participants included a representative of public health, as well as several individuals who work with low-income, minority or other medically underserved populations, and those who work with persons with chronic disease conditions. |
| Spearfish Regional Surgery Center | Part V, Section B, Line 4: 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. |
| Spearfish Regional Surgery Center | Part V, Section B, Line 6i: The implementation strategy is available at: http://www.regionalhealth.com/About-Us/Community-Needs-Assessment.aspx?furl=chna or upon request. |
| Spearfish Regional Surgery Center | Part V, Section B, Line 7: In review of the needs identified in the CHNA, Spearfish Regional Surgery Center has identified the areas below that will not be addressed due to prioritization of health needs:1) Conditions of Aging: Limited expertise and population served excluded this as an area chosen for action by Spearfish Regional Surgery Center.2) Injury & Violence Prevention: Spearfish Regional Surgery Center believes this priority area falls within the purview of the county health department and other community organizations. Lower priority excluded this as an area chosen for action.3) Maternal, Infant, Child Health: Spearfish Regional Surgery Center does not have an obstetrical program and performs only a small volume of pediatric surgery. Lower priority excluded this as an area chosen for action.4) Nutrition, Physical Activity & Weight Status: Spearfish Regional Surgery Center contracts dietary and physical therapy services through Spearfish Regional Hospital. Limited expertise excluded this as an area chosen for action. 5) Oral Health: Spearfish Regional Surgery Center is the only facility in the Northern Hills providing general anesthesia dental service, however lower priority excluded this as an area chosen for action.6) Respiratory Diseases: Spearfish Regional Surgery Center contracts respiratory therapy services through Spearfish Regional Hospital. Lower priority excluded this as an area chosen for action.7) Substance Abuse: Spearfish Regional Surgery Center believes efforts outlined in its plan for mental health and mental health resources will also have a positive impact on substance abuse. A separate set of specific initiatives in this area is not justified at this time.8) Tobacco Use: Spearfish Regional Surgery Center is a tobacco-free facility. The facility provides smoking cessation screening to our patients and refers patients and employees to the South Dakota Quit Line for ongoing support. Lower priority excluded this as an area chosen for action.Spearfish Regional Surgery Center began to execute the implementation strategy during fiscal year 2014. The needs that are being addressed are as follows: 1) access to health services; 2) diabetes; and 3) mental health and mental disorders. |
| Spearfish Regional Surgery Center | Part V, Section B, Line 14g: A summary of the Hospital's financial assistance policy is posted for all patients at various points of entry, on the facility website, waiting rooms, and admissions office. The policy in its entirety is also available upon request. |
| Spearfish Regional Surgery Center | Part V, Section B, Line 22: 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 elective procedures. Therefore, FAP-eligible patients without insurance may be charged gross charges on elective procedures. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 18 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (18 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| Queen City Regional Medical Clinic | ||||
| 1420 N 10th Street | Spearfish | SD | 57783 | Clinic |
| Regional Medical Clinics-Aspen Centre | ||||
| 640 Flormann Street | Rapid City | SD | 57701 | Clinic |
| Spearfish Regional Medical Clinic | ||||
| 1445 North Avenue | Spearfish | SD | 57783 | Clinic |
| Regional Medical Clinic Western Hills Pr | ||||
| 2805 5th Street | Rapid City | SD | 57701 | Clinic |
| Massa Berry Regional Medical Clinic | ||||
| 890 Lazelle Street | Sturgis | SD | 57785 | Clinic |
| Lead-Deadwood Regional Medical Clinic | ||||
| 71 Charles Street | Deadwood | SD | 57732 | Clinic |
| Belle Fourche Regional Medical Clinic | ||||
| 2200 13th Avenue | Belle Fourche | SD | 57717 | Clinic |
| Regional Urgent Care - North | ||||
