MONUMENT HEALTH RAPID CITY HOSPITAL INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- MONUMENT HEALTH RAPID CITY HOSPITAL INC (EIN 46-0319070)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-13
- IRS object ID
- 201511339349300221
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-13T07:46:43-05:00 | 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 | 460319070 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Rapid City Regional Hospital Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | RAPI | BusinessNameControlTxt |
| Phone | 6057559130 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 353 Fairmont Blvd PO Box 6000 | 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 | 6057559130 | PhoneNum |
| Signature | 2015-05-11 | 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 | 2015-05-07 | 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 | 353 Fairmont Blvd PO Box 6000 | AddressLine1 |
| City | Rapid City | City |
| State | SD | State |
| ZIP Code | 57701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $519,008,698 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.regionalhealth.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1973 | FormationYr |
| Legal Domicile State | SD | LegalDomicileStateCd |
| Activity Or Mission | To provide and support health care excellence in partnership with the communities we serve. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 4057 | TotalEmployeeCnt |
| Total Volunteers | 444 | TotalVolunteersCnt |
| Total Gross UBI | $5,294,209 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $1,020,772 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,089,909 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,945,519 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $464,768,579 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $489,517,790 | CYProgramServiceRevenueAmt |
| PY Investment Income | $18,133,397 | PYInvestmentIncomeAmt |
| CY Investment Income | $24,825,565 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,899,254 | PYOtherRevenueAmt |
| CY Other Revenue | $1,612,418 | CYOtherRevenueAmt |
| PY Total Revenue | $489,891,139 | PYTotalRevenueAmt |
| CY Total Revenue | $517,901,292 | 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 | $206,764,787 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $217,727,721 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $377,271 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $233,148,788 | PYOtherExpensesAmt |
| CY Other Expenses | $243,494,891 | CYOtherExpensesAmt |
| PY Total Expenses | $439,913,575 | PYTotalExpensesAmt |
| CY Total Expenses | $461,222,612 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $49,977,564 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $56,678,680 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $923,907,347 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,021,106,059 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $246,708,870 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $246,728,354 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $677,198,477 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $774,377,705 | 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 | $252,844,147 | ExpenseAmt |
| Revenue | $268,844,367 | RevenueAmt |
| Desc | Rapid City Regional Hospital, Inc. (RCRH) is a tertiary hospital serving Western South Dakota. The nearest larger hospital is in Sioux Falls, SD, more than 350 miles away. As such, the services provided by RCRH are truly a healthcare safety net for Western South Dakota. The Hospital provides comprehensive care, including Level II Trauma Care. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $22,143,817 | ExpenseAmt |
| Revenue | $117,911,895 | RevenueAmt |
| Desc | Pharmacy - provide pharmaceuticals in support of acute care hospital patients. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $19,907,406 | ExpenseAmt |
| Revenue | $96,527,626 | RevenueAmt |
| Desc | Surgical services - provide in and out patient surgical services to acute care patients. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $18,359,041 | ExpenseAmt |
| Revenue | $6,339,092 | RevenueAmt |
| Desc | Hospitalists provides care for hospitalized patients who may or may not have a primary care Physician. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $18,359,041 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $6,339,092 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $313,254,411 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 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 |
| IRP Document | 455 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 4057 | 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 | 14 | 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 | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | NC | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mark Thompson | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6057559127 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 6000 | AddressLine1 |
| City | Rapid City | City |
| State | SD | State |
| ZIP Code | 57701 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (36 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 |
|---|---|---|---|---|---|---|---|---|---|
| Dennis Popp | |||||||||
| Chairman | 2.30 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Kyle D White | |||||||||
| Vice Chairman | 1.20 | 0.00 | Yes (X) | Yes (X) | $678 | $0 | $0 | ||
| Stephen Kovarik MD | |||||||||
| Secretary | 1.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Jim Sorensen | |||||||||
| Treasurer | 1.40 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Roy Dishman | |||||||||
| Directors | 2.60 | 0.50 | Yes (X) | $0 | $0 | $0 | |||
| Gene Farrens | |||||||||
| Directors | 1.20 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Timothy Frost MD | |||||||||
| Directors | 1.10 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Victoria Herr MD | |||||||||
| Directors | 1.10 | 0.00 | Yes (X) | $19,455 | $0 | $0 | |||
| Sharon I Lee | |||||||||
| Directors | 1.30 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Jack Lynass | |||||||||
| Directors | 0.80 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Tamara Riddle-Schumacher | |||||||||
| Directors | 1.70 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Lisa Seaman | |||||||||
| Directors | 2.10 | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| Charles E Hart MD | |||||||||
| President & CEO | 43.60 | 16.40 | Yes (X) | Yes (X) | $0 | $1,054,199 | $24,693 | ||
| Timothy H Sughrue | |||||||||
| CEO RCRH & RHN/COO RHI | 46.00 | 9.00 | Yes (X) | Yes (X) | $645,768 | $0 | $26,548 | ||
| Mark A Thompson | |||||||||
| VP CFO | 39.90 | 15.10 | Yes (X) | $407,685 | $0 | $49,642 | |||
