MONUMENT HEALTH NETWORK INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: MONUMENT HEALTH NETWORK INC (EIN 46-0360899)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-14
IRS object ID: 201441349349300209
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 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	460360899	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Regional Health Network Inc	BusinessNameLine1

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2925 Regional Way	AddressLine1
City	Rapid City	City
State	SD	State
ZIP Code	57701	ZIPCode

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	2925 Regional Way	AddressLine1
City	Rapid City	City
State	SD	State
ZIP Code	57701	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	91123145	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.regionalhealth.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1981	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	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	7	NbrIndependentVotingMembers
Total Nbr Employees	967	TotalNbrEmployees
Total Nbr Volunteers	197	TotalNbrVolunteers
Total Gross UBI	2427633	TotalGrossUBI
Net Unrelated Business Txbl Income	-500620	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	193289	ContributionsGrantsPriorYear
Contributions Grants Current Year	241046	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	82965196	ProgramServiceRevenuePriorYear
Program Service Revenue CY	90746210	ProgramServiceRevenueCY
Investment Income Prior Year	118209	InvestmentIncomePriorYear
Investment Income Current Year	52874	InvestmentIncomeCurrentYear
Other Revenue Prior Year	37852	OtherRevenuePriorYear
Other Revenue Current Year	47202	OtherRevenueCurrentYear
Total Revenue Prior Year	83314546	TotalRevenuePriorYear
Total Revenue Current Year	91087332	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	43461740	SalariesEtcPriorYear
Salaries Etc Current Year	46376571	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	30405327	OtherExpensePriorYear
Other Expenses Current Year	36683071	OtherExpensesCurrentYear
Total Expenses Prior Year	73867067	TotalExpensesPriorYear
Total Expenses Current Year	83059642	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	9447479	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	8027690	RevenuesLessExpensesCY
Total Assets BOY	52913755	TotalAssetsBOY
Total Assets EOY	54401427	TotalAssetsEOY
Total Liabilities BOY	29103824	TotalLiabilitiesBOY
Total Liabilities EOY	22563806	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	23809931	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	31837621	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	5125345	Expense
Revenue	19830874	Revenue
Description	Spearfish Regional Hospital surgical services	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	3156264	Expense
Revenue	4027666	Revenue
Description	Custer Regional Senior Care long-term care skilled nursing	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	2504260	Expense
Revenue	4629632	Revenue
Description	Sturgis Regional Senior Care long-term care skilled nursing	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	49080633	Expense
Revenue	62258038	Revenue
Description	The Regional Health Network, Inc. is a network of small hospitals, nursing homes, and assisted living facilities in western South Dakota. These hospitals and long-term care facilities are located in small rural towns and provide a very necessary rural healthcare safety net.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	49080633	TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev	62258038	TotalOfOtherProgramServiceRev
Total Program Service Expense	59866502	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	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	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	0	TaxExemptBonds
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	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	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	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	967	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	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	7	NumberIndependentVotingMembers
Family Or Business Relationship	1	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	0	CompensationProcessCEO
Compensation Process Other	0	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
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	2925 Regional Way	AddressLine1
City	Rapid City	City
State	SD	State
ZIP Code	57701	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (32 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
Ross Lamphere
Chairman	1.40	0.00	X	X	0	0	0
Thomas Groeger MD
Vice Chairman	1.20	40.00	X	X	0	207396	54350
Richard Tysdal
Secretary	1.00	0.00	X	X	0	0	0
Terry Graber
Treasurer	1.50	40.00	X	X	0	394064	64173
Lee B Bailey MD
Director	40.90	0.00	X		277949	0	44212
Peter J Cappa
Director	2.00	2.00	X		0	0	0
Jonathan Dahlstrom
Director	1.60	1.60	X		0	0	0
Robert Haivala
Director	1.20	0.00	X		0	0	0
Judith Larson
Director	1.30	0.00	X		0	0	0
Dusty Pinske
Director	1.50	0.00	X		0	0	0
David Thom
Director	1.60	0.00	X		0	0	0
Charles E Hart MD
President & CEO	8.30	51.80	X	X	0	994824	55181
Timothy H Sughrue
CEO RCRH & RHN/COO RHI	8.80	46.30	X	X	0	742560	57208
Joseph C Sluka Jr
Executive VP/CAO	7.60	47.40		X	0	546963	62576
Mark A Thompson
VP CFO	7.60	47.40		X	0	489624	72816
Mark F Brodin
VP Decision Support	7.60	47.40			0	244240	51837	X
Glenn E Bryant
COO	55.00	0.00			273241	0	35371	X
Shawn Y DeGroot
VP Corp Responsibilty	7.60	47.40			0	191663	30995	X
Dale E Gisi
VP Human Resources	7.60	47.40			0	155380	21543	X