| 408 Knollwood Dr | Rapid City | SD | 57701 | Clinic |
| Newcastle Regional Medical Clinic | ||||
| 1121 Washington Blvd | Newcastle | WY | 82701 | Clinic |
| Regional Urgent Care - West | ||||
| 2116 Jackson Blvd | Rapid City | SD | 57702 | Clinic |
| Pine Ridge Regional Medical Clinic | ||||
| East Highway 18 | Pine Ridge | SD | 57770 | Clinic |
| Regional Orthopedics | ||||
| 2479 E Colorado Blvd | Spearfish | SD | 57783 | Clinic |
| Spearfish Regional Medical Clinic Dermat | ||||
| 550 E Colorado | Spearfish | SD | 57783 | Clinic |
| Foothills Regional Medical Clinic | ||||
| 8075 Stop Stage Road | Summerset | SD | 57718 | Clinic |
| Wall Regional Medical Clinic | ||||
| 112 7th Ave | Wall | SD | 57790 | Clinic |
| Buffalo Regional Medical Clinic | ||||
| 209 Ramsland Street | Buffalo | SD | 57720 | Clinic |
| Newell Regional Medical Clinic | ||||
| 101 E Third Street | Newell | SD | 57760 | Clinic |
| Upton Regional Medical Clinic | ||||
| 717 Pine Street | Upton | WY | 82730 | Clinic |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | Form 990, Schedule H:References to "Regional Health" apply to all entities controlled or leased by Regional Health, Inc. This includes the reporting entity.Part I, Line 3c: Financial assistance debt reduction write-offs for free or discounted care are based on an income matrix utilizing the current Federal Poverty Level (FPL) income guidelines after satisfying applicable co-pay requirements. The income matrix may be updated annually as the FPL guidelines are released. |
| Part I, Line 6a: | A community benefit report is completed by Regional Health, the parent organization, for all related organizations and made available to the public on its website at the following url:http://www.regionalhealth.com/About-Us/Community-Report.aspx |
| 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, Line 7g: | The costs attributable to a physician clinic included in Subsidized Health Services on line 7g is $23,708,766. |
| Part I, Ln 7 Col(f): | The bad debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column, is $717,082. |
| 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 health events and activities. |
| Part III, Line 2: | The bad debt reported on line 2 is at charges as reported on the financial statements. |
| Part III, Line 3: | The estimated amount of bad debt attributable to patients eligible under the financial assistance policy is determined through a review of the bad debt records to identify patient accounts that would be eligible for a discount under the financial assistance policy. The organization follows HFMA Statement 15, however the amount reported on Part III, Line 3 reflects amounts not previously determined to be charity care in prior years, however were determined in the current year to be charity care amounts. |
| Part III, Line 4: | The footnote to the financial statements that describes bad debt expense is located on pages seven and eight 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) Proposed Regulations timelines for notifications and collections. |
| Part VI, Line 2: | The Community Health Needs Assessment was conducted in FY2013 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, Custer Regional Hospital, and Hans P. Peterson Memorial Hospital. In July 2012, we 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. The assessment incorporated data from both quantitative and qualitative sources. Quantitative data input included primary research (the PRC Community Health Survey, November 2012) and secondary research (vital statistics and other existing health-related data); these quantitative components allowed for trending and comparison to benchmark data at the state and national levels. Qualitative data input included primary research gathered through a Key Informant Focus Group.A variety of existing (secondary) data sources was consulted to complement the research quality of the Community Health Needs Assessment. Data for the service area were obtained from the following sources: * Centers for Disease Control & Prevention* GeoLytics Demographic Estimates & Projections* National Center for Health Statistics* South Dakota Department of Public Health* US Census Bureau* US Department of Health and Human Services* US Department of