| Joseph C Sluka Jr | |||||||||
| Executive VP/CAO | 39.90 | 15.10 | $485,122 | $0 | $52,696 | Yes (X) | |||
| James M Keegan MD | |||||||||
| CMO RH & CEO RHP (Thru 7/1/13) | 46.40 | 8.60 | $716,300 | $0 | $14,467 | Yes (X) | |||
| Robert G Allen Jr MD | |||||||||
| VP Medical Affairs | 55.00 | 0.00 | $204,945 | $0 | $15,017 | Yes (X) | |||
| Allan L Berreth | |||||||||
| VP Ancillary Services | 55.00 | 0.00 | $287,061 | $0 | $17,016 | Yes (X) | |||
| Mark F Brodin | |||||||||
| VP Decision Support | 39.90 | 15.10 | $209,138 | $0 | $19,660 | Yes (X) | |||
| Sharmila M Chandran | |||||||||
| VP Corp Responsibilty | 39.90 | 15.10 | $156,536 | $0 | $11,749 | Yes (X) | |||
| Paul W Clemments | |||||||||
| VP Professional Services | 55.00 | 0.00 | $179,722 | $0 | $22,855 | Yes (X) | |||
| Michael G Diedrich | |||||||||
| VP Human Resources - Interim | 39.90 | 15.10 | $192,861 | $0 | $13,852 | Yes (X) | |||
| Jeanne A Galbraith | |||||||||
| VP Quality Safety Risk Mgm | 55.00 | 0.00 | $172,617 | $0 | $18,063 | Yes (X) | |||
| Dale E Gisi | |||||||||
| VP Human Resources (Thru 8/14/13) | 39.90 | 15.10 | $272,869 | $0 | $16,357 | Yes (X) | |||
| Rita K Haxton | |||||||||
| VP Patient Care | 55.00 | 0.00 | $333,719 | $0 | $17,663 | Yes (X) | |||
| Jennifer D Horton | |||||||||
| VP PR Marketing | 39.90 | 15.10 | $184,553 | $0 | $27,854 | Yes (X) | |||
| David L Klocke MD | |||||||||
| Chief Medical Officer | 39.90 | 15.10 | $311,124 | $0 | $31,522 | Yes (X) | |||
| Suzanne P Koehler | |||||||||
| VP Operations | 55.00 | 0.00 | $196,570 | $0 | $22,703 | Yes (X) | |||
| Richard S Latuchie | |||||||||
| VP Info Technology, CIO | 39.90 | 15.10 | $307,590 | $0 | $18,302 | Yes (X) | |||
| Mary E Masten | |||||||||
| VP Legal Services | 39.90 | 15.10 | $345,898 | $0 | $28,736 | Yes (X) | |||
| Lewis N Ferrier MD | |||||||||
| Cardiology | 40.00 | 0.00 | $654,133 | $0 | $34,910 | Yes (X) | |||
| John K Heilman III MD | |||||||||
| Cardiac Device Implant, Cardiology | 40.00 | 0.00 | $781,637 | $0 | $56,424 | Yes (X) | |||
| Jose M Teixeira MD | |||||||||
| Cardiology, Electrophysiology | 40.00 | 0.00 | $721,271 | $0 | $12,110 | Yes (X) | |||
| Joseph L Tuma MD | |||||||||
| Cardiology, Inverventional | 40.00 | 0.00 | $862,436 | $0 | $64,285 | Yes (X) | |||
| Amad Zineldine MD | |||||||||
| Cardiology | 40.00 | 0.00 | $699,122 | $0 | $58,587 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $9,348,810 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,054,199 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $675,711 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 228 | 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 |
|---|---|---|---|---|---|
| Emergency Services PA | |||||
| 353 Fairmont Blvd | Rapid City | SD | 57701 | ER Physician Coverage | $9,705,784 |
| Weatherby Locums Inc | |||||
| PO Box 972633 | Dallas | TX | 75397 | Temp Physician Staff | $2,840,666 |
| Alliance Recruiting Services Inc | |||||
| PO Box 670416 | Dallas | TX | 752670416 | Temp Physician Staff | $1,612,289 |
| Sirius Computer Solutions Inc | |||||
| 613 NW Loop 410 | San Antonio | TX | 78216 | Computer Maint. & Support | $1,420,040 |
| Athena Health Inc | |||||
| 311 Arsenal St | Watertown | MA | 02472 | Computer Software Practice Management Bi | $1,298,555 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 91 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $10,000 | RelatedOrganizationsAmt |
| Government Grants | $710,760 | GovernmentGrantsAmt |
| All Other Contributions | $1,224,759 | AllOtherContributionsAmt |
| Total Contributions | $1,945,519 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| In Patient Pharmacy | 446110 | $114,031,439 | $114,031,439 | |
| Surgical Services | 622110 | $96,525,296 | $96,525,296 | |
| Laboratory | 621500 | $83,813,068 | $79,598,121 | $4,214,947 |
| MIS CT Scan | 621500 | $47,441,969 | $47,441,969 | |
| PCU-Nursing | 622110 | $42,122,941 | $42,122,941 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $105,583,077 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $105,583,077 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $489,517,790 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $25,113,805 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$12,869 | UnrelatedBusinessRevenueAmt |
| Exclusion | $25,126,674 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$6,152 | TotalRevenueColumnAmt |
| Exclusion | -$6,152 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $695,858 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $517,928 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $177,930 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $177,930 | TotalRevenueColumnAmt |
| Exclusion | $177,930 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $41,743 | SecuritiesAmt |
| Other | $240,345 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$41,743 | SecuritiesAmt |
| Other | -$240,345 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$282,088 | TotalRevenueColumnAmt |
| Exclusion | -$282,088 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $371,018 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $133,851 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $237,167 | TotalRevenueColumnAmt |
| Exclusion | $237,167 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $278,729 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $173,539 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $105,190 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $105,190 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Other UBI | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $1,092,131 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $1,092,131 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,092,131 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $517,901,292 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $485,408,033 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $5,294,209 | UnrelatedBusinessRevenueAmt |
| Exclusion | $25,253,531 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,508,875 | TotalAmt |
| Program Services | $4,139,922 | ProgramServicesAmt |
| Management And General | $5,368,953 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $135,807 | TotalAmt |
| Program Services | $135,807 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $181,800,162 | TotalAmt |
| Program Services | $141,030,621 | ProgramServicesAmt |
| Management And General | $40,549,196 | ManagementAndGeneralAmt |
| Fundraising | $220,345 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,979,008 | TotalAmt |
| Program Services | $3,020,061 | ProgramServicesAmt |
| Management And General | $954,367 | ManagementAndGeneralAmt |
| Fundraising | $4,580 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,806,373 | TotalAmt |