Jennifer D Horton
VP PR Marketing	7.60	47.40			0	197112	35622	X
Van Hyde
CEO of Sturgis Regional	55.00	0.00			196598	0	41011	X
Richard S Latuchie
VP Info Technology, CIO	7.60	47.40			0	333183	45241	X
Mary E Masten
VP Legal Services	7.60	47.40			0	420927	57426	X
Robert O McGlone
VP Human Resources	7.60	47.40			0	295324	51386	X
Veronica L Schmidt
CEO	55.00	0.00			160461	0	25041	X
Sherry Bea Smith
CEO	55.00	0.00			197273	0	33452	X
Larry W Veitz
CEO of Spearfish Regional	55.00	0.00			246770	0	58735	X
Christopher K Fromm MD
Family Medicine	40.00	0.00			271217	0	43530		X
William K Heston
Nurse Anesthetist	40.00	0.00			189772	0	17327		X
Curtis J Liedtke DO
Family Medicine	40.00	0.00			251497	0	16188		X
Donald M Potts MD
Family Medicine	40.00	0.00			223975	0	31487		X
Thomas Reid
Nurse Anesthetist	40.00	0.00			226539	0	21615		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2515292	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	5213260	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1028323	TotalOtherCompensation
Number Individuals GT100 K	30	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
Sentry Data System Inc
600 Fairway Drive Suite 201	Deerfield Beach	FL	33441	Pharmacy Claims Processing	276700
Alliance Recruiting Resources
PO Box 4356 Dept 61	Houston	TX	772104356	Temporary Physician Staffing Services	262220
DMS Health Technologies Inc
26273 Network Place	Chicago	IL	606731262	Mobil MRI Diagnostic Services	258626
GE Medical Systems
75 Remittance Drive Suite 1080	Chicago	IL	606751080	Equipment Purchases, Repairs & Service	236295
Aegis Therapies Inc
PO Box 8103	Fort Smith	AR	72902	Patient Therapy Services	164022

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	10	NumberOfContractorsGT100K
Fundraising Events	39178	FundraisingEvents
Government Grants	116790	GovernmentGrants
All Other Contributions	85078	AllOtherContributions
Total Contributions	241046	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Acute Care Hospital IP and OP	623000	59821000	59821000
Long Term Care Facilities	623000	9465000	9465000
Physician Clinics	621110	2478000	2478000
Assisted Living Facilities	623000	2394000	2394000
Home Care Services	621610	1792000	1792000

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	14796210	TotalRevenueColumn
Related Or Exempt Function Income	12368577	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	2427633	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Program Service Revenue	90746210	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	52874	TotalRevenueColumn
Exclusion	$52,874	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	83015	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	39178	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	35813	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	47202	TotalRevenueColumn
Exclusion	$47,202	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	91087332	TotalRevenueColumn
Related Or Exempt Function Income	88318577	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	2427633	UnrelatedBusinessRevenue
Exclusion	$100,076	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1669237	Total
Program Services	352813	ProgramServices
Management And General	1316424	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	35318084	Total
Program Services	29271607	ProgramServices
Management And General	6046477	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	813536	Total
Program Services	674258	ProgramServices
Management And General	139278	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	6155191	Total
Program Services	5101416	ProgramServices
Management And General	1053775	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	2420523	Total
Program Services	1934152	ProgramServices
Management And General	486371	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	25975	Total
Management And General	25975	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	13061	Total
Management And General	13061	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	2960329	Total
Program Services	1938661	ProgramServices
Management And General	1021668	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	86295	Total
Program Services	28329	ProgramServices
Management And General	57966	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	271069	Total
Program Services	168190	ProgramServices
Management And General	102879	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	715268	Total
Program Services	546259	ProgramServices
Management And General	169009	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1848378	Total
Program Services	682524	ProgramServices
Management And General	1165854	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	209713	Total
Program Services	165847	ProgramServices
Management And General	43866	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	198563	Total
Program Services	138532	ProgramServices
Management And General	60031	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	47016	Total
Program Services	137	ProgramServices
Management And General	46879	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	4094501	Total
Program Services	2198512	ProgramServices
Management And General	1895989	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	289669	Total
Program Services	48460	ProgramServices
Management And General	241209	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Intercompany supplies a	9690387	1975344	7715043
Medical supplies	7537329	7537329
Bad Debt Expense	3907149	3907149
Maint-Equip-Contr	965382	931937	33445

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	3822987	Total
Program Services	2265046	ProgramServices