Justice, Federal Bureau of InvestigationAs part of the needs assessment, one focus group was held on September 24, 2012. The focus group participants were comprised of 13 key informants, including representatives from public health, Indian Health Services, other health professionals, social service providers, and other community leaders. Potential participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall. Participants included a representative of public health, as well as several individuals who work with low-income, minority or other medically underserved populations, and those who work with persons with chronic disease conditions. The needs assessment report was completed in February 2013. After reviewing the findings, the Community Health Needs Assessment Steering Committee met regularly during the month of March, to determine the health needs to be prioritized for action in FY2014-FY2016. Following a detailed presentation of the Community Health Needs Assessment findings by PRC, steering committee members were led through a process of understanding key local data findings (Areas of Opportunity) and ranked identified health issues against the following established, uniform criteria: * Magnitude. The number of persons affected, also taking into account variance from benchmark data and Healthy People targets. * Impact/Seriousness. The degree to which the issue affects or exacerbates other quality of life and health-related issues. * Feasibility. The ability to reasonably impact the issue, given available resources. * Consequences of Inaction. The risk of not addressing the problem at the earliest opportunity. A proposed Implementation Strategy was then written to address the community's health needs. In the months of May and June, 2013, the organization's Board as well as the Board of Regional Health reviewed, discussed and approved the implementation strategies for addressing the community health priorities identified through the Community Health Needs Assessment. |
| Part VI, Line 3: | We provide information on our website, information is available at all admission areas, and we have financial counselors at each location, (except Urgent Cares) to meet with all uninsured patients to assist them with finding funding sources or applying for financial assistance. We also have a self-pay collection center, (not outsourced) that communicates any funding and financial assistance opportunities to our patients, as well as the outsourced resources. |
| Part VI, Line 4: | Regional Health serves the people of the Black Hills Region. The area is mostly rural in nature with only one city of over 50,000 people. Regional Health is the primary medical services provider for the region. |
| Part VI, Line 5: | Regional Health is governed by a community board that provides leadership to the organization to meet the community needs. Regional Health partners with the educational institutions to provide numerous clinical training programs, that if they were not provided by Regional Health, would not exist in our region.Regional Health provides numerous community health education events and screenings throughout the Black Hills Region. Regional Health also provides financial support to other nonprofit organizations to help support community health outreach. Additionally, Regional Health provides in-kind support and employee volunteers to help support community health events and activities and other charitable programs. |
| Part VI, Line 6: | Regional Health is committed to partnering with the communities it serves to meet the needs of each respective community. Regional Health, Inc. is the parent organization of Rapid City Regional Hospital, Inc., Regional Health Network, Inc., and Regional Health Physicians, Inc. These corporations work together to meet the health care needs of the region. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (19 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Terry M Graber MD | ||||||||||||||
| Director | $413,510 | $0 | $0 | $0 | $17,500 | $0 | $33,768 | $0 | $4,750 | $0 | $469,528 | $0 | $0 | $0 |
| Charles E Hart MD | ||||||||||||||
| President/CEO | $0 | $895,584 | $0 | $135,197 | $0 | $23,418 | $0 | $18,626 | $0 | $6,067 | $0 | $1,078,892 | $0 | $135,856 |
| Mark A Thompson | ||||||||||||||
