MONUMENT HEALTH RAPID CITY HOSPITAL INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: MONUMENT HEALTH RAPID CITY HOSPITAL INC (EIN 46-0319070)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-14
IRS object ID: 201411349349300116
Schema version: 2012v2.1
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)
Timestamp	2014-05-14T06:42:21-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	450250958	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Eide Bailly LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

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	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	460319070	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Rapid City Regional Hospital Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	RAPI	NameControl
Phone	6057559130	Phone

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

Officer Officer

Field	Value	IRS element (for citing)
Name	Mark Thompson	Name
Title	CFO	Title
Phone	6057559130	Phone
Date Signed	2014-05-08	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Kim Hunwardsen CPA	Name
PTIN	P00484560	PTIN
Phone	6122536500	Phone
Date Prepared	2014-05-08	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Charles E Hart MD M	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

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	490836789	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.regionalhealth.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1973	YearFormation
State Legal Domicile	SD	StateLegalDomicile
Activity Or Mission Description	To provide and support health care excellence in partnership with the communities we serve.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	8	NbrIndependentVotingMembers
Total Nbr Employees	3973	TotalNbrEmployees
Total Nbr Volunteers	410	TotalNbrVolunteers
Total Gross UBI	4994983	TotalGrossUBI
Net Unrelated Business Txbl Income	824758	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	4749192	ContributionsGrantsPriorYear
Contributions Grants Current Year	5089909	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	380122755	ProgramServiceRevenuePriorYear
Program Service Revenue CY	464768579	ProgramServiceRevenueCY
Investment Income Prior Year	20801982	InvestmentIncomePriorYear
Investment Income Current Year	18133397	InvestmentIncomeCurrentYear
Other Revenue Prior Year	57130874	OtherRevenuePriorYear
Other Revenue Current Year	1899254	OtherRevenueCurrentYear
Total Revenue Prior Year	462804803	TotalRevenuePriorYear
Total Revenue Current Year	489891139	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	195882187	SalariesEtcPriorYear
Salaries Etc Current Year	206764787	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	386275	TotalFundrsngExpCurrentYear
Other Expense Prior Year	205734979	OtherExpensePriorYear
Other Expenses Current Year	233148788	OtherExpensesCurrentYear
Total Expenses Prior Year	401617166	TotalExpensesPriorYear
Total Expenses Current Year	439913575	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	61187637	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	49977564	RevenuesLessExpensesCY
Total Assets BOY	862197416	TotalAssetsBOY
Total Assets EOY	923907347	TotalAssetsEOY
Total Liabilities BOY	268087313	TotalLiabilitiesBOY
Total Liabilities EOY	246708870	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	594110103	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	677198477	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	To provide and support health care excellence in partnership with the communities we serve.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	21776494	Expense
Revenue	103122499	Revenue
Description	Pharmacy - provide pharmaceuticals in support of acute care hospital patients.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	20540680	Expense
Revenue	92309580	Revenue
Description	Surgical services - provide in and out patient surgical services to acute care patients.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	12216325	Expense
Revenue	76468425	Revenue
