MONUMENT HEALTH PHYSICIANS INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- MONUMENT HEALTH PHYSICIANS INC (EIN 46-0372454)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-15
- IRS object ID
- 201311359349306576
- Schema version
- 2011v1.5
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-15T15:53:24-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 155 NORTH WACKER DR | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60606 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 460372454 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Regional Health Physicians Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % Mark Thompson | InCareOfName |
| 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 |
| Date Signed | 2013-05-15 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3128792000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | X | AddressChange |
| Name Of Principal Officer Person | Charles Hart MD MS | 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 | 49540409 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.regionalhealth.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2003 | 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 | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 574 | TotalNbrEmployees |
| Total Nbr Volunteers | 10 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 409575 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1900 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 41910469 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 49490160 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 15924 | InvestmentIncomePriorYear |
| Investment Income Current Year | 48349 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 42335968 | TotalRevenuePriorYear |
| Total Revenue Current Year | 49540409 | 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 | 40360992 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 47206594 | 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 | 19136372 | OtherExpensePriorYear |
| Other Expenses Current Year | 22211294 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 59497364 | TotalExpensesPriorYear |
| Total Expenses Current Year | 69417888 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -17161396 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -19877479 | RevenuesLessExpensesCY |
| Total Assets BOY | 8584969 | TotalAssetsBOY |
| Total Assets EOY | 9855989 | TotalAssetsEOY |
| Total Liabilities BOY | 98311306 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 119459805 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -89726337 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -109603816 | 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 | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 5183238 | Expense |
| Revenue | 7258854 | Revenue |
| Description | REGIONAL HEALTH PHYSICIANS SPEARFISH SURGERY CENTER SPECIALTY HOSPITAL - PROVIDE AMBULATORY SURGERY SERVICES | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 5050498 | Expense |
| Revenue | 3847909 | Revenue |
| Description | REGIONAL HEALTH PHYSICIANS SPEARFISH QUEEN CITY REGIONAL MEDICAL CLINIC PRIMARY CARE - PROVIDE CLINIC SERVICES TO PATIENTS | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3864703 | Expense |
| Revenue | 3121756 | Revenue |
| Description | REGIONAL HEALTH PHYSICIANS ASPEN REGIONAL MEDICAL CLINIC PRIMARY CARE - PROVIDE CLINIC SERVICES TO PATIENTS | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 34882441 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 48980880 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 48980880 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 185 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 574 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Mark Thompson | NamePerson |
| Telephone Number | 6057559127 | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (31 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| HART MD CHARLES E | ||||||||
| PRESIDENT AND CEO | 60.0 | X | X | 0 | 845576 | 48425 | ||
| ALTSTIEL MD TERRY | ||||||||
| BOARD OF TRUSTEES MEMBER | 40.0 | X | 336410 | 0 | 36295 | |||
| BARLOW MD JOHN | ||||||||
| BOARD OF TRUSTEES MEMBER | 2.1 | X | ||||||
| CAPPA PETER | ||||||||