Management And General	1557941	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	83059642	Total
Program Services	59866502	ProgramServices
Management And General	23193140	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	932042	BOY
EOY	188242	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	10940177	BOY
EOY	11612167	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1366936	BOY
EOY	1357499	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	515440	BOY
EOY	451839	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	87850622	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	48734394	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	37875684	BOY
EOY	39116228	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	255087	BOY
EOY	271573	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	62430	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	1028389	BOY
EOY	1341449	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	52913755	BOY
EOY	54401427	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	4483286	BOY
EOY	4074410	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	24620538	BOY
EOY	18489396	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	29103824	BOY
EOY	22563806	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	22741766	BOY
EOY	30640869	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	968165	BOY
EOY	1096752	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	100000	BOY
EOY	100000	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	23809931	BOY
EOY	31837621	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	52913755	BOY
EOY	54401427	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	8027690	ReconcilationRevenueExpenses
Reconcilation Other Changes	0	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	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$13,061	OtherActivitiesAmount
Total Lobbying Expenditures IIB	13061	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	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 $81,580, 4.854% 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 $37,954, 23.980% was used for lobbying purposes.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	100000	BeginningOfYearBalance
End Of Year Balance	100000	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	100000	BeginningOfYearBalance
End Of Year Balance	100000	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	100000	BeginningOfYearBalance
End Of Year Balance	100000	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	100000	BeginningOfYearBalance
End Of Year Balance	100000	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	100000	BeginningOfYearBalance
End Of Year Balance	100000	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	8868079	OtherCostOrOtherBasis
Book Value	8868079	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	43866477	OtherCostOrOtherBasis
Depreciation	22156922	Depreciation
Book Value	21709555	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	32915559	OtherCostOrOtherBasis
Depreciation	25070135	Depreciation
Book Value	7845424	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2200507	OtherCostOrOtherBasis
Depreciation	1507337	Depreciation
Book Value	693170	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	39116228	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	Due to Related Parties-Investment	Description
Amount	$18,489,396	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	18489396	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 permanently restricted from use and are held in an interest bearing account. The interest earned may be used by the organization at its discretion.
Description of Uncertain Tax Positions Under FIN 48:	Part X, Line 2:	Regional Health Network, Inc. is organized as a nonprofit corporation as described in Section 501(c)(3) of the Internal Revenue Code and is exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Regional Health Network, Inc. is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the Internal Revenue Service (IRS). In addition, Regional Health Network, Inc. may be subject to income tax on income that is derived from business activities that are unrelated to its tax exempt purpose. Regional Health Network, Inc. believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the consolidated financial statements. Regional Health Network, Inc. would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. Regional Health Network'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	Hospice Ball	NameOfEvent1
Gross Receipts Event1	65500	GrossReceiptsEvent1
Charitable Contributions Event1	500	CharitableContributionsEvent1
Gross Revenue Event1	65000	GrossRevenueEvent1
Non Cash Prizes Event1	2450	NonCashPrizesEvent1
Rent Facility Costs Event1	15349	RentFacilityCostsEvent1
Entertainment Event1	2775	EntertainmentEvent1
Other Direct Expenses Event1	2706	OtherDirectExpensesEvent1
Name Of Event2	Golf Tournament	NameOfEvent2
Gross Receipts Event2	26635	GrossReceiptsEvent2
Charitable Contributions Event2	8620	CharitableContributionsEvent2
Gross Revenue Event2	18015	GrossRevenueEvent2
Rent Facility Costs Event2	7991	RentFacilityCostsEvent2
Other Direct Expenses Event2	1084	OtherDirectExpensesEvent2
Total Number Of Other Events	2	TotalNumberOfOtherEvents
Gross Receipts Other Events	30058	GrossReceiptsOtherEvents
Charitable Contrib Other Events	30058	CharitableContribOtherEvents
Other Direct Expenses Other Events	3458	OtherDirectExpensesOtherEvents
Gross Receipts Total	122193	GrossReceiptsTotal
Charitable Contributions Total	39178	CharitableContributionsTotal
Gross Revenue Total Events	83015	GrossRevenueTotalEvents