Description	Laboratory - provide laboratory testing in support of acute care patients.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	242871934	Expense
Revenue	192953797	Revenue
Description	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.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	242871934	TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev	192953797	TotalOfOtherProgramServiceRev
Total Program Service Expense	297405433	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	1	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	455	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	3973	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	15	NbrVotingGoverningBodyMembers
Number Independent Voting Members	8	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	NC	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	CA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Mark Thompson	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	6057559130	TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (36 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
Sharon I Lee
Chairman	1.70	0.00	X	X	0	0	0
Dennis Popp
Vice Chairman	1.90	0.00	X	X	0	0	0
Tamara Riddle-Schumacher
Secretary	2.00	0.00	X	X	0	0	0
Jim Sorensen
Treasurer	1.70	0.00	X	X	0	0	0
Roy Dishman
Directors	3.00	0.60	X		0	0	0
Gene Farrens
Directors	1.00	0.00	X		0	0	0
Timothy Frost MD
Directors	0.90	0.00	X		0	0	0
Stephen Kovarik MD
Directors	1.60	0.00	X		0	0	0
Jack Lynass
Directors	1.50	0.00	X		0	0	0
Tom Morrison
Directors	3.00	0.60	X		0	0	0
Lisa Seaman
Directors	2.10	0.40	X		0	0	0
Gregory Smith MD
Ex-Officio Directors	41.10	0.00	X		262722	0	41631
Kyle D White
Directors	1.50	0.00	X		0	0	0
Charles E Hart MD
President & CEO	43.50	16.50	X	X	0	994824	55181
Timothy H Sughrue
CEO RCRH & RHN/COO RHI	46.10	8.90	X	X	742560	0	57208
Joseph C Sluka Jr
Executive VP/CAO	39.80	15.20		X	546963	0	62576
Mark A Thompson
VP CFO	39.80	15.20		X	489624	0	72816
James M Keegan MD
CMO RH & CEO RHP	46.20	8.80		X	539101	0	22573
Robert G Allen Jr MD
VP Medical Affairs	55.00	0.00			358939	0	27572	X
Allan L Berreth
VP Ancillary Services	55.00	0.00			240772	0	40784	X
Mark F Brodin
VP Decision Support	39.80	15.20			244240	0	51837	X
Paul W Clemments
VP Professional Services	55.00	0.00			168702	0	28933	X
Shawn Y DeGroot
VP Corp Responsibilty	39.80	15.20			191663	0	30995	X
Jeanne A Galbraith
VP Quality Safety Risk Mgmt.	55.00	0.00			204928	0	33003	X
Dale E Gisi
VP Human Resources	39.80	15.20			155380	0	21543	X
Rita K Haxton
VP Patient Care	55.00	0.00			282684	0	65111	X
Jennifer D Horton
VP PR Marketing	39.80	15.20			197112	0	35622	X
Suzanne P Koehler
VP Operations	55.00	0.00			181352	0	43238	X
Richard S Latuchie
VP Info Technology, CIO	39.80	15.20			333183	0	45241	X
Mary E Masten
VP Legal Services	39.80	15.20			420927	0	57426	X
Robert O McGlone
VP Human Resources	39.80	15.20			295324	0	51386	X
Michael P D'Urso MD
Cardiology	40.00	0.00			615849	0	75659		X
John K Heilman III MD
Cardiac Device Implant, Cardiology, Nuclear Cardio	40.00	0.00			740406	0	79170		X
Jose M Teixeira MD
Cardiology, Electrophysiology	40.00	0.00			931483	0	36784		X
Joseph L Tuma MD
Cardiology, Inverventional Cardiology	40.00	0.00			868670	0	79891		X
Amad Zineldine MD
Cardiology	40.00	0.00			674264	0	92159		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	9686848	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	994824	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1208339	TotalOtherCompensation
Number Individuals GT100 K	207	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Rapid City Emergency Serv
353 Fairmont Blvd	Rapid City	SD	57701	ER Physician Coverage	9718967
Weatherby Locums Inc
PO Box 972633	Dallas	TX	75397	Temp Physician Staff	2947316
Avera McKennan Hospital
800 East 21st ST	Sioux Falls	SD	571175045	EICU Services Fees	1346800
H&R Accounts Inc
61265 Johndeere Parkway	Moline	IL	61262	Patient Self-Pay Billing	1207634
Cassling Diagnostic Imaging
13808 F Street	Omaha	NE	681371102	Equip Serv Agmt; Labor/Travel Reimb	1179444