| SECRETARY, BOARD OF TRUSTEES | 2.4 | X | X | |||||
| DAHLSTROM JONATHAN | ||||||||
| BOARD OF TRUSTEES MEMBER | 1.9 | X | ||||||
| FINLEY MD ROBERT | ||||||||
| VICE CHAIRMAN, BD OF TRUSTEES | 40.0 | X | X | 0 | 324668 | 49183 | ||
| GREEN LIA | ||||||||
| BOARD OF TRUSTEES MEMBER | 1.6 | X | ||||||
| MORRISON TOM | ||||||||
| BOARD OF TRUSTEES MEMBER | 2.4 | X | 828 | 0 | ||||
| PETERSON HOWARD | ||||||||
| TREASURER, BOARD OF TRUSTEES | 0.9 | X | X | |||||
| ROMKEMA PRISCILLA | ||||||||
| BD. OF TRUSTEES (AS OF 8/2011) | 1.4 | X | ||||||
| STATZ MD MIKE | ||||||||
| BOARD OF TRUSTEES MEMBER | 1.1 | X | ||||||
| TOBIAS RICHARD | ||||||||
| BOARD OF TRUSTEES MEMBER | 1.4 | X | ||||||
| YELICK EDWARD until 52012 | ||||||||
| CHAIRMAN, BOARD OF TRUSTEES | 3.3 | X | X | 832 | ||||
| SLUKA JR JOSEPH C | ||||||||
| EXECUTIVE VP/CAO | 55.0 | X | 0 | 449352 | 43698 | |||
| BRODIN MARK F | ||||||||
| VP DECISION SUPPORT | 55.0 | 0 | 168624 | 34446 | X | |||
| DEGROOT SHAWN Y | ||||||||
| VP CORP RESPONSIBILITY | 55.0 | 0 | 194297 | 32231 | X | |||
| HORTON JENNIFER D | ||||||||
| VP PR MARKETING | 55.0 | 0 | 164849 | 31605 | X | |||
| LATUCHIE RICHARD S | ||||||||
| VP INFO TECHNOLOGY CIO | 55.0 | 0 | 281210 | 43058 | X | |||
| MASTEN MARY E | ||||||||
| VP LEGAL SERVICES | 55.0 | 0 | 276960 | 54693 | X | |||
| MCGLONE ROBERT O | ||||||||
| VP HUMAN RESOURCES | 55.0 | 0 | 256519 | 70726 | X | |||
| THOMPSON MARK A | ||||||||
| CHIEF FINANCIAL OFFICER | 55.0 | X | 0 | 327989 | 49153 | |||
| KEEGAN MD JAMES M | ||||||||
| CMO RH/CEO RHP | 55.0 | X | 0 | 451086 | 20073 | |||
| BULMAN KAREN | ||||||||
| BD. OF TRUSTEES (UNTIL 8/2011) | 1.17 | X | ||||||
| SLINGSBY MD GEOFFREY | ||||||||
| BD. OF TRUSTEES (UNTIL 8/2011) | 0.98 | X | ||||||
| ROMKEMA FRED | ||||||||
| BD. OF TRUSTEES (UNTIL 8/2011) | 0.33 | X | ||||||
| PIERCE JOHN Y | ||||||||
| CHIEF OPERATING OFFICER | 55.0 | 160084 | 0 | 35184 | X | |||
| DUNN MD GARRY K | ||||||||
| PHYSICIAN | 40.0 | 754115 | 0 | 63835 | X | |||
| EASTWOOD DO BART L | ||||||||
| PHYSICIAN | 40.0 | 734300 | 0 | 70185 | X | |||
| LITTLE MD RICHARD M | ||||||||
| PHYSICIAN | 40.0 | 564443 | 0 | 76725 | X | |||
| SIGMOND MD ERIC R | ||||||||
| PHYSICIAN | 40.0 | 580360 | 0 | 24232 | X | |||
| SUFFICOOL DO WESLEY L | ||||||||
| PHYSICIAN | 40.0 | 638283 | 0 | 81649 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3767995 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 3742790 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 865396 | TotalOtherCompensation |
| Number Individuals GT100 K | 86 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ATHENA HEALTH INC | |||||
| 311 ARSENAL ST | WATERTOWN | MA | 02472 | SOFTWARE SERVICES | 2379996 |
| APPLICATION TECHNOLOGY INC | |||||
| 3025 1ST AVE SUITE 2 | SPEARFISH | SD | 57783 | PC SUPPORT | 549454 |
| ALLIANCE RECRUITING RESOURCES INC | |||||
| PO BOX 4356 DEPT 611 | HOUSTON | TX | 772104356 | staffing service | 525585 |
| sanford medical center | |||||
| PO BOX 5056 | SIOUX FALLS | SD | 571175056 | laboratory services | 198715 |
| MAYO COLLABORATIVE SERVICES INC | |||||
| PO BOX 9146 | MINNEAPOLIS | MN | 554809146 | laboratory services | 196884 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Government Grants | 1900 | GovernmentGrants |
| Total Contributions | 1900 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MEDICAL CLINICS | 621110 | 38696935 | 38696935 |
| SPECIALTY HOSPITAL | 623000 | 7258854 | 7258854 |
| INTERCOMPANY | 900099 | 322812 | 322812 |
| RENTAL INCOME | 900002 | 32915 | 32915 |
| OUTSIDE SALES | 900099 | 531404 | 531404 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2647240 | TotalRevenueColumn |
| Related Or Exempt Function Income | 2647240 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 49490160 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 48349 | TotalRevenueColumn |
| Exclusion | $48,349 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 49540409 | TotalRevenueColumn |
| Related Or Exempt Function Income | 49490160 | RelatedOrExemptFunctionIncome |
| Exclusion | $48,349 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 528674 | Total |
| Management And General | 528674 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38599665 | Total |
| Program Services | 33003255 | ProgramServices |