Non Cash Prizes Total Events	2450	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	23340	RentFacilityCostsTotalEvents
Entertainment Total Events	2775	EntertainmentTotalEvents
Other Direct Expenses Total Events	7248	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	35813	DirectExpenseSummaryEvents
Net Income Summary	47202	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	2965545	TotalCommunityBenefitExpense
Net Community Benefit Expense	2965545	NetCommunityBenefitExpense
Percent Of Total Expense	0.03750	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9785144	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8142408	DirectOffsettingRevenue
Net Community Benefit Expense	1642736	NetCommunityBenefitExpense
Percent Of Total Expense	0.02080	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	12750689	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8142408	DirectOffsettingRevenue
Net Community Benefit Expense	4608281	NetCommunityBenefitExpense
Percent Of Total Expense	0.05830	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	12	NumberOfActivitiesOrPrograms
Persons Served	1195	PersonsServed
Total Community Benefit Expense	25812	TotalCommunityBenefitExpense
Net Community Benefit Expense	25812	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	180046	TotalCommunityBenefitExpense
Direct Offsetting Revenue	161529	DirectOffsettingRevenue
Net Community Benefit Expense	18517	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5	NumberOfActivitiesOrPrograms
Persons Served	3838	PersonsServed
Total Community Benefit Expense	26580	TotalCommunityBenefitExpense
Net Community Benefit Expense	26580	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	17	NumberOfActivitiesOrPrograms
Persons Served	5033	PersonsServed
Total Community Benefit Expense	232438	TotalCommunityBenefitExpense
Direct Offsetting Revenue	161529	DirectOffsettingRevenue
Net Community Benefit Expense	70909	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	17	NumberOfActivitiesOrPrograms
Persons Served	5033	PersonsServed
Total Community Benefit Expense	12983127	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8303937	DirectOffsettingRevenue
Net Community Benefit Expense	4679190	NetCommunityBenefitExpense
Percent Of Total Expense	0.05910	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Building Expense	755	TotalCommunityBuildingExpense
Net Community Building Expense	755	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	1206	PersonsServed
Total Community Building Expense	22575	TotalCommunityBuildingExpense
Net Community Building Expense	22575	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	1206	PersonsServed
Total Community Building Expense	23330	TotalCommunityBuildingExpense
Net Community Building Expense	23330	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$3,907,149	BadDebtExpenseAmount
Amount Attributable To	191302	AmountAttributableTo
Amount Reimbursed By Medicare	22901092	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	23034187	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-133095	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
Number Of Hospital Facilities	4	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (4 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours	Facility Reporting GroupFacilityReportingGroup	Critical Access HospitalCriticalAccessHospital
Spearfish Regional Hospital
1	1440 N Main Street	Spearfish	SD	57783	X	X	X	A
Custer Regional Hospital
2	1039 Montgomery Street	Custer	SD	57730	X	X	X	A	X
Sturgis Regional Hospital
3	949 Harmon Street	Sturgis	SD	57785	X	X	X	A	X
Lead-Deadwood Regional Hospital
4	61 Charles Street	Deadwood	SD	57732	X	X	X	A	X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Facility Reporting Group - A	BusinessNameLine1

Field	Value	IRS element (for citing)
CHNA Conducted	1	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	1	TakeIntoAccount
Other Facilities	1	OtherFacilities
CHNA Widely Available	1	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Adopt Implement Strategy	X	AdoptImplementStrategy
Prioritize Health Needs	X	PrioritizeHealthNeeds
All Needs Addressed	0	AllNeedsAddressed
Organization Incur Excise Tax	0	OrganizationIncurExciseTax
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	0	UsesFPGFree
Uses FPG Discounted	0	UsesFPGDiscounted
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Other Factors	X	OtherFactors
Explains Application Method	0	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Medicare Rate	X	MedicareRate
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	1	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	2	NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
Custer Regional Senior Care
1065 Montgomery Street	Custer	SD	57730	Skilled long-term nursing home facility
Sturgis Regional Senior Care
949 Harmon Street	Sturgis	SD	57785	Skilled long-term nursing home facility

Form990 Schedule H Part VI Form990ScheduleHPartVI (54 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
Part I, Line 3c: Supplemental Schedule H Information: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 http://www.regionalhealth.com/About-Us/Community-Report.aspx
Part I, Line 7: Ratio of patient care cost to charges is used for the calculation of cost of services provided for lines 7a, 7b and 7g. Actual costs are used for the calculation of costs of services provided for lines 7e and 7i.
Part I, 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 $3,907,149.
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 as reported on the financial statements.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 financial statements that describes bad debt expense is located on pages seven and eight of the audited financials.