| Program Services | $7,443,022 | ProgramServicesAmt |
| Management And General | $2,352,064 | ManagementAndGeneralAmt |
| Fundraising | $11,287 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,497,496 | TotalAmt |
| Program Services | $9,379,629 | ProgramServicesAmt |
| Management And General | $3,102,531 | ManagementAndGeneralAmt |
| Fundraising | $15,336 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $706,687 | TotalAmt |
| Management And General | $706,687 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $184,100 | TotalAmt |
| Management And General | $184,100 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,566 | TotalAmt |
| Management And General | $48,566 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,209,752 | TotalAmt |
| Program Services | $21,973,014 | ProgramServicesAmt |
| Management And General | $18,234,238 | ManagementAndGeneralAmt |
| Fundraising | $2,500 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $281,135 | TotalAmt |
| Program Services | $6,552 | ProgramServicesAmt |
| Management And General | $242,180 | ManagementAndGeneralAmt |
| Fundraising | $32,403 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,332,688 | TotalAmt |
| Program Services | $688,703 | ProgramServicesAmt |
| Management And General | $638,273 | ManagementAndGeneralAmt |
| Fundraising | $5,712 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,726,089 | TotalAmt |
| Program Services | $1,953,610 | ProgramServicesAmt |
| Management And General | $7,772,479 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,553,984 | TotalAmt |
| Program Services | $437,229 | ProgramServicesAmt |
| Management And General | $7,116,755 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $468,337 | TotalAmt |
| Program Services | $311,947 | ProgramServicesAmt |
| Management And General | $155,098 | ManagementAndGeneralAmt |
| Fundraising | $1,292 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $894,058 | TotalAmt |
| Program Services | $600,612 | ProgramServicesAmt |
| Management And General | $292,152 | ManagementAndGeneralAmt |
| Fundraising | $1,294 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,521,538 | TotalAmt |
| Program Services | $102,372 | ProgramServicesAmt |
| Management And General | $4,419,166 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,503,837 | TotalAmt |
| Program Services | $9,791,483 | ProgramServicesAmt |
| Management And General | $12,710,439 | ManagementAndGeneralAmt |
| Fundraising | $1,915 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,394,002 | TotalAmt |
| Program Services | $383,120 | ProgramServicesAmt |
| Management And General | $2,010,882 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $76,350,187 | $76,350,187 | |
| Intercompany Services & | $32,886,598 | $936,980 | $31,949,618 |
| Bad Debt Expense | $25,872,985 | $25,872,985 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,560,348 | TotalAmt |
| Program Services | $8,696,555 | ProgramServicesAmt |
| Management And General | $8,783,186 | ManagementAndGeneralAmt |
| Fundraising | $80,607 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $461,222,612 | TotalAmt |
| Program Services | $313,254,411 | ProgramServicesAmt |
| Management And General | $147,590,930 | ManagementAndGeneralAmt |
| Fundraising | $377,271 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,417,092 | BOYAmt |
| EOY | $17,031,842 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,513,535 | BOYAmt |
| EOY | $70,780,736 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,096,684 | BOYAmt |
| EOY | $11,590,971 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,994,310 | BOYAmt |
| EOY | $7,716,621 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $512,265,988 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $320,557,533 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $168,288,242 | BOYAmt |
| EOY | $191,708,455 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $487,785,884 | BOYAmt |
| EOY | $528,603,810 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,126,511 | BOYAmt |
| EOY | $2,126,511 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $172,685,089 | BOYAmt |
| EOY | $191,547,113 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $923,907,347 | BOYAmt |
| EOY | $1,021,106,059 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,663,804 | BOYAmt |
| EOY | $45,708,857 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $166,608,616 | BOYAmt |
| EOY | $158,935,392 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,436,450 | BOYAmt |
| EOY | $42,084,105 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $246,708,870 | BOYAmt |
| EOY | $246,728,354 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $663,117,309 | BOYAmt |
| EOY | $758,912,073 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,418,239 | BOYAmt |
| EOY | $13,802,703 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,662,929 | BOYAmt |
| EOY | $1,662,929 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $677,198,477 | BOYAmt |
| EOY | $774,377,705 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $923,907,347 | BOYAmt |
| EOY | $1,021,106,059 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $56,678,680 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $36,021,401 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $4,479,147 | 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 B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | Yes (1) | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $15,434 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $33,132 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $48,566 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Schedule C, Part II-B, Line 1g & 1i: Annual dues are paid to the South Dakota Association of Healthcare Organizations. A portion of the dues are applicable to lobbying activities. For calendar year 2014 dues, which were paid in fiscal year 2014, in the amount of $321,940, 4.53% was used for lobbying purposes. Annual dues were paid to the American Hospital Association, a portion of which is applicable to lobbying activities. For calendar year 2014 dues, which were paid in fiscal year 2014, in the amount of $62,727, 23.65% was used for lobbying purposes. Annual dues were paid to the American Medical Rehab Providers Association, a portion of which is applicable to lobbying activities. For calendar year 2014 dues, which were paid in fiscal year 2014, in the amount of $9,520, 39.00% was used for lobbying purposes. Expenditures of $15,434 were incurred related to lobbying efforts with the South Dakota Legislature on matters pertaining to healthcare. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,662,929 | BeginningYearBalanceAmt |