| Management And General | 5596410 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 869806 | Total |
| Management And General | 869806 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5140720 | Total |
| Program Services | 3826434 | ProgramServices |
| Management And General | 1314286 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2067729 | Total |
| Program Services | 1675476 | ProgramServices |
| Management And General | 392253 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3308 | Total |
| Management And General | 3308 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 765 | Total |
| Management And General | 765 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4854627 | Total |
| Program Services | 1594218 | ProgramServices |
| Management And General | 3260409 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 180561 | Total |
| Program Services | 99233 | ProgramServices |
| Management And General | 81328 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 234129 | Total |
| Program Services | 60235 | ProgramServices |
| Management And General | 173894 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 144864 | Total |
| Program Services | 74949 | ProgramServices |
| Management And General | 69915 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1753863 | Total |
| Program Services | 334518 | ProgramServices |
| Management And General | 1419345 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 175281 | Total |
| Program Services | 112352 | ProgramServices |
| Management And General | 62929 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 351167 | Total |
| Program Services | 283857 | ProgramServices |
| Management And General | 67310 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1472642 | Total |
| Program Services | 917260 | ProgramServices |
| Management And General | 555382 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 600830 | Total |
| Program Services | 3248 | ProgramServices |
| Management And General | 597582 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| INTERCOMPANY SUPPLIES & SERV. | 5995708 | 2481006 | 3514702 |
| MEDICAL SUPPLIES | 3549772 | 3349631 | 200141 |
| MAINT-EQUIP-CONTR | 887991 | 349546 | 538445 |
| MINOR EQUIPMENT | 600032 | 192894 | 407138 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1405754 | Total |
| Program Services | 622768 | ProgramServices |
| Management And General | 782986 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 69417888 | Total |
| Program Services | 48980880 | ProgramServices |
| Management And General | 20437008 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 192099 | BOY |
| EOY | 401684 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4240170 | BOY |
| EOY | 4717788 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 91375 | BOY |
| EOY | 73209 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 99500 | BOY |
| EOY | 113185 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 8326176 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 3919836 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3713856 | BOY |
| EOY | 4406340 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 247969 | BOY |
| EOY | 143783 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8584969 | BOY |
| EOY | 9855989 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3763248 | BOY |
| EOY | 3425958 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -181798 | BOY |
| EOY | 77 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 94729856 | BOY |
| EOY | 116033770 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 98311306 | BOY |
| EOY | 119459805 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -89726337 | BOY |
| EOY | -109603816 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -89726337 | BOY |
| EOY | -109603816 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8584969 | BOY |
| EOY | 9855989 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -19877479 | ReconcilationRevenueExpenses |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | false | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $765 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 765 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Lobbying portion of membership dues | Identifier |