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	88	NumberOfContractorsGT100K
Government Grants	754742	GovernmentGrants
All Other Contributions	4335167	AllOtherContributions
Total Contributions	5089909	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
In Patient Pharmacy	446110	103122499	103122499
Surgical Services	622110	92309580	92309580
Laboratory	621500	80307753	76468425	3839328
Cath Lab	621500	37521351	37521351
Respiratory Therapy	622110	33827254	33827254

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	117680142	TotalRevenueColumn
Related Or Exempt Function Income	117680142	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	464768579	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	17823329	TotalRevenueColumn
Unrelated Business Revenue	34494	UnrelatedBusinessRevenue
Exclusion	$17,788,835	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	76229	TotalRevenueColumn
Exclusion	$76,229	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	898214	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	416592	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	481622	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	481622	TotalRevenueColumn
Exclusion	$481,622	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	403024	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	169185	Securities
Other	0	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-169185	Securities
Other	403024	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	233839	TotalRevenueColumn
Exclusion	$233,839	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	379849	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	169100	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	210749	TotalRevenueColumn
Exclusion	$210,749	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	276495	GrossSalesOfInventory
Cost Of Goods Sold	190773	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	85722	TotalRevenueColumn
Related Or Exempt Function Income	85722	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	Other UBI	Description
Business Code	900099	BusinessCode
Total Revenue Column	1121161	TotalRevenueColumn
Unrelated Business Revenue	1121161	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	1121161	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	489891139	TotalRevenueColumn
Related Or Exempt Function Income	461014973	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	4994983	UnrelatedBusinessRevenue
Exclusion	$18,791,274	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	9373138	Total
Program Services	3777997	ProgramServices
Management And General	5595141	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	112745	Total
Program Services	112745	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	175689065	Total
Program Services	136395677	ProgramServices
Management And General	39078076	ManagementAndGeneral
Fundraising	215312	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	4413573	Total
Program Services	3343672	ProgramServices
Management And General	1064769	ManagementAndGeneral
Fundraising	5132	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	4958214	Total
Program Services	3762817	ProgramServices
Management And General	1189663	ManagementAndGeneral
Fundraising	5734	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	12218052	Total
Program Services	9183346	ProgramServices
Management And General	3019302	ManagementAndGeneral
Fundraising	15404	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	798561	Total
Management And General	798561	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	233000	Total
Management And General	233000	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	39427384	Total
Program Services	20817874	ProgramServices
Management And General	18609510	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	293256	Total
Program Services	15346	ProgramServices
Management And General	249717	ManagementAndGeneral
Fundraising	28193	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	1661343	Total
Program Services	711382	ProgramServices
Management And General	940532	ManagementAndGeneral
Fundraising	9429	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	9342841	Total
Program Services	2000450	ProgramServices
Management And General	7342391	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	6359522	Total
Program Services	484730	ProgramServices
Management And General	5874792	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	538072	Total
Program Services	357057	ProgramServices
Management And General	179748	ManagementAndGeneral
Fundraising	1267	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	1338061	Total
Program Services	773934	ProgramServices
Management And General	559808	ManagementAndGeneral
Fundraising	4319	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	4405958	Total
Program Services	146415	ProgramServices
Management And General	4259543	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	21311912	Total
Program Services	9437128	ProgramServices
Management And General	11872940	ManagementAndGeneral
Fundraising	1844	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1619887	Total
Program Services	331898	ProgramServices
Management And General	1287989	ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Medical Supplies	72988011	72988011
Intercompany Services &	31294102	785005	30509097
Bad Debt Expense	23248559	23248559

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	18288319	Total
Program Services	8731390	ProgramServices
Management And General	9457288	ManagementAndGeneral
Fundraising	99641	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	439913575	Total
Program Services	297405433	ProgramServices
Management And General	142121867	ManagementAndGeneral
Fundraising	386275	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	7035183	BOY
EOY	4417092	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	64327994	BOY
EOY	70513535	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	9182870	BOY
EOY	10096684	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	8004963	BOY
EOY	7994310	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	470112211	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	301823969	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	150599711	BOY
EOY	168288242	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	472387635	BOY
EOY	487785884	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	2126511	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	150659060	BOY
EOY	172685089	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	862197416	BOY
EOY	923907347	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	45365022	BOY
EOY	42663804	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	174011840	BOY
EOY	166608616	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	48710451	BOY
EOY	37436450	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	268087313	BOY
EOY	246708870	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	582558987	BOY
EOY	663117309	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	9803137	BOY
EOY	12418239	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1747979	BOY
EOY	1662929	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	594110103	BOY
EOY	677198477	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	862197416	BOY
EOY	923907347	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	49977564	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	24172486	ReconciliationUnrealizedInvest
Reconcilation Other Changes	8938324	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	1	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	1	GrantsOtherOrganizations
Grants Other Organizations	$262,813	GrantsOtherOrganizationsAmount
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$19,134	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$30,850	OtherActivitiesAmount
Total Lobbying Expenditures IIB	312797	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Explanation of Lobbying Activities:	Identifier
Return Reference	Part II-B, Line 1:	ReturnReference
Explanation	During fiscal year 2013, Rapid City Regional Hospital paid $262,813 to the South Dakota Association of Healthcare Organizations to further the efforts related to the healthy communities ballot question "Moving South Dakota Forward". 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 2012 dues, which were paid in fiscal year 2013, in the amount of $323,358, 4.98% was used for lobbying purposes. In addition, annual dues were paid to the American Hospital Association, a portion of which is applicable to lobbying activities. For calendar year 2012 dues, which were paid in fiscal year 2013, in the amount of $61,497, 23.98% was used for lobbying purposes. Expenditures of $19,134 were incurred related to lobbying efforts with the South Dakota Legislature on matters pertaining to healthcare.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1747979	BeginningOfYearBalance
Contributions	10000	Contributions
Other Expenditures	95050	OtherExpenditures
End Of Year Balance	1662929	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1747979	BeginningOfYearBalance
End Of Year Balance	1747979	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1747979	BeginningOfYearBalance
End Of Year Balance	1747979	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1747979	BeginningOfYearBalance
End Of Year Balance	1747979	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1747979	BeginningOfYearBalance
End Of Year Balance	1747979	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2443047	OtherCostOrOtherBasis
Book Value	2443047	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	225778394	OtherCostOrOtherBasis
Depreciation	119302152	Depreciation
Book Value	106476242	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	218048720	OtherCostOrOtherBasis
Depreciation	175341817	Depreciation
Book Value	42706903	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	23842050	OtherCostOrOtherBasis
Depreciation	7180000	Depreciation
Book Value	16662050	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	168288242	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (3 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
Current Funds Bond Indenture	23253517	F
Designated By Board	444139218	F
Designated By Donor	20393149	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	487785884	TotalOfBookValueSecurities