| End Year Balance | $1,662,929 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,747,979 | BeginningYearBalanceAmt |
| Contributions | $10,000 | ContributionsAmt |
| Other Expenditures | $95,050 | OtherExpendituresAmt |
| End Year Balance | $1,662,929 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,747,979 | BeginningYearBalanceAmt |
| End Year Balance | $1,747,979 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,747,979 | BeginningYearBalanceAmt |
| End Year Balance | $1,747,979 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,747,979 | BeginningYearBalanceAmt |
| End Year Balance | $1,747,979 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,046,596 | OtherCostOrOtherBasisAmt |
| Book Value | $4,046,596 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $255,760,324 | OtherCostOrOtherBasisAmt |
| Depreciation | $128,299,654 | DepreciationAmt |
| Book Value | $127,460,670 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $234,962,175 | OtherCostOrOtherBasisAmt |
| Depreciation | $185,196,889 | DepreciationAmt |
| Book Value | $49,765,286 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,496,893 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,060,990 | DepreciationAmt |
| Book Value | $10,435,903 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $191,708,455 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (4 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| Current Funds Bond Indenture | $7,745,855 | F |
| Restricted Savings & CD's | $15,622,639 | F |
| Funded Depreciation | $495,251,063 | F |
| Other Assets | $9,984,253 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $528,603,810 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Intercompany Receivables | $133,286,349 |
| Other Receivables | $2,518,833 |
| Bond Issue Costs, Net | $1,697,219 |
| Other Long Term Assets | $54,044,712 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $191,547,113 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Payable Under Interest Rate Swap | $9,861,311 |
| Other Long Term Liabilities | $24,112,580 |
| Accrued Pension Liability | $8,110,214 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $42,084,105 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | Endowed funds are held in an interest bearing account subject to the terms as specified by the donor and Board of Directors. The earnings on the endowment funds become temporarily restricted funds and therefore are not part of the endowment balance. Of the $1,662,929 endowment funds, $692,332 are restricted to be used for grants/scholarships to students in a healthcare program, $512,197 is restricted for use in the pediatrics unit, $100,000 for promotion of a healthy community, $197,400 for cardiac services, $100,000 for hospice patients, $36,000 for plants in public areas and $25,000 for cancer care. |
| Part X, Line 2: | Rapid City Regional Hospital 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. Rapid City Regional Hospital is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the Internal Revenue Service (IRS). In addition, Rapid City Regional Hospital may be subject to income tax on income that is derived from business activities that are unrelated to its tax exempt purpose. Rapid City Regional Hospital 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 financial statements. Rapid City Regional Hospital 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. Rapid City Regional Hospital's federal Form 990T filings are no longer subject to federal tax examinations by tax authorities for years before 2010. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Duck Race | NameOfEvent1Amt |
| Gross Receipts Event1 | $119,625 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $119,625 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $37,262 | OtherDirectExpensesEvent1Amt |
| Name Of Event2 | Tough Enough to Wear Pink | NameOfEvent2Amt |
| Gross Receipts Event2 | $144,197 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $144,197 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $73,378 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 8 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $107,196 | GrossReceiptsOtherEventsAmt |
| Gross Revenue Other Events | $107,196 | GrossRevenueOtherEventsAmt |
| Oth Direct Expnss Other Events | $23,211 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $371,018 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $371,018 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $133,851 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $133,851 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $237,167 | 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 | 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 | $12,147,273 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,147,273 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02790 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $47,872,158 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $35,385,956 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,486,202 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02870 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $60,019,431 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $35,385,956 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,633,475 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05660 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 9 | ActivitiesOrProgramsCnt |
| Persons Served | 3138 | PersonsServedCnt |
| Total Community Benefit Expns | $58,459 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $58,459 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 199 | PersonsServedCnt |
| Total Community Benefit Expns | $5,465,039 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,056,363 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,408,676 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00320 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,181,775 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,028,888 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $152,887 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,178,126 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,730,879 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $447,247 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 427 | PersonsServedCnt |
| Total Community Benefit Expns | $478,071 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $478,071 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 17 | ActivitiesOrProgramsCnt |
| Persons Served | 3764 | PersonsServedCnt |
| Total Community Benefit Expns | $17,361,470 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,816,130 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,545,340 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00580 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 17 | ActivitiesOrProgramsCnt |