| Return Reference | SCHEDULE C PART II-B, LINE 1i | ReturnReference |
| Explanation | ANNUAL DUES ARE PAID TO THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THESE DUES ARE APPLICABLE TO LOBBYING ACTIVITIES. FOR FISCAL YEAR 2012, DUES IN THE AMOUNT OF $3,110 Were PAID TO THE AMERICAN HOSPITAL ASSOCIATION, 24.60% OF WHICH, ($765) WERE USED FOR LOBBYING PURPOSES. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Land | Land |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1450571 | OtherCostOrOtherBasis |
| Depreciation | 427492 | Depreciation |
| Book Value | 1023079 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6875605 | OtherCostOrOtherBasis |
| Depreciation | 3492344 | Depreciation |
| Book Value | 3383261 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildings | |
| Total Of Book Value Land Buildings | 4406340 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | INTERCOMPANY PAYABLE | Description |
| Amount | $116,033,770 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 116033770 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Footnote to financial statements for uncertain tax positions under ASC 740 | Identifier |
| Return Reference | SCHEDULE D, PART X | ReturnReference |
| Explanation | REGIONAL HEALTH BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. REGIONAL HEALTH WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. REGIONAL HEALTH'S FEDERAL FORM 990T FILINGS ARE NO LONGER SUBJECT TO FEDERAL TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2009. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | false | FPGReferenceFreeCare |
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1687492 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1687492 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02430 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5413728 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2216047 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3197681 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04610 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7101220 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2216047 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4885173 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07040 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 15 | NumberOfActivitiesOrPrograms |
| Persons Served | 1562 | PersonsServed |
| Total Community Benefit Expense | 32344 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 32344 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 18328350 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 14026124 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4302226 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06200 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 6 | NumberOfActivitiesOrPrograms |
| Persons Served | 2775 | PersonsServed |
| Total Community Benefit Expense | 106034 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 106034 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00150 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 21 | NumberOfActivitiesOrPrograms |
| Persons Served | 4337 | PersonsServed |
| Total Community Benefit Expense | 18466728 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 14026124 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4440604 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06400 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 21 | NumberOfActivitiesOrPrograms |
| Persons Served | 4337 | PersonsServed |
| Total Community Benefit Expense | 25567948 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 16242171 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9325777 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.13440 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 1 | PersonsServed |
| Total Community Building Expense | 661 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 661 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 1 | PersonsServed |