Other Assets OtherAssets (4 entries)

DescriptionDescription	Book ValueBookValue
Intercompany Receivables	114242659
Other Receivables	4298349
Bond Issue Costs, Net	1837235
Other Long Term Assets	52306846

Field	Value	IRS element (for citing)
Total Book Value Other Assets	172685089	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
Payable Under Interest Rate Swap	$10,294,715
Other Long Term Liabilities	$13,408,210
Accrued Pension Liability	$13,733,525

Field	Value	IRS element (for citing)
Total Of Amounts	37436450	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Description of Intended Use of Endowment Funds:	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. During the year, $95,050 of Board designated permanently restricted funds were released from their restrictions in support of radiology student tuition assistance. This assistance will be provided for those individuals currently enrolled in the radiology program.
Description of Uncertain Tax Positions Under FIN 48:	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 2009.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	Duck Race	NameOfEvent1
Gross Receipts Event1	103504	GrossReceiptsEvent1
Gross Revenue Event1	103504	GrossRevenueEvent1
Other Direct Expenses Event1	34203	OtherDirectExpensesEvent1
Name Of Event2	Tough Enough to Wear Pink	NameOfEvent2
Gross Receipts Event2	147689	GrossReceiptsEvent2
Gross Revenue Event2	147689	GrossRevenueEvent2
Other Direct Expenses Event2	80170	OtherDirectExpensesEvent2
Total Number Of Other Events	12	TotalNumberOfOtherEvents
Gross Receipts Other Events	128656	GrossReceiptsOtherEvents
Gross Revenue Other Events	128656	GrossRevenueOtherEvents
Other Direct Expenses Other Events	54727	OtherDirectExpensesOtherEvents
Gross Receipts Total	379849	GrossReceiptsTotal
Gross Revenue Total Events	379849	GrossRevenueTotalEvents
Other Direct Expenses Total Events	169100	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	169100	DirectExpenseSummaryEvents
Net Income Summary	210749	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	0	FPGReferenceFreeCare
FPG Reference Discounted Care	0	FPGReferenceDiscountedCare
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	11835099	TotalCommunityBenefitExpense
Net Community Benefit Expense	11835099	NetCommunityBenefitExpense
Percent Of Total Expense	0.02840	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	42976100	TotalCommunityBenefitExpense
Direct Offsetting Revenue	32144143	DirectOffsettingRevenue
Net Community Benefit Expense	10831957	NetCommunityBenefitExpense
Percent Of Total Expense	0.02600	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	54811199	TotalCommunityBenefitExpense
Direct Offsetting Revenue	32144143	DirectOffsettingRevenue
Net Community Benefit Expense	22667056	NetCommunityBenefitExpense
Percent Of Total Expense	0.05440	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	11	NumberOfActivitiesOrPrograms
Persons Served	5948	PersonsServed
Total Community Benefit Expense	235346	TotalCommunityBenefitExpense
Net Community Benefit Expense	235346	NetCommunityBenefitExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5	NumberOfActivitiesOrPrograms
Persons Served	238	PersonsServed
Total Community Benefit Expense	5507463	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3851169	DirectOffsettingRevenue
Net Community Benefit Expense	1656294	NetCommunityBenefitExpense
Percent Of Total Expense	0.00400	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1982900	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1904752	DirectOffsettingRevenue
Net Community Benefit Expense	78148	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2299413	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1976439	DirectOffsettingRevenue
Net Community Benefit Expense	322974	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	6	NumberOfActivitiesOrPrograms
Persons Served	90	PersonsServed
Total Community Benefit Expense	532918	TotalCommunityBenefitExpense
Net Community Benefit Expense	532918	NetCommunityBenefitExpense
Percent Of Total Expense	0.00130	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	22	NumberOfActivitiesOrPrograms
Persons Served	6276	PersonsServed
Total Community Benefit Expense	10558040	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7732360	DirectOffsettingRevenue