| Persons Served | 3764 | PersonsServedCnt |
| Total Community Benefit Expns | $77,380,901 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $50,202,086 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $27,178,815 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06240 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $5,795 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,795 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $738 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $738 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 100 | PersonsServedCnt |
| Total Community Benefit Expns | $3,807 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,807 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $5,891 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,891 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 50 | PersonsServedCnt |
| Total Community Benefit Expns | $156 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $156 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Persons Served | 150 | PersonsServedCnt |
| Total Community Benefit Expns | $16,387 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $16,387 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $25,872,985 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $976,991 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $129,134,136 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $137,243,466 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$8,109,330 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (6 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|
| 1 Black Hills Medical Office BD LLC | ||
| Office Building | 0.67930 | 0.32070 |
| 2 Medical & Dental Building | ||
| Office Building | 0.71450 | 0.28550 |
| 3 The Imaging Center LLC | ||
| Medical Imaging | 0.50000 | 0.50000 |
| 4 The MRI Center LLC | ||
| Medical Imaging | 0.33330 | 0.66670 |
| 5 Same Day Surgery Center | ||
| Specialty and Ambulatory Srvcs | 0.40000 | 0.60000 |
| 6 Western Providers Inc | ||
| PHO | 0.50000 | 0.50000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Teaching HospitalTeachingHospitalInd | Emergency Room24 HrsEmergencyRoom24HrsInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Rapid City Regional Hospital | ||||||||||
| 1 | 353 Fairmont Blvd | Rapid City | SD | 57701 | www.regionalhealth.com | 10558 | Yes (X) | Yes (X) | Yes (X) | Yes (X) |
| Same Day Surgery Center | ||||||||||
| 2 | 651 Cathedral Drive | Rapid City | SD | 57701 | www.regionalhealth.com | 10581 | Yes (X) | |||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| FacilityFacilityNum | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Information GapsInformationGapsInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Rpt Available Upon RequestRptAvailableUponRequestInd | Adopt Implementation StrategyAdoptImplementationStrategyInd | Exec Implementation StrategyExecImplementationStrategyInd | Prioritize Health NeedsPrioritizeHealthNeedsInd | Other Needs AddressedOtherNeedsAddressedInd | All Needs AddressedAllNeedsAddressedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareInd | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Explained BasisExplainedBasisInd | Income LevelIncomeLevelInd | Asset LevelAssetLevelInd | Medical IndigencyMedicalIndigencyInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | Available On RequestAvailableOnRequestInd | Other PublicityOtherPublicityInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Collection ActivitiesCollectionActivitiesInd | FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd | FAP Notified All PatientsFAPNotifiedAllPatientsInd | Documented Elig DeterminationDocumentedEligDeterminationInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Medicare RatesMedicareRatesInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd | Other WebsiteOtherWebsiteInd | Other Website URLOtherWebsiteURLTxt | No Emergency CareNoEmergencyCareInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Rapid City Regional Hospital Inc | ||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 12 | Yes (1) | Yes (1) | Yes (1) | Yes (X) | www.regionalhealth.com/chna. | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 0 | 0 | Yes (1) | Yes (1) | 200.000000000000 | Yes (1) | 250.000000000000 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (1) | |||
| Same Day Surgery Center | ||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 12 | Yes (1) | Yes (1) | Yes (1) | Yes (X) | http://www.samedaysurgerycenter.org/commu | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 0 | 0 | Yes (1) | Yes (1) | 200.000000000000 | Yes (1) | 250.000000000000 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (1) | 0 | Yes (X) | Yes (X) | Yes (X) | 0 | Yes (X) | 0 | Yes (1) | Yes (X) | www.regionalhealth.com/chna | Yes (X) | |
Supplemental Information SupplementalInformationGrp (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Rapid City Regional Hospital, Inc. | 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. |
| Same Day 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. |
| Rapid City Regional Hospital, Inc. | 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. |
| Same Day 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. |
| Rapid City Regional Hospital, Inc. | 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. |
| Same Day Surgery Center | Part V, Section B, Line 6i: The implementation strategy is available at: http://www.samedaysurgerycenter.org/community-health-needs-assessment/, http://www.regionalhealth.com/CHNA, or upon request. |
| Rapid City Regional Hospital, Inc. | Part V, Section B, Line 7: In review of the needs identified in the CHNA, Rapid City Regional Hospital has identified the areas below that will not be addressed due to prioritization of health needs:1) Cancer: Rapid City Regional Hospital partners with All Women Count program promoting early detection for women who might have financial barriers to breast cancer screening. Awareness activities through the American Cancer Society currently exist in the community and surrounding area. 2) Conditions of Aging: In the area of Alzheimer's deaths, there are local licensed skilled nursing facilities providing services to the elderly of the community, including those with Alzheimer's Disease. Other organizations provide in-home services and case management to elders in the community with conditions of aging, such as difficulty seeing and hearing, assisting in obtaining adaptive equipment and transportation. 