| VP CFO | $0 | $330,359 | $0 | $59,826 | $0 | $17,500 | $0 | $45,407 | $0 | $4,235 | $0 | $457,327 | $0 | $4,370 |
| John Y Pierce | ||||||||||||||
| COO | $174,547 | $0 | $18,449 | $0 | $3,250 | $0 | $20,022 | $0 | $4,750 | $0 | $221,018 | $0 | $0 | $0 |
| James M Keegan MD | ||||||||||||||
| CMO RH / CEO RHP (Thru 7/1/13) | $0 | $242,872 | $0 | $65,598 | $0 | $407,830 | $0 | $11,764 | $0 | $2,703 | $0 | $730,767 | $0 | $0 |
| Joseph C Sluka Jr | ||||||||||||||
| Executive VP / CAO | $0 | $386,747 | $0 | $70,627 | $0 | $27,748 | $0 | $46,446 | $0 | $6,250 | $0 | $537,818 | $0 | $0 |
| Mark F Brodin | ||||||||||||||
| VP Decision Support | $0 | $172,099 | $0 | $19,539 | $0 | $17,500 | $0 | $14,550 | $0 | $5,110 | $0 | $228,798 | $0 | $6,497 |
| Sharmila M Chandran | ||||||||||||||
| VP Corporate Responsibility | $0 | $139,503 | $0 | $17,033 | $0 | $0 | $0 | $11,477 | $0 | $272 | $0 | $168,285 | $0 | $0 |
| Michael G Diedrich | ||||||||||||||
| VP Human Resources - Interim | $0 | $159,109 | $0 | $33,752 | $0 | $0 | $0 | $6,240 | $0 | $7,612 | $0 | $206,713 | $0 | $0 |
| Dale E Gisi | ||||||||||||||
| VP Human Resources (Thru 8/14/13) | $0 | $155,652 | $0 | $18,717 | $0 | $98,500 | $0 | $11,610 | $0 | $4,747 | $0 | $289,226 | $0 | $0 |
| Jennifer D Horton | ||||||||||||||
| VP PR Marketing | $0 | $165,535 | $0 | $19,018 | $0 | $0 | $0 | $20,104 | $0 | $7,750 | $0 | $212,407 | $0 | $0 |
| David L Klocke MD | ||||||||||||||
| Chief Medical Officer | $0 | $286,933 | $0 | $17,191 | $0 | $7,000 | $0 | $24,752 | $0 | $6,770 | $0 | $342,646 | $0 | $0 |
| Richard S Latuchie | ||||||||||||||
| VP Info Technology / CIO | $0 | $259,771 | $0 | $30,319 | $0 | $17,500 | $0 | $13,092 | $0 | $5,210 | $0 | $325,892 | $0 | $7,430 |
| Mary E Masten | ||||||||||||||
| VP Legal Services | $0 | $313,345 | $0 | $32,553 | $0 | $0 | $0 | $21,516 | $0 | $7,220 | $0 | $374,634 | $0 | $14,707 |
| Garry K Dunn MD | ||||||||||||||
| Radiology | $0 | $913,224 | $0 | $0 | $0 | $17,500 | $0 | $61,901 | $0 | $9,036 | $0 | $1,001,661 | $0 | $0 |
| Bart L Eastwood DO | ||||||||||||||
| Orthopedic Surgery | $0 | $744,408 | $0 | $3,400 | $0 | $17,860 | $0 | $50,523 | $0 | $7,890 | $0 | $824,081 | $0 | $0 |
| Kipp A Gould MD | ||||||||||||||
| Orthopedic Surgery | $0 | $675,545 | $0 | $3,400 | $0 | $17,500 | $0 | $37,946 | $0 | $3,826 | $0 | $738,217 | $0 | $0 |
| Wesley L Sufficool DO | ||||||||||||||
| Bariatrics, General Surger | $0 | $663,804 | $0 | $3,400 | $0 | $17,500 | $0 | $40,387 | $0 | $3,437 | $0 | $728,528 | $0 | $27,978 |
| Wayne L Wittenberg MD | ||||||||||||||
| Neurosurgery | $0 | $717,856 | $0 | $3,400 | $0 | $48,875 | $0 | $57,408 | $0 | $7,890 | $0 | $835,429 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | The audit and compliance 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 made severance payments to the following: Dale Gisi - $98,500 James Keegan, MD - $392,746 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: Terry M. Graber, MD $20,483 Mark A. Thompson $28,714 John Y. Pierce $10,243 Joseph C. Sluka, Jr. $33,829 Sharmila M. Chandran $6,773 Jennifer Horton $10,543 David L. Klocke, MD $17,102 Garry K. Dunn, MD $53,829 Bart L. Eastwood, DO $42,230 Kipp A. Gould, MD $30,086 Wesley L. Sufficool, DO $31,409 Wayne L. Wittenberg, MD $49,336 |
| 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 of Directors will review and approve all incentives as recommended from the Compensation Committee. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part IV, Line 24a: | Bond Issues: All related corporations are equally liable for the repayment of the bonds reported on the Rapid City Regional Hospital Form 990. |
| 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 designated Board officers (Chairman, Vice Chairman, Secretary, Treasurer), the most recent past Chairman of the Board of Directors if such past Chairman continues to be a member of the Board of Directors, and the President of Regional Health, Inc. 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. 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 1 | The organization considers some members of the Board to not be independent because they are actively practicing physicians on its or its related entities' medical staffs or, in one instance, is an employee of the organization. |