Part III, Line 8: The Medicare shortfall is derived from the actual payments received from the Medicare program for services provided to patients with Medicare coverage. The payments are compared to the actual cost of providing the service as arrived at through the Medicare cost reports. The result is a shortfall with costs exceeding the reimbursement.Medical services are provided to patients with Medicare coverage regardless of whether or not a surplus or deficit is realized. Providing Medicare services promotes access to healthcare services which are vitally needed by our community.
Part III, Line 9b: The collection policy requires invoking of the financial assistance policy at any time a patient 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 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 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.
See below	Part V, Line 8 Facility Reporting Group A
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.	Facility 1 -- Spearfish Regional Hospital	Part V, Section B, line 3:
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.	Facility 1 -- Spearfish Regional Hospital	Part V, Section B, line 4:
The Community Health Needs Assessment is made widely available to the public at the following url: www.regionalhealth.com/chna	Facility 1 -- Spearfish Regional Hospital	Part V, Section B, line 5c:
Due to the timing of the adoption of the implementation strategy SPRH has not had the time to execute the implementation strategy. The implementation strategy was made available upon request.	Facility 1 -- Spearfish Regional Hospital	Part V, Section B, line 6i:
In review of the needs identified in the CHNA, Spearfish Regional Hospital has identified the areas below that will not be addressed due to prioritization of health needs:1) Maternal, Infant, Child Health: As a provider of maternal, infant and child hospital care in the community, SPRH believes it fulfills its role in this area. It was therefore given a lower priority that excluded this as an area chosen for action.2) Oral Health: SPRH 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.3) Nutrition, Physical Activity & Weight Status: It was determined that more pressing health needs exist. Limited resources and lower priority excluded this as an area chosen for action.4) Respiratory Diseases: SPRH believes this priority area falls within the purview of other available community resources, including outpatient clinical settings. Participation with the Good Shepherd Clinic positively impacts the ability for those with chronic respiratory disease to access the health care system.5) Substance Abuse: SPRH 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.6) Tobacco Use: SPRH 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 SPRH has not had the time to execute the implementation strategy. The needs that will be addressed in the future are as follows: 1) access to health services; 2) conditions of aging; 3) diabetes; 4) injury and violence prevention; and 5) mental health and mental disorders.	Facility 1 -- Spearfish Regional Hospital	Part V, Section B, line 7:
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.	Facility 1 -- Spearfish Regional Hospital	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.	Facility 1 -- Spearfish Regional Hospital	Part V, Section B, line 11:
Means testing of net assets in excess of 200% of household income will be considered income for the purpose of the financial assistance program.	Facility 1 -- Spearfish Regional Hospital	Part V, Section B, line 12h:
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.	Facility 1 -- Spearfish Regional Hospital	Part V, Section B, line 14g:
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.	Facility 1 -- Spearfish Regional Hospital	Part V, Section B, line 22:
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.	Facility 2 -- Custer Regional Hospital	Part V, Section B, line 3:
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.	Facility 2 -- Custer Regional Hospital	Part V, Section B, line 4:
The Community Health Needs Assessment is made widely available to the public at the following url: www.regionalhealth.com/chna	Facility 2 -- Custer Regional Hospital	Part V, Section B, line 5c:
Due to the timing of the adoption of the implementation strategy CRH has not had the time to execute the implementation strategy. The implementation strategy was made available upon request.	Facility 2 -- Custer Regional Hospital	Part V, Section B, line 6i:
In review of the needs identified in the CHNA, Custer Regional Hospital has identified the areas below that will not be addressed due to prioritization of health needs:1) Access to Health Services: The specific concern identified here was annual checkups for children ages 0-17. National standards deem a checkup every three years as the standard of care for children older than three years of age. Local medical staff adheres to this standard. CRH was a recipient of a grant in FY 12 providing wellness checkups for kids when finances are a barrier to receiving care. 2) Cancer: CRH partners with the All Women Count program promoting early detection for women who have financial barriers to breast cancer screening. Awareness activities through the American Cancer Society currently exist in the community and surrounding area. The provider for mobile mammography services discontinued services in Western South Dakota in 2012. Efforts continue to replace this service yet won't have impact in the timeline and scope of this implementation plan.3) Conditions of Aging: In the area of Alzheimer's deaths, Custer Regional Senior Care is a licensed skilled nursing facility providing services to the elderly of the community. Services include a special care unit specifically serving residents with Alzheimer's and dementia related diagnoses. The Department of Social Services Adult Services and Aging department provides 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. 