Net Community Benefit Expense	2825680	NetCommunityBenefitExpense
Percent Of Total Expense	0.00690	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	22	NumberOfActivitiesOrPrograms
Persons Served	6276	PersonsServed
Total Community Benefit Expense	65369239	TotalCommunityBenefitExpense
Direct Offsetting Revenue	39876503	DirectOffsettingRevenue
Net Community Benefit Expense	25492736	NetCommunityBenefitExpense
Percent Of Total Expense	0.06130	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Total Community Building Expense	7473	TotalCommunityBuildingExpense
Net Community Building Expense	7473	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Building Expense	2116	TotalCommunityBuildingExpense
Net Community Building Expense	2116	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Building Expense	4039	TotalCommunityBuildingExpense
Net Community Building Expense	4039	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	35	PersonsServed
Total Community Building Expense	2897	TotalCommunityBuildingExpense
Net Community Building Expense	2897	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	276	PersonsServed
Total Community Building Expense	151	TotalCommunityBuildingExpense
Net Community Building Expense	151	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	10	NumberOfActivitiesOrPrograms
Persons Served	311	PersonsServed
Total Community Building Expense	16676	TotalCommunityBuildingExpense
Net Community Building Expense	16676	NetCommunityBuildingExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$23,248,559	BadDebtExpenseAmount
Amount Attributable To	1710818	AmountAttributableTo
Amount Reimbursed By Medicare	119950345	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	124081576	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-4131231	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (6 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
1 Black Hills Medical Office BD LLC
Office Building	0.67930	0.32070
2 Medical & Dental Building
Office Building	0.71450	0.28500
3 The Imaging Center
Medical Imaging	0.50000	0.50000
4 The MRI Center
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)
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Teaching HospitalTeachingHospital	Er24 HoursEr24Hours
Rapid City Regional Hospital
1	353 Fairmont Blvd	Rapid City	SD	57701	X	X	X	X
Same Day Surgery Center
2	651 Cathedral Drive	Rapid City	SD	57701	X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber	CHNA ConductedCHNAConducted	Community DefinitionCommunityDefinition	Community DemographicsCommunityDemographics	Existing ResourcesExistingResources	How Data ObtainedHowDataObtained	Community Health NeedsCommunityHealthNeeds	Other Health IssuesOtherHealthIssues	Identifying ProcessIdentifyingProcess	Consulting ProcessConsultingProcess	Information GapsInformationGaps	Needs Assessment ConductedNeedsAssessmentConducted	Take Into AccountTakeIntoAccount	Other FacilitiesOtherFacilities	CHNA Widely AvailableCHNAWidelyAvailable	Own WebsiteOwnWebsite	On RequestOnRequest	Adopt Implement StrategyAdoptImplementStrategy	Prioritize Health NeedsPrioritizeHealthNeeds	All Needs AddressedAllNeedsAddressed	Organization Incur Excise TaxOrganizationIncurExciseTax	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	Uses FPG DiscountedUsesFPGDiscounted	Explains BasisExplainsBasis	Income LevelIncomeLevel	Other FactorsOtherFactors	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Available On RequestAvailableOnRequest	Other PublicityOtherPublicity	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Notify Upon AdmissionNotifyUponAdmission	Notified All PatientsNotifiedAllPatients	Documented DeterminationDocumentedDetermination	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Medicare RateMedicareRate	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges	No Emergency CareNoEmergencyCare
Rapid City Regional Hospital Inc
1	1	X	X	X	X	X	X	X	X	X	12	1	1	1	X	X	X	X	0	0	1	0	0	1	X	X	1	1	X	X	1	0	X	X	X	1	X	0	1
Same Day Surgery Center
2	1	X	X	X	X	X	X	X	X	X	12	1	1	1	X	X	X	X	0	0	1	0	0	1	X	X	1	1	X	X	1	0	X	X	X	0	X	0	1	X

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	3	NumberOfOtherFacilities

Other Facilities OtherFacilities (3 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
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

Form990 Schedule H Part VI Form990ScheduleHPartVI (34 entries)