3) Maternal, Infant, Child Health: As a provider of maternal, infant and child hospital care in the community, Rapid City Regional Hospital believes it fulfills its role in this area. It was therefore given a lower priority that excluded this as an area chosen for action. Rapid City Regional Hospital supports programs that address these issues, such as the Cribs for Kids program through the South Dakota Department of Health.4) Oral Health: Rapid City Regional Hospital has limited expertise available to address oral health and access to oral health insurance. Other community organizations have infrastructure and programs in place to better meet this need. Limited expertise excluded this as an area chosen for action.5) Respiratory Diseases: Rapid City Regional Hospital believes this priority area falls within the purview of other available community resources, including outpatient clinical settings. 6) Substance Abuse: Rapid City Regional Hospital 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.7) Tobacco Use: Rapid City Regional Hospital 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.Rapid City Regional Hospital began to execute the implementation strategy during fiscal year 2014 to address the needs of the community that the Hospital has determined it will address. The needs that are being addressed are as follows: 1) access to health services; 2) diabetes; 3) injury and violence prevention; 4) mental health and mental disorders; and 5) nutrition, physical activity and weight status. |
| Same Day Surgery Center | Part V, Section B, Line 7: In review of the needs identified in the CHNA, Same Day Surgery Center has identified the areas below that will not be addressed due to prioritization of health needs:1) Access to Health Services: Same Day Surgery Center felt that more pressing health needs existed. Lower priority excluded this as an area chosen for action.2) Conditions of Aging: Limited resources and population served excluded this as an area chosen for action.3) Maternal, Infant, Child Health: Same Day Surgery Center does not have an obstetrics program. Limited resources and lower priority excluded this as an area chosen for action.4) Mental Health & Mental Disorders: The community currently has several programs and services in place to assist in addressing mental health issues. Mental health issues are best addressed as a community as a whole and deemed out of the scope for a surgical hospital.5) Nutrition, Physical Activity & Weight Status: Same Day Surgery Center contracts dietary and physical therapy services through Rapid City Regional Hospital. Limited resources excluded this as an area chosen for action.6) Oral Health: Same Day Surgery Center provides general anesthesia dental service, however limited resources and lower priority excluded this as an area chosen for action.7) Respiratory Diseases: Same Day Surgery Center contracts respiratory therapy services through Rapid City Regional Hospital. Limited resources and lower priority excluded this as an area chosen for action.8) Substance Abuse: Same Day Surgery Center believes this priority area falls more within the purview of the county health department and other community organizations. Limited resources and lower priority excluded this as an area chosen for action.9) Tobacco Use: Same Day Surgery Center is a tobacco-free facility. The facility provides smoking cessation screening to our patients and provides reference to the South Dakota Quit Line as applicable. Limited resources and lower priority excluded this as an area chosen for action.Same Day Surgery Center began to execute the implementation strategy during fiscal year 2014 to address the needs of the community that the Same Day Surgery Center has determined it will address. The needs that are being addressed are as follows: 1) cancer; and 2) injury and violence prevention. |
| Rapid City Regional Hospital, Inc. | 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. |
| Rapid City Regional Hospital, Inc. | 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. |
| Same Day 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 | 4 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| Regional Heart Doctors | ||||
| 4150 Fifth Street | Rapid City | SD | 57701 | Clinic |
| Regional Med Clinic - Neurology & Rehab | ||||
| 2929 Fifth Street | Rapid City | SD | 57701 | Clinic |
| Family Medicine Residency | ||||
| 502 E Monroe Suite 401 | Rapid City | SD | 57701 | Family Medicine Residency Program |
| Rapid City Regional Hospice House | ||||
| 224 Elk Street | Rapid City | SD | 57701 | End of Life Care |
Supplemental Information Detail SupplementalInformationDetail (15 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/Annual-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, 7f, 7h and 7i. |
| Part I, Ln 7 Col(f): | The bad debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column, is $25,872,985. |
| Part II, Community Building Activities: | Regional Health collaborates with agencies and community-wide coalitions to address prioritized health needs within the communities we serve. Regional Health addresses its community's health needs by; 1) sustaining efforts operating within a targeted health priority area; 2) developing new programs and initiatives to address identified health needs; and 3) promoting an understanding of these health needs among other community organizations and within the public itself. Regional Health also provides financial support to other nonprofit organizations to help support community health outreach. Additionally, Regional Health provides in-kind support and employee volunteers to help support community health events and activities. |
| Part III, Line 2: | The bad debt reported on line 2 is at charges as reported on the financial statements. |
| Part III, Line 3: | The estimated amount of bad debt attributable to patients eligible under the financial assistance policy is determined through a review of the bad debt records to identify patient accounts that would be eligible for a discount under the financial assistance policy. The organization follows HFMA Statement 15, however the amount reported on Part III, Line 3 reflects amounts not previously determined to be charity care in prior years, however were determined in the current year to be charity care amounts. |
| Part III, Line 4: | The footnote to the Organization's financial statements can be found on pages seven and eight of the attached audited financial statements. |