4) Injury & Violence Prevention: There are numerous activities currently provided to the community in the area of injury prevention which CRH will continue to be open to for opportunities for partnerships. CRH currently provides physician education presentations to employee groups surrounding safe logging practices and the Custer High School students on healthy decisions; CRH partners with the Custer School District in providing hands-on, experiential education, namely Freshman Impact, on distracted driving and driving under the influence and the negative consequences associated with those unsafe practices; Custer School District has an active Students Against Destructive Decisions group; firearm and hunter safety courses are currently provided; Custer Rotary Club provides area youth bicycle helmets at a community bike rodeo. 5) Mental Health & Mental Disorders: The Service Area 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 although deemed out of the scope for a Critical Access Hospital, CRH will continue to seek opportunities for partnerships with area entities to assist in addressing this issue in its primary service area. Current programs include the Helpline Center; Front Porch Coalition; Suicide Awareness Education in the schools; Veteran Administration Hospital in Fall River County addresses mental health concerns for military veterans; licensed mental health professionals provide counseling services; Department of Social Services provide case management services. 6) Oral Health: Insurance coverage for dental insurance was considered the barrier to adequate oral health and is currently addressed by a Mobile Dental Program providing no cost dental exams to area youth; local dentists provide in-class oral health education to elementary students and provide free dental screenings to children entering kindergarten.7) Respiratory Diseases: Tobacco Use was not an area of need identified. Chronic respiratory disease and pneumonia/influenza are currently addressed through community flu shot clinics and education of the public and health care personnel on importance of flu shots.8) Substance Abuse: Substance abuse issues are currently addressed with existing area programs and services to include Custer Regional Hospital's existing partnership with the Freshman Impact program previously noted. Other area programs and services include Custer Schools Students Against Destructive Decisions group; Southern Hills Alcohol and Drug Center provides substance abuse related services; Veteran's Administration in Fall River County provides Substance Abuse treatment for military veterans.Due to the timing of the adoption of the implementation strategy CRH has not had the time to execute the implementation strategy. The needs that will be addressed in the future are as follows: 1) diabetes; 2) heart disease and stroke; and 3) nutrition, physical activity and weight status.	Facility 2 -- Custer Regional Hospital	Part V, Section B, line 7:
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.	Facility 2 -- Custer Regional Hospital	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.	Facility 2 -- Custer Regional Hospital	Part V, Section B, line 11:
Means testing of net assets in excess of 200% of household income will be considered income for the purpose of the financial assistance program.	Facility 2 -- Custer Regional Hospital	Part V, Section B, line 12h:
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.	Facility 2 -- Custer Regional Hospital	Part V, Section B, line 14g:
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.	Facility 2 -- Custer Regional Hospital	Part V, Section B, line 22:
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.	Facility 3 -- Sturgis Regional Hospital	Part V, Section B, line 3:
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.	Facility 3 -- Sturgis Regional Hospital	Part V, Section B, line 4:
The Community Health Needs Assessment is made widely available to the public at the following url: www.regionalhealth.com/chna	Facility 3 -- Sturgis Regional Hospital	Part V, Section B, line 5c:
Due to the timing of the adoption of the implementation strategy SRH has not had the time to execute the implementation strategy. The implementation strategy was made available upon request.	Facility 3 -- Sturgis Regional Hospital	Part V, Section B, line 6i:
In review of the needs identified in the CHNA, Sturgis Regional Hospital has identified the areas below that will not be addressed due to prioritization of health needs:1) Access to Health Services: SRH believes more pressing health needs existed. Lower priority excluded this as an area chosen for action.2) Injury & Violence Prevention: SRH has limited expertise available to address injury and violence prevention. The facility will work in collaboration with community partners as opportunity arises.3) Maternal, Infant, Child Health: SRH does not provide obstetrical services at the facility. There are other available resources in the community that serve this need. Limited expertise excluded this as an area chosen for action. 4) Oral Health: SRH has limited expertise available to address oral health. The facility will work in collaboration with community partners as opportunity arises.5) Respiratory Diseases: SRH believes more pressing health needs exist. Lower priority excluded this as an area chosen for action.6) Substance Abuse: SRH has limited expertise available to address alcohol and other drug issues. Other community organizations have infrastructure and programs in place to better meet this need. Limited expertise excluded this as an area chosen for action.7) Tobacco Use: Lower priority excluded this as an area chosen for action.Due to the timing of the adoption of the implementation strategy SRH has not had the time to execute the implementation strategy. The needs that will be addressed in the future are as follows: 1) conditions of aging; 2) diabetes; 3) mental health and mental disorders; and 4) nutrition, physical activity and weight status.	Facility 3 -- Sturgis Regional Hospital	Part V, Section B, line 7:
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.	Facility 3 -- Sturgis Regional Hospital	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.	Facility 3 -- Sturgis Regional Hospital	Part V, Section B, line 11:
Means testing of net assets in excess of 200% of household income will be considered income for the purpose of the financial assistance program.	Facility 3 -- Sturgis Regional Hospital	Part V, Section B, line 12h:
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.	Facility 3 -- Sturgis Regional Hospital	Part V, Section B, line 14g:
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.	Facility 3 -- Sturgis Regional Hospital	Part V, Section B, line 22:
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.	Facility 4 -- Lead-Deadwood Regional Hospital	Part V, Section B, line 3:
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.	Facility 4 -- Lead-Deadwood Regional Hospital	Part V, Section B, line 4:
The Community Health Needs Assessment is made widely available to the public at the following url: www.regionalhealth.com/chna	Facility 4 -- Lead-Deadwood Regional Hospital	Part V, Section B, line 5c:
Due to the timing of the adoption of the implementation strategy LDRH has not had the time to execute the implementation strategy. The implementation strategy was made available upon request.	Facility 4 -- Lead-Deadwood Regional Hospital	Part V, Section B, line 6i:
In review of the needs identified in the CHNA, Lead-Deadwood Regional Hospital has identified the areas below that will not be addressed due to prioritization of health needs:1) Access to Health Services: LDRH believes more pressing health needs existed. Lower priority excluded this as an area chosen for action.2) Conditions of Aging: In the area of Alzheimer's deaths, Golden Ridge Regional Senior Care is a licensed assisted living facility providing services to the elderly of the community. 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: LDRH does not provide obstetrical services at the facility. There are other available resources in the community that serve this need. Limited expertise excluded this as an area chosen for action. 4) Oral Health: LDRH 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: LDRH believes this priority area falls within the purview of other available community resources, including outpatient clinical settings. 6) Substance Abuse: LDRH 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: LDRH 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 LDRH has not had the time to execute the implementation strategy. The needs that will be addressed in the future are as follows: 1) diabetes; 2) injury and violence prevention; 3) mental health and mental disorders; and 4) nutrition, physical activity and weight status.	Facility 4 -- Lead-Deadwood Regional Hospital	Part V, Section B, line 7:
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.	Facility 4 -- Lead-Deadwood Regional Hospital	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.	Facility 4 -- Lead-Deadwood Regional Hospital	Part V, Section B, line 11:
Means testing of net assets in excess of 200% of household income will be considered income for the purpose of the financial assistance program.	Facility 4 -- Lead-Deadwood Regional Hospital	Part V, Section B, line 12h:
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.	Facility 4 -- Lead-Deadwood Regional Hospital	Part V, Section B, line 14g:
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.	Facility 4 -- Lead-Deadwood Regional Hospital	Part V, Section B, line 22:

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
Thomas Groeger MD
Vice Chairman	0	202371	0	5025	0	0	0	48301	0	6049	0	261746	0	0
Terry Graber
Treasurer	0	394039	0	25	0	0	0	59736	0	4437	0	458237	0	0
Lee B Bailey MD
Director	277924	0	25	0	0	0	38348	0	5864	0	322161	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	0	574517	0	165514	0	2529	0	49690	0	7518	0	799768	0	0
Joseph C Sluka Jr