| Total Community Building Expense | 661 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 661 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $625,555 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 9815388 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 20111519 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -10296131 | 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 | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Spearfish Regional Surgery Center | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1316 N 10th street | AddressLine1 |
| City | Spearfish | City |
| State | SD | State |
| ZIP Code | 57783 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| Other | specialty hospital | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Spearfish Regional Surgery Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | false | UsesFPGFree |
| Uses FPG Discounted | false | UsesFPGDiscounted |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Other Factors | X | OtherFactors |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | false | NondiscrimEmergencyCarePolicy |
| No Emergency Care | X | NoEmergencyCare |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | true | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 15 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (15 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| REGIONAL MEDICAL CLINICS - ASPEN CENTRE | ||||
| 640 FLORMANN STREET | RAPID CITY | SD | 57701 | CLINIC |
| SPEARFISH REGIONAL MEDICAL CLINIC | ||||
| 1445 NORTH AVENUE | SPEARFISH | SD | 57783 | CLINIC |
| QUEEN CITY REGIONAL MEDICAL CLINIC | ||||
| 1420 N 10th STREET | SPEARFISH | SD | 57783 | CLINIC |
| REGIONAL MEDICAL CLINIC-WESTERN HILLS | ||||
| 2805 5th STREET | RAPID CITY | SD | 57701 | CLINIC |
| MASSA BERRY REGIONAL MEDICAL CLINIC | ||||
| 890 LAZELLE STREET | STURGIS | SD | 57785 | CLINIC |
| LEAD-DEADWOOD REGIONAL MEDICAL CLINIC | ||||
| 71 CHARLES STREET | DEADWOOD | SD | 57732 | CLINIC |
| BELLE FOURCHE REGIONAL MEDICAL CLINIC | ||||
| 2200 13th AVENUE | BELLE FOURCHE | SD | 57717 | CLINIC |
| REGIONAL URGENT CARE | ||||
| 2201 JACKSON BLVD | RAPID CITY | SD | 57702 | CLINIC |
| REGIONAL ORTHOPEDICS | ||||
| 2479 E COLORADO BLVD | SPEARFISH | SD | 57783 | CLINIC |
| SPEARFISH REGIONAL MEDICAL CLINIC-DERMA | ||||
| 550 E COLORADO | SPEARFISH | SD | 57783 | CLINIC |
| NEWELL REGIONAL MEDICAL CLINIC | ||||
| 101 E THIRD STREET | NEWELL | SD | 57760 | CLINIC |
| FOOTHILLS REGIONAL MEDICAL CLINIC | ||||
| 8075 STOP STAGE ROAD | SUMMERSET | SD | 57718 | CLINIC |
| HOT SPRINGS REGIONAL MEDICAL CLINIC | ||||
| 1501 E HWY 18 BYPASS | HOT SPRINGS | SD | 57747 | CLINIC |
| PINE RIDGE REGIONAL MEDICAL CLINIC | ||||
| EAST HIGHWAY 18 | PINE RIDGE | SD | 57770 | CLINIC |
| BUFFALO REGIONAL MEDICAL CLINIC | ||||
| 209 RAMSLAND STREET | BUFFALO | SD | 57720 | CLINIC |
Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Schedule H Supplemental 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 NEEDS ASSESSMENT WAS COMPLETED BY REGIONAL HEALTH, THE PARENT ORGANIZATION, FOR ALL RELATED ORGANIZATIONS AND MADE AVAILABLE TO THE PUBLIC ON ITS WEBSITE. |
| Part I, Line 7 | Medicare cost report cost to charge ratio is used for calculation of cost of services provided. |
| Part II | REGIONAL HEALTH PROVIDES NUMEROUS COMMUNITY 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 ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND OTHER THIRD-PARTY PAYORS, REGIONAL HEALTH FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES. |
| 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. THE RESULT IS A SHORTFALL WITH COSTS EXCEEDING THE REIMBURSEMENT. |
| Part III, Line 9B | THE COLLECTION POLICY REQUIRES INVOKING OF THE FINANCIAL ASSISTANCE POLICY ANY TIME A PATIENT EXPRESSED FINANCIAL DIFFICULTY IN MEETING THEIR DEBT OBLIGATION. |
| Part V, Section B, Line 9 & 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. Part V, Section B, Line 11h Means Testing of net assets in excess of 200% of household income will be considered income for the purpose of the Financial Assistance Program. PART V, SECTION B, LINE 13G A summary of the hospitals Financial Assistance Policy is posted for all patients at various points of entry with the policy in its entirety available upon request. |
| Part V, Section B, Line 19d | All patients are charged an amount equal to gross charges, discounts may be applied based upon the patients eligibility for financial assistance. |