ExplanationExplanation	IdentifierIdentifier
References to "Regional Health" apply to all entities controlled or leased by Regional Health, Inc. This includes the reporting entity.
Part I, Line 3c: Regional Health uses low income housing guidelines from Housing and Urban Development for determining financial assistance eligibility. The income guidelines, along with the number of dependents within the household, are used in a matrix to determine the percent discount applied to the outstanding balance. Discounts range from 100% to 10% of the balance. The financial assistance policy (i.e. charity policy) also has a catastrophic provision which limits a patient/guarantor's exposure to the lesser of the financial assistance reductions or 20% of the family's annual gross income.
Part I, Line 6a: A community benefit report is completed by Regional Health, the parent organization, for all related organizations and made available to the public on its website at the following url:http://www.regionalhealth.com/About-Us/Community-Report.aspx.
Part I, Line 7: Ratio of patient care cost to charges is used for the calculation of cost of services provided for lines 7a, 7b and 7g. Actual costs are used for the calculation of costs of services provided for lines 7e, 7f, 7h and 7i.
Part I, L7 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 $23,248,559.
Part II: Regional Health provides numerous community benefit health events and screenings throughout the Black Hills Region. Regional Health also provides financial support to other nonprofit organizations to help support community health outreach. Additionally, Regional Health provides in-kind support and employee volunteers to help support community health events and activities.
Part III, Line 4: The bad debt reported on line 2 is at charges.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.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 expressed 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 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 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 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 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 5c: The Community Health Needs Assessment is made widely available to the public at the following url: www.regionalhealth.com/chna.	Rapid City Regional Hospital, Inc.
Part V, Section B, Line 5c: The Community Health Needs Assessment is made widely available to the public at the following url: www.regionalhealth.com/chna or http://www.samedaysurgerycenter.org/community-health-needs-assessment/.	Same Day Surgery Center
Part V, Section B, Line 6i: Due to the timing of the adoption of the implementation strategy, Rapid City Regional Hospital has not had the time to execute the implementation strategy. The implementation strategy was made available upon request.	Rapid City Regional Hospital, Inc.
Part V, Section B, Line 6i: Due to the timing of the adoption of the implementation strategy, Same Day Surgery Center has not had the time to execute the implementation strategy. The implementation strategy was made available upon request.	Same Day Surgery Center
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.Due to the timing of the adoption of the implementation strategy, Rapid City Regional Hospital has not had the time to execute the implementation strategy during fiscal year 2013 to address the needs of the community that the Hospital has determined it will address. The needs that will be addressed in the future 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.	Rapid City Regional Hospital, Inc.
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.Due to the timing of the adoption of the implementation strategy, Same Day Surgery Center has not had the time to execute the implementation strategy during fiscal year 2013 to address the needs of the community that the Same Day Surgery Center has determined it will address. The needs that will be addressed in the future are as follows: 1) cancer; and 2) injury and violence prevention.	Same Day Surgery Center
Part V, Section B, Line 10: Housing and Urban Development (HUD) income limits as designated for the State of South Dakota are used to determine eligibility for providing free or discounted care.	Rapid City Regional Hospital, Inc.
Part V, Section B, Line 10: Housing and Urban Development (HUD) income limits as designated for the State of South Dakota are used to determine eligibility for providing free or discounted care.	Same Day Surgery Center
Part V, Section B, Line 11: Housing and Urban Development (HUD) income limits as designated for the State of South Dakota are used to determine eligibility for providing free or discounted care.	Rapid City Regional Hospital, Inc.
Part V, Section B, Line 11: Housing and Urban Development (HUD) income limits as designated for the State of South Dakota are used to determine eligibility for providing free or discounted care.	Same Day Surgery Center