| Form 990, Part VI, Section A, line 2 | Charles E. Hart, MD 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 individuals: James Keegan, MD, John Pierce, Joseph Sluka Jr., Mark Thompson, Mark Brodin, Sharmila Chandran, Michael Diedrich, Dale Gisi, Jennifer Horton, Richard Latuchie, Mary Masten, Terry Graber, MD and David Klocke, MD. Charles Hart, MD has a personal business relationship with Jonathan Dahlstrom. Ross McKie and Michael Diedrich have a business relationship due to serving on a board together. They also have a business relationship with John Brewer as he is an employee of the organization for which they serve on the board. |
| Form 990, Part VI, Section A, line 6 | Regional Health, Inc. is the sole member of Regional Health Physicians, Inc. |
| Form 990, Part VI, Section A, line 7a | The board members of Regional Health Physicians, Inc. consist of the same individuals that serve on the board of Regional Health, Inc. |
| 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 business decisions made by 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 receive a copy of the conflict of interest policy and sign an acknowledgement they have read and understand it. Additionally, they are 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 B, line 15b | The compliance and audit committee of the sole member's board, a committee that includes only board members deemed "independent", determines the appropriate base salary range of the CEO of the organization and its other executive staff. The CEO of the member or his designee then determines the actual base salary of the other executives within the committee-approved ranges based on a performance evaluation conducted by the CEO or designee. For determination of the base salary ranges, as well as incentive compensation, benefit plans and perquisites (total compensation), the compliance and audit committee retains an independent consultant, Sullivan and Cotter, to provide survey/comparability data for both base salary and total compensation at least every three years. The survey/compatability data was provided in February 2013 and new market ranges were approved by the compliance and audit committee in October 2013 based on this information. Employed physician compensation is determined by either of two methods. 1) When physicians become employed as a result of a practice acquisition, an independent company evaluates the value of the practice along with the physician compensation. This valuation is reviewed and approved by the compliance and audit committee. 2) For physicians who have been recruited or otherwise hired, the compliance and audit committee has approved the methodology to apply to individual physicians' compensation. That methodology is a combination of base salary plus incentive pay based on worked Relative Value Units (RVU) times a conversion rate. The RVU values are those developed by CMS while the conversion rates are based on market survey data. Compensation exceeding thresholds in a policy approved by the committee are reviewed by an independent consultant and/or the committee. |
| 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 at the Secretary of State's website. 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. |
| Part XII, Line 2c Explanation: | Committee Assuming Responsibility for Oversight of Audit: Independent auditors are engaged by the compliance and audit committee of the Regional Health, Inc. Board of Trustees. Final audit results, on a consolidated basis, are reported by the independent auditors directly to the compliance and audit committee. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | Yes (1) | Regional Health Inc | |
| Regional Health Network Inc | |||||||||||
| 353 Fairmont Blvd | Rapid City | SD | 57701 | 460360899 | Healthcare | SD | 501(c)(3) | Line 3 | Yes (1) | Regional Health Inc | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | 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 | Yes (1) | 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 | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Regional Health Network Inc | ||
| K | $427,944 | Cost |
| Rapid City Regional Hospital Inc | ||
| M | $6,167,837 | Cost |
| Rapid City Regional Hospital Inc | ||
| Q | $1,683,535 | Cost |