| 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 all statements, on our website, we have information available at all admission areas, we contract with Midland Medical Group (an unrelated entity) to meet with all 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 is an integrated health care system with the purpose of helping patients and communities live well. The organization, with headquarters in Rapid City, S.D., provides community-based health care to more than 20 communities in two states and 32 specialty areas of medicine. Regional Health serves a large geographical area through its hospitals, clinics and senior care facilities. There are a large percentage of government payers within the patient mix cared for in Regional Health's area, including Medicare, Medicaid, Indian Health Services and Veteran's Affairs. Regional Health serves a largely rural geographic area with only one city with more than 50,000 people in the service area. In addition to quality health care, Regional Health supports health care education within its communities with diabetes education, grief support groups and wellness screenings. Regional Health partners with United Way of the Black Hills, Community Health Center, Diabetes Inc., and American Heart Association to support healthy lifestyles and increase access to health care in the community. |
| 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 (24 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 |
| Timothy H Sughrue | ||||||||||||||
| CEO RCRH & RHN/COO RHI | $543,030 | $0 | $83,267 | $0 | $19,471 | $0 | $20,444 | $0 | $6,104 | $0 | $672,316 | $0 | $0 | $0 |
| Mark A Thompson | ||||||||||||||
| VP CFO | $330,359 | $0 | $59,826 | $0 | $17,500 | $0 | $45,407 | $0 | $4,235 | $0 | $457,327 | $0 | $4,370 | $0 |
| Joseph C Sluka Jr | ||||||||||||||
| Executive VP/CAO | $386,747 | $0 | $70,627 | $0 | $27,748 | $0 | $46,446 | $0 | $6,250 | $0 | $537,818 | $0 | $0 | $0 |
| James M Keegan MD | ||||||||||||||
| CMO RH & CEO RHP (Thru 7/1/13) | $242,872 | $0 | $65,598 | $0 | $407,830 | $0 | $11,764 | $0 | $2,703 | $0 | $730,767 | $0 | $0 | $0 |
| Robert G Allen Jr MD | ||||||||||||||
| VP Medical Affairs | $204,945 | $0 | $0 | $0 | $0 | $0 | $11,187 | $0 | $3,830 | $0 | $219,962 | $0 | $0 | $0 |
| Allan L Berreth | ||||||||||||||
| VP Ancillary Services | $246,877 | $0 | $22,684 | $0 | $17,500 | $0 | $16,646 | $0 | $370 | $0 | $304,077 | $0 | $54,361 | $0 |
| Mark F Brodin | ||||||||||||||
| VP Decision Support | $172,099 | $0 | $19,539 | $0 | $17,500 | $0 | $14,550 | $0 | $5,110 | $0 | $228,798 | $0 | $6,497 | $0 |
| Sharmila M Chandran | ||||||||||||||
| VP Corp Responsibilty | $139,503 | $0 | $17,033 | $0 | $0 | $0 | $11,477 | $0 | $272 | $0 | $168,285 | $0 | $0 | $0 |
| Paul W Clemments | ||||||||||||||
| VP Professional Services | $161,319 | $0 | $18,403 | $0 | $0 | $0 | $17,824 | $0 | $5,031 | $0 | $202,577 | $0 | $0 | $0 |
| Michael G Diedrich | ||||||||||||||
| VP Human Resources - Interim | $159,109 | $0 | $33,752 | $0 | $0 | $0 | $6,240 | $0 | $7,612 | $0 | $206,713 | $0 | $0 | $0 |
| Jeanne A Galbraith | ||||||||||||||
| VP Quality Safety Risk Mgm | $156,012 | $0 | $16,605 | $0 | $0 | $0 | $16,244 | $0 | $1,819 | $0 | $190,680 | $0 | $0 | $0 |
| Dale E Gisi | ||||||||||||||
| VP Human Resources (Thru 8/14/13) | $155,652 | $0 | $18,717 | $0 | $98,500 | $0 | $11,610 | $0 | $4,747 | $0 | $289,226 | $0 | $0 | $0 |
| Rita K Haxton | ||||||||||||||
| VP Patient Care | $289,458 | $0 | $26,761 | $0 | $17,500 | $0 | $13,846 | $0 | $3,817 | $0 | $351,382 | $0 | $62,958 | $0 |
| Jennifer D Horton | ||||||||||||||
| VP PR Marketing | $165,535 | $0 | $19,018 | $0 | $0 | $0 | $20,104 | $0 | $7,750 | $0 | $212,407 | $0 | $0 | $0 |
| David L Klocke MD | ||||||||||||||
| Chief Medical Officer | $286,933 | $0 | $17,191 | $0 | $7,000 | $0 | $24,752 | $0 | $6,770 | $0 | $342,646 | $0 | $0 | $0 |
| Suzanne P Koehler | ||||||||||||||
| VP Operations | $158,031 | $0 | $21,039 | $0 | $17,500 | $0 | $14,813 | $0 | $7,890 | $0 | $219,273 | $0 | $0 | $0 |
| Richard S Latuchie | ||||||||||||||
| VP Info Technology, CIO | $259,771 | $0 | $30,319 | $0 | $17,500 | $0 | $13,092 | $0 | $5,210 | $0 | $325,892 | $0 | $7,430 | $0 |
| Mary E Masten | ||||||||||||||
| VP Legal Services | $313,345 | $0 | $32,553 | $0 | $0 | $0 | $21,516 | $0 | $7,220 | $0 | $374,634 | $0 | $14,707 | $0 |
| Lewis N Ferrier MD | ||||||||||||||
| Cardiology | $600,386 | $0 | $36,247 | $0 | $17,500 | $0 | $29,483 | $0 | $5,427 | $0 | $689,043 | $0 | $0 | $0 |
| John K Heilman III MD | ||||||||||||||
| Cardiac Device Implant, Cardiology | $727,890 | $0 | $36,247 | $0 | $17,500 | $0 | $50,107 | $0 | $6,317 | $0 | $838,061 | $0 | $0 | $0 |
| Jose M Teixeira MD | ||||||||||||||
| Cardiology, Electrophysiology | $667,524 | $0 | $36,247 | $0 | $17,500 | $0 | $8,293 | $0 | $3,817 | $0 | $733,381 | $0 | $0 | $0 |
| Joseph L Tuma MD | ||||||||||||||
| Cardiology, Inverventional | $801,126 | $0 | $36,247 | $0 | $25,063 | $0 | $50,557 | $0 | $13,728 | $0 | $926,721 | $0 | $0 | $0 |
| Amad Zineldine MD | ||||||||||||||
| Cardiology | $645,375 | $0 | $36,247 | $0 | $17,500 | $0 | $52,837 | $0 | $5,750 | $0 | $757,709 | $0 | $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 | Severance payments were made to Dale Gisi and James Keegan, MD. 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: Mark A. Thompson $28,714 Joseph C. Sluka, Jr. $33,829 Sharmila M. Chandran $6,773 Paul W. Clemments $9,370 Jennifer Horton $10,543 David L. Klocke, MD $17,102 Suzanne P. Koehler $8,522 Lewis N. Ferrier, MD $21,190 John K. Heilman III, MD $41,814 Joseph L. Tuma, MD $42,264 Amad Zineldine, MD $39,830 |
| 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 K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| SD Health & Educational Facilities Authority | ||||||||
| A | 460315509 | 83755VNL4 | 2008-08-14 | $67,465,000 | Hospital Buildings & Equipment & Refund Series 2003 Bonds | 0 | 0 | 0 |
| SD Health & Educational Facilities Authority | ||||||||
| B | 460315509 | 83755VQJ6 | 2010-08-17 | $54,390,000 | Hospital Buildings & Equipment & Refund Series 1998 & 1999 Bonds | 0 | 0 | 0 |
| SD Health & Educational Facilities Authority | ||||||||
| C | 460315509 | 83755VSW5 | 2011-11-22 | $50,460,000 | Hospital Buildings & Equipment & Refund Series 2001 Bonds | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $505,000 | $67,538,801 | $790,000 | $45,000 | $15,073,802 | $51,125,000 | 2011 | Yes (1) | 0 | Yes (1) | Yes (1) |
| B | $12,685,000 | $57,312,811 | $785,667 | $24,925,832 | $31,601,312 | 2013 | Yes (1) | 0 | Yes (1) | Yes (1) | |
| C | $5,540,000 | $54,610,462 | $709,782 | $30,161,279 | $23,739,401 | 2013 | Yes (1) | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Engage Bond Counsel ResearchEngageBondCounselResearchInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropPct | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | Yes (1) | 0 | Yes (1) | 0 | 0.00020 | 0.00030 | 0.00050 | 0 | Yes (1) | 0.00750 | Yes (1) | Yes (1) |
| B | 0 | Yes (1) | Yes (1) | 0 | Yes (1) | 0 | 0.00660 | 0.00000 | 0.00660 | 0 | 0 | Yes (1) | ||