Part V, Section B, Line 12h: Means testing of net assets in excess of 200% of household income will be considered income for the purpose of the financial assistance program.	Rapid City Regional Hospital, Inc.
Part V, Section B, Line 12h: Means testing of net assets in excess of 200% of household income will be considered income for the purpose of the financial assistance program.	Same Day Surgery Center
Part V, Section B, Line 14g: A summary of the Hospital's financial assistance policy is posted for all patients at various points of entry, on the facility website, emergency and 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 14g: The policy in its entirety is available upon request.	Same Day Surgery Center
Part V, Section B, Line 22: All individuals eligible under the hospital financial assistance policy are provided a discount for emergency and other 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.	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 emergency and other 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 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* 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 serves the people of the Black Hills Region. The area is mostly rural in nature with only one city of over 50,000 people. Regional Health is the primary medical services provider for the region.
Part VI, Line 5: Regional Health is governed by a community board that provides leadership to the organization to meet the community needs. Regional Health partners with the educational institutions to provide numerous clinical training programs, that if they were not provided by Regional Health would not exist in our region.Regional Health provides numerous community health education events and screenings throughout the Black Hills Region. Regional Health also provides financial support to other nonprofit organizations to help support community health outreach. Additionally, Regional Health provides in-kind support and employee volunteers to help support community health events and activities and other charitable programs.
Part VI, Line 6: Regional Health is committed to partnering with the communities it serves to meet the needs of each respective community. Regional Health, Inc. is the parent organization of Rapid City Regional Hospital, Inc., Regional Health Network, Inc., and Regional Health Physicians, Inc. These corporations work together to meet the health care needs of the region.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (24 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Gregory Smith MD
Ex-Officio Directors	243474	0	25	0	19223	0	36982	0	4649	0	304353	0	0	0
Charles E Hart MD
President & CEO	0	735994	0	252694	0	6136	0	47785	0	7396	0	1050005	0	0
Timothy H Sughrue
CEO RCRH & RHN/COO RHI	574517	0	165514	0	2529	0	49690	0	7518	0	799768	0	0	0
Joseph C Sluka Jr
Executive VP/CAO	396322	0	140393	0	10248	0	54920	0	7656	0	609539	0	0	0
Mark A Thompson
VP CFO	370699	0	118925	0	0	0	65653	0	7163	0	562440	0	0	0
James M Keegan MD
CMO RH & CEO RHP	408704	0	130397	0	0	0	16417	0	6156	0	561674	0	0	0
Robert G Allen Jr MD
VP Medical Affairs	299848	0	59091	0	0	0	22676	0	4896	0	386511	0	0	0
Allan L Berreth
VP Ancillary Services	191624	0	49148	0	0	0	39223	0	1561	0	281556	0	0	0
Mark F Brodin
VP Decision Support	205381	0	38859	0	0	0	45606	0	6231	0	296077	0	0	0
Paul W Clemments
VP Professional Services	154610	0	14092	0	0	0	23368	0	5565	0	197635	0	0	0
Shawn Y DeGroot
VP Corp Responsibilty	146876	0	44787	0	0	0	26495	0	4500	0	222658	0	0	0
Jeanne A Galbraith
VP Quality Safety Risk Mgmt.	171899	0	33029	0	0	0	28368	0	4635	0	237931	0	0	0
Dale E Gisi
VP Human Resources	135184	0	20196	0	0	0	14296	0	7247	0	176923	0	0	0
Rita K Haxton
VP Patient Care	224434	0	58250	0	0	0	58130	0	6981	0	347795	0	0	0
Jennifer D Horton
VP PR Marketing	159290	0	37822	0	0	0	28842	0	6780	0	232734	0	0	0
Suzanne P Koehler
VP Operations	141333	0	38158	0	1861	0	37186	0	6052	0	224590	0	0	0
Richard S Latuchie
VP Info Technology, CIO	272900	0	60283	0	0	0	39735	0	5506	0	378424	0	0	0
Mary E Masten
VP Legal Services	356206	0	64721	0	0	0	50247	0	7179	0	478353	0	0	0
Robert O McGlone
VP Human Resources	240711	0	54613	0	0	0	45846	0	5540	0	346710	0	0	0
Michael P D'Urso MD
Cardiology	566671	0	49178	0	0	0	67222	0	8437	0	691508	0	0	0
John K Heilman III MD
Cardiac Device Implant, Cardiology,	691228	0	49178	0	0	0	72714	0	6456	0	819576	0	0	0
Jose M Teixeira MD
Cardiology, Electrophysiology	882305	0	49178	0	0	0	32453	0	4331	0	968267	0	0	0
Joseph L Tuma MD
Cardiology, Inverventional Cardiolog	817979	0	49178	0	1513	0	74342	0	5549	0	948561	0	0	0
Amad Zineldine MD
Cardiology	625086	0	49178	0	0	0	86222	0	5937	0	766423	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference	ExplanationExplanation
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, Line 4b	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: Joseph C. Sluka Jr. $7,073 Mark A. Thompson $2,223 Rita K. Haxton $1,042