Executive VP/CAO	0	396322	0	140393	0	10248	0	54920	0	7656	0	609539	0	0
Mark A Thompson
VP CFO	0	370699	0	118925	0	0	0	65653	0	7163	0	562440	0	0
Mark F Brodin
VP Decision Support	0	205381	0	38859	0	0	0	45606	0	6231	0	296077	0	0
Glenn E Bryant
COO	224590	0	48651	0	0	0	29011	0	6360	0	308612	0	0	0
Shawn Y DeGroot
VP Corp Responsibilty	0	146876	0	44787	0	0	0	26495	0	4500	0	222658	0	0
Dale E Gisi
VP Human Resources	0	135184	0	20196	0	0	0	14296	0	7247	0	176923	0	0
Jennifer D Horton
VP PR Marketing	0	159290	0	37822	0	0	0	28842	0	6780	0	232734	0	0
Van Hyde
CEO of Sturgis Regional	159819	0	36779	0	0	0	34265	0	6746	0	237609	0	0	0
Richard S Latuchie
VP Info Technology, CIO	0	272900	0	60283	0	0	0	39735	0	5506	0	378424	0	0
Mary E Masten
VP Legal Services	0	356206	0	64721	0	0	0	50247	0	7179	0	478353	0	0
Robert O McGlone
VP Human Resources	0	240711	0	54613	0	0	0	45846	0	5540	0	346710	0	0
Veronica L Schmidt
CEO	129829	0	30632	0	0	0	17530	0	7511	0	185502	0	0	0
Sherry Bea Smith
CEO	163938	0	33335	0	0	0	25475	0	7977	0	230725	0	0	0
Larry W Veitz
CEO of Spearfish Regional	200530	0	46240	0	0	0	51823	0	6912	0	305505	0	0	0
Christopher K Fromm MD
Family Medicine	271192	0	25	0	0	0	38819	0	4711	0	314747	0	0	0
William K Heston
Nurse Anesthetist	189747	0	25	0	0	0	12528	0	4799	0	207099	0	0	0
Curtis J Liedtke DO
Family Medicine	251172	0	25	0	300	0	15380	0	808	0	267685	0	0	0
Donald M Potts MD
Family Medicine	223950	0	25	0	0	0	27844	0	3643	0	255462	0	0	0
Thomas Reid
Nurse Anesthetist	226514	0	25	0	0	0	14774	0	6841	0	248154	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

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Custer Community Health Services Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Relationship	Board Director David Thom is Board Director of CCHSI	Relationship
Amount Of Transaction	248961	AmountOfTransaction
Description Of Transaction	Lease payments to Wedgwood Regional Senior Care and Custer Regional Senior Care, facilities owned by Custer Community Health Services, Inc.	DescriptionOfTransaction
Sharing Of Revenues	0	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Bond Issues	Form 990, Part IV, Line 24a	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, CEO, and 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). The Chairman of the Board of Directors shall serve as Chairman of the Executive Committee. The Executive Committee, when the Board of Directors is not in session, shall have and may exercise all of the authority of the Board of Directors, except to the extent, if any, that such authority shall be limited by a motion or resolution of the Board of Directors.
	Form 990, Part VI, Section A, line 1	The organization considers some members of the Board to not be independent because they are actively practicing physicians on its or its related entities' medical staffs or, in one instance, is an employee of the organization.
	Form 990, Part VI, Section A, line 2	Charles E. Hart, MD has a business relationship with the following individuals due to being the CEO of the supporting organization that excercises reserve powers over the supported organizations that employ each of these individuals: Thomas Groeger, MD, Terry Graber, Timothy Sughrue, Joseph Sluka Jr., Mark Thompson, Mark Brodin, Shawn DeGroot, Dale Gisi, Jennifer Horton, Richard Latuchie, Mary Masten, and Robert McGlone.
	Form 990, Part VI, Section A, line 6	Regional Health, Inc. is the sole member of Regional Health Network, Inc.
	Form 990, Part VI, Section A, line 7a	Regional Health, Inc., being the sole member of Regional Health Network, Inc., has the ability to appoint or remove all members of Regional Health Network, Inc.'s board members.
	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.
		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.
Committee Assuming Responsibility for Oversight of Audit:	Part XII, Line 2c Explanation:	Independent auditors are engaged by the compliance and audit committee of the Regional Health, Inc. Board of Trustees. Final audit results, on a consolidated basis, are reported by the independent auditors directly to the compliance and audit committee.

Schedule R IRS990ScheduleR

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)	Line 11c, III-FI	N/A	0
Rapid City Regional Hospital Inc
353 Fairmont Blvd	Rapid City	SD	57701	460319070	Healthcare	SD	501(c)(3)	Line 3		1	Regional Health Inc
Regional Health Physicians Inc
353 Fairmont Blvd	Rapid City	SD	57701	460372454	Healthcare	SD	501(c)(3)	Line 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	Direct Controlling Entity NADirectControllingEntityNA
Medical & Dental Building
2805 S 5th St	Rapid City	SD	57701	460339629	Medical Office Bldg	SD	N/A
Black Hills Medical Office BD LLC
353 Fairmont Blvd	Rapid City	SD	57701	411992146	Medical Office Bldg	SD	N/A

Field	Value	IRS element (for citing)
Receipt Of Int 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	0	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	0	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 (6 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Regional Health Physicians Inc
J	380846	Cost
Rapid City Regional Hospital Inc
L	1107681	Cost
Regional Health Physicians Inc
L	485087	Cost
Rapid City Regional Hospital Inc
M	7364327	Cost
Rapid City Regional Hospital Inc
P	123871	Cost
Rapid City Regional Hospital Inc
Q	1626677	Cost