| C | 0 | Yes (1) | Yes (1) | 0 | Yes (1) | 0 | 0.00390 | 0.00760 | 0.01150 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Term Of HedgeTermOfHedgePct | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| US Bank NA | ||||||||||||
| A | 0 | 0 | 0 | Yes (1) | Yes (1) | Yes (1) | 13.200000000000 | 0 | 0 | 0 | 0 | Yes (1) |
| (no name) | ||||||||||||
| B | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) | |||
| (no name) | ||||||||||||
| C | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) | |||
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Date Rebate Computation Performed | Issuer Name: SD Health & Educational Facilities Authority Date the Rebate Computation was Performed: 10/11/2011 Issuer Name: SD Health & Educational Facilities Authority Date the Rebate Computation was Performed: 10/22/2013 Issuer Name: SD Health & Educational Facilities Authority Date the Rebate Computation was Performed: 12/19/2013 |
| Schedule K, Part II, Line 3, Bond A | Part I issue price and Part II, line 3 Bond Proceeds differ due to interest earned on the proceeds and a net premium earned. Bond A: Issue Price 67,465,000 Plus Interest Earnings 73,801 Total Part II, Line 3 67,538,801 Bond B: Issue Price 54,390,000 Plus Interest Earnings 25,040 Net Premium 2,897,771 Total Part II, Line 3 57,312,811 Bond C: Issue Price 50,460,000 Plus Interest Earnings 161,279 Net Premium 3,989,183 Total Part II, Line 3 54,610,462 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (9 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Black Hills Pediatrics | |||
| Board member Stephen Kovarik, MD is greater than 5% owner | $158,349 | Professional services agreement | 0 |
| Black Hills Power & Light | |||
| Board member Kyle White is an officer of Black Hills Power & Light | $2,894,009 | Purchase of utility services | 0 |
| Geib Elston Frost Professional Assoc (James Frost MD) | |||
| Brother of board member Timothy Frost, MD is a greater than 5% owner | $809,379 | Pathology and laboratory medical directorship services | 0 |
| Heart Center Building LLC | |||
| Highest compensated employee Lewis N. Ferrier is a 10% owner | $704,393 | Buildings lease | 0 |
| Lindsey Seaman | |||
| Daughter of board member, Lisa Seaman | $44,420 | Employed by RCRH | 0 |
| Northern Plains Premier Collaborative | |||
| President/CEO Charles Hart, MD is a board member of organization | $169,580 | Purchasing collaborative | 0 |
| Premier Purchasing Partners LP | |||
| President/CEO Charles Hart, MD is a board member of organization | $300,241 | Operational benchmarking reporting services | 0 |
| West River Anesthesiology Associates (Steve Frost MD) | |||
| Brother of board member Timothy Frost, MD is a greater than 5% owner | $375,735 | Professional services agreement | 0 |
| Scott Eccarius | |||
| Family member of Mary Masten, VP of Legal Services | $91,387 | Employed by RCRH | 0 |
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 VI, Section A, line 1 | The membership of the Executive Committee of the corporation shall consist of the following: Chairman of the Board of Directors, Vice Chairman of the Board of Directors, Secretary, Treasurer, the Chief of the Medical Staff of Rapid City Regional Hospital, the most recent past Chairman of the Board of Directors unless such person is otherwise a member of the Committee (and only if the person continues to be a member of the Board of Directors), and the Corporation's CEO. 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 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, 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: Timothy Sughrue, Joseph Sluka Jr., Mark Thompson, James Keegan MD, Robert Allen Jr. MD, Allan Berreth, Mark Brodin, Sharmila Chandran, Paul W. Clemments, Michael Diedrich, Jeanne Galbraith, Dale Gisi, Rita Haxton, Jennifer Horton, Suzanne Koehler, Richard Latuchie, Mary Masten, and David Klocke. |
| Form 990, Part VI, Section A, line 6 | Regional Health, Inc. is the sole member of Rapid City Regional Hospital, Inc. |
| Form 990, Part VI, Section A, line 7a | The organization's sole member and supporting organization, Regional Health, Inc., appoints the members of Rapid City Regional Hospital's governing body. The bylaws require that at least two members of Rapid City Regional Hospital's board also serve as voting members of the sole member's board to better assure the sole member's continued responsiveness to Rapid City Regional Hospital. |
| Form 990, Part VI, Section A, line 7b | Regional Health, Inc. provides compliance, governance, financial, and planning support to its Supported Organizations to best assure the functions and services of the Supported Organizations are coordinated and supported in a manner that furthers the shared charitable mission of the Supported Organizations and RHI, as a whole (the System). Regional Health, Inc. has final authority in 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/comparability 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. |
| 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. |
| Form 990, Part XI, line 9: | Adj to the Funded Status of the Pension Plan 6,302,552. Medical Staff Net Loss -8,589. Net Assets Released from Restriction 254,044. Gift Shop Net Income -105,190. Auxiliary Net Income -53,047. Amortized Bond Premium 463,224. Change in Interest Swap -1,771,148. Temporarily Restricted Net Asset Changes -602,699. |
| Form 990, Part XII, Line 2c: | Independent auditors are engaged by the compliance and audit committee of the Regional Health, Inc. (the parent organization) 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 | |
| Regional Health Network Inc | |||||||||||
| 353 Fairmont Blvd | Rapid City | SD | 57701 | 460360899 | Healthcare | SD | 501(c)(3) | Line 3 | Yes (1) | Regional Health Inc | |
| Regional Health Physicians Inc | |||||||||||
| 353 Fairmont Blvd | Rapid City | SD | 57701 | 460372454 | 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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Medical & Dental Building | |||||||||||||
| 2805 S 5th St | Rapid City | SD | 57701 | 460339629 | Medical Office Bldg | SD | Rapid City Regional Hospital Inc | Investment | $65,225 | $939,948 | 0 | 0 | 0.71450 |
| Black Hills Medical Office BD LLC | |||||||||||||
| 353 Fairmont Blvd | Rapid City | SD | 57701 | 411992146 | Medical Office Bldg | SD | Rapid City Regional Hospital Inc | Investment | -$1,697 | $1,698,698 | 0 | 0 | 0.67930 |
| 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 | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Regional Health Network Inc | ||
| J | $1,140,068 | Cost |
| Regional Health Network Inc | ||
| L | $5,760,527 | Cost |
| Regional Health Physicians Inc | ||
| L | $6,167,837 | Cost |
| Regional Health Network Inc | ||
| P | $1,859,617 | Cost |
| Regional Health Physicians Inc | ||
| P | $1,683,535 | Cost |