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
SD Health & Educational Facilities Authority
A	460315509	83755VNL4	2008-08-14	67465000	Hospital Buildings & Equipment & Refund Series 2003 Bonds	0	0	0
SD Health & Educational Facilities Authority
B	460315509	83755VQJ6	2010-08-17	54390000	Hospital Buildings & Equipment & Refund Series 1998 & 1999 Bonds	0	0	0
SD Health & Educational Facilities Authority
C	460315509	83755VSW5	2011-11-22	50460000	Hospital Buildings & Equipment & Refund Series 2001 Bonds	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Amount UnspentAmountUnspent
A	505000	67538801	790000	45000	15073802	51125000	2011	1	1	1
B	8285000	57311279	785667		24107301	31601312	2013	1	0	1	817000
C	2730000	54585040	709782		15260120	23739401	2014	1	0	1	14875736

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Total Private Business UseTotalPrivateBusinessUse	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Prcntge Bond Financed PropPrcntgeBondFinancedProp	Remedial Action TakenRemedialActionTaken	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	1	1	1	0.00000	0.00000	1	0.00750	1	1
B	1	1	1	0.00660	0.00660	0			1
C	1	1	1	0.00000	0.00000	0			1

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
US Bank NA
A	0	0	0	1	1	1	16.200000000000	0	0	0	0	1
(no name)
B	0	0	0	0	0	0				0	0	1
(no name)
C	0	0	0	0	0	0				0	0	1

Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	1
B	1
C	1

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Schedule K Part IV, Arbitrage, Line 2c	Date Rebate Computation Performed	Issuer Name: SD Health & Educational Facilities Authority Date the Rebate Computation was Performed: 10/11/2011
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 23,508 Net Premium 2,897,771 Total Part II, Line 3 57,311,279 Bond C: Issue Price 50,460,000 Plus Interest Earnings 135,858 Net Premium 3,989,182 Total Part II, Line 3 54,585,040

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (8 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
West River Anesthesiology Associates Consultants PC (Steve Frost MD)
Brother of board member Timothy Frost, MD is a greater than 5% owner	309643	Professional services agreement	0
Geib Elston Frost Professional Assoc (James Frost MD)
Brother of board member Timothy Frost, MD is a greater than 5% owner	613561	Pathology and laboratory medical directorship services	0
Scott Eccarius MD
Brother-in-law of key employee, Mary Masten	98794	Employed physician	0
Lindsey Seaman
Daughter of board member, Lisa Seaman	13950	Employed by RCRH	0
Black Hills Power & Light
Board member Kyle White is an officer of Black Hills Power & Light	2713162	Purchase of utility services	0
Premier Purchasing Partners LP
President/CEO Charles Hart, MD is a board member of organization	367871	Operational benchmarking reporting services	0
Northern Plains Premier Collaborative
President/CEO Charles Hart, MD is a board member of organization	151155	Purchasing collaborative	0
Black Hills Pediatrics & Neonatology
Board member Stephen Kovarik, MD is greater than 5% owner	142995	Professional services agreement	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
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 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 15	The compliance and audit committee of the sole member's board, a committee that includes only board members deemed "independent", determines the appropriate base salary range of the CEO of the organization and its other executive staff. The CEO of the member or his designee then determines the actual base salary of the other executives within the committee-approved ranges based on a performance evaluation conducted by the CEO or designee. For determination of the base salary ranges, as well as incentive compensation, benefit plans and perquisites (total compensation), the compliance and audit committee retains an independent consultant, Sullivan and Cotter, to provide survey/comparability data for both base salary and total compensation at least every three years. The survey/compatability data was provided in February 2013 and new market ranges were approved by the compliance and audit committee in October 2013 based on this information.
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 6,537,185. Medical Staff Net Loss 25,677. Net Assets Released from Restriction 200,629. Gift Shop Net Income -85,721. Auxiliary Net Income -58,775. Amortized Bond Premium 463,224. Change in Interest Swap 1,562,816. Temporarily Restricted Net Asset Changes 378,339. Permanently Restricted Net Asset Changes -85,050.	Changes in Net Assets or Fund Balances:
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

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Regional Health Inc
353 Fairmont Blvd	Rapid City	SD	57701	201487506	Healthcare	SD	501(c)(3)	11, Type III	N/A	0
Regional Health Network Inc
353 Fairmont Blvd	Rapid City	SD	57701	460360899	Healthcare	SD	501(c)(3)	3		1	Regional Health Inc
Regional Health Physicians Inc
353 Fairmont Blvd	Rapid City	SD	57701	460372454	Healthcare	SD	501(c)(3)	3		1	Regional Health Inc

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
Medical & Dental Building
2805 S 5th St	Rapid City	SD	57701	460339629	Medical Office Bldg	SD	Rapid City Regional Hospital Inc	Investment	23478	796415	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	-33920	1736768	0	0	0.67930

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Regional Health Physicians Inc
J	1056705	Cost
Regional Health Network Inc
L	7364327	Cost
Regional Health Physicians Inc
L	2587889	Cost
Regional Health Network Inc
M	1107681	Cost
Regional Health Physicians Inc
M	275684	Cost
Regional Health Network Inc
P	1626677	Cost
Regional Health Physicians Inc
P	1573224	Cost
Regional Health Network Inc
Q	123871	Cost