| Part V, Section B, Line 21 | ALL PATIENTS ARE CHARGED THE STANDARD GROSS AMOUNT REGARDLESS OF THIRD PARTY COVERAGE OR ABILITY TO PAY. DISCOUNTS AND ALLOWANCES ARE APPLIED TO THE GROSS CHARGES. |
| Needs Assessment | REGIONAL HEALTH WORKED IN PARTNERSHIP WITH SEVERAL COMMUNITY NOT-FOR-PROFIT ORGANIZATIONS TO CONDUCT A FULL COMMUNITY NEEDS ASSESSMENT (CNA) FOR THE BLACK HILLS REGION FOR FY2012. THE FIRST PHASE OF OUR DATA COLLECTION, AND WAS COMPLETED IN APRIL 2011. THE NEXT PHASE OF THE PROCESS WAS MEETINGS, INTERVIEWS AND SURVEYS WITH PEOPLE REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING PHYSICIANS, COMMUNITY HEALTH LEADERS AND ORGANIZATIONAL LEADERSHIP. IN ADDITION TO THIS, THE ORGANIZATION EVALUATED QUANTITATIVE DATA ON HEALTH ISSUES FOR THE REGION FROM VARIOUS STATE, NATIONAL AND INTERNAL SOURCES. THIS PHASE OF OUR PROJECT WAS COMPLETED IN SEPTEMBER 2011. THE ORGANIZATION EVALUATED ALL THE INFORMATION GATHERED IN THE CNA AND THROUGH OUR OWN RESEARCH DEVELOPED OUR COMMUNITY HEALTH TARGETS. THE ORGANIZATION IS NOW IN THE PROCESS OF DEVELOPING OUR IMPLEMENTATION PLAN. MORE THAN 30,000 SURVEYS WERE MAILED TO THE PEOPLE IN THE BLACK HILLS REGION DURING THE WINTER OF 2010/2011. |
| Patient Education of Eligibility for Assistance | WE PROVIDE INFORMATION ON ALL STATEMENTS, ON OUR WEBSITE, WE HAVE INFORMATION AVAILABLE AT ALL ADMISSION AREAS, WE CONTRACT WITH MIDLAND MEDICAL GROUP (AN OUTSOURCED PARTNER) 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. |
| Community Information | 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. |
| Promotion of Community Health | 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. Other Information REGIONAL HEALTH IS GOVERNED BY A COMMUNITY BOARD THAT PROVIDES LEADERSHIP TO THE ORGANIZATION TO MEET THE COMMUNITY NEEDS. REGIONAL HEALTH PARTNERS WITH EDUCATIONAL INSTITUTIONS TO PROVIDE NUMEROUS CLINICAL TRAINING PROGRAMS; PROVIDES MEDICAL SERVICES THAT IF THEY WERE NOT PROVIDED BY US, WOULD NOT EXIST IN OUR REGION; AND OFFERS HEALTH SCREENINGS AND EVENTS TO THE PEOPLE OF THE REGION. |
| Affiliated health care system | 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. |
| state filing of community needs assessment | REGIONAL HEALTH'S COMMUNITY NEEDS ASSESSMENT IS AVAILABLE ON ITS WEBSITE TO ALL WHO ARE INTERESTED. ALL THE FACILITIES OWNED OR CONTROLLED BY REGIONAL HEALTH ARE LOCATED IN SOUTH DAKOTA. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (18 entries)
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HART MD CHARLES E | |||||||||||||
| 0 | 696692 | 0 | 148195 | 0 | 689 | 0 | 43410 | 0 | 5015 | 0 | 894001 | 0 | 0 |
| ALTSTIEL MD TERRY | |||||||||||||
| 336410 | 0 | 0 | 0 | 0 | 0 | 32143 | 0 | 4152 | 0 | 372705 | 0 | 0 | 0 |
| FINLEY MD ROBERT | |||||||||||||
| 0 | 323602 | 0 | 0 | 1066 | 0 | 43507 | 0 | 5676 | 0 | 373851 | 0 | 0 | |
| SLUKA JR JOSEPH C | |||||||||||||
| 0 | 395458 | 0 | 53894 | 0 | 0 | 0 | 38475 | 0 | 5223 | 0 | 493050 | 0 | 0 |
| BRODIN MARK F | |||||||||||||
| 0 | 144638 | 0 | 23986 | 0 | 0 | 0 | 29398 | 0 | 5048 | 0 | 203070 | 0 | 0 |
| DEGROOT SHAWN Y | |||||||||||||
| 0 | 176376 | 0 | 17921 | 0 | 0 | 0 | 28296 | 0 | 3935 | 0 | 226528 | 0 | 0 |
| HORTON JENNIFER D | |||||||||||||
| 0 | 149330 | 0 | 15519 | 0 | 0 | 0 | 24766 | 0 | 6839 | 0 | 196454 | 0 | 0 |
| LATUCHIE RICHARD S | |||||||||||||
| 0 | 257906 | 0 | 23304 | 0 | 0 | 0 | 39347 | 0 | 3711 | 0 | 324268 | 0 | 0 |
| MASTEN MARY E | |||||||||||||
| 0 | 251793 | 0 | 25167 | 0 | 0 | 0 | 49585 | 0 | 5108 | 0 | 331653 | 0 | 0 |
| MCGLONE ROBERT O | |||||||||||||
| 0 | 234107 | 0 | 22412 | 0 | 0 | 0 | 66122 | 0 | 4604 | 0 | 327245 | 0 | 0 |
| THOMPSON MARK A | |||||||||||||
| 0 | 286998 | 0 | 40991 | 0 | 0 | 0 | 43114 | 0 | 6039 | 0 | 377142 | 0 | 0 |
| KEEGAN MD JAMES M | |||||||||||||
| 0 | 400995 | 0 | 50091 | 0 | 0 | 0 | 16292 | 0 | 3781 | 0 | 471159 | 0 | 0 |
| PIERCE JOHN Y | |||||||||||||
| 145092 | 0 | 14992 | 0 | 0 | 0 | 29115 | 0 | 6069 | 0 | 195268 | 0 | 0 | 0 |
| DUNN MD GARRY K | |||||||||||||
| 754115 | 0 | 0 | 0 | 0 | 0 | 55673 | 0 | 8162 | 0 | 817950 | 0 | 0 | 0 |
| EASTWOOD DO BART L | |||||||||||||
| 734300 | 0 | 0 | 0 | 0 | 0 | 63273 | 0 | 6912 | 0 | 804485 | 0 | 0 | 0 |
| LITTLE MD RICHARD M | |||||||||||||
| 564443 | 0 | 0 | 0 | 0 | 0 | 72573 | 0 | 4152 | 0 | 641168 | 0 | 0 | 0 |
| SIGMOND MD ERIC R | |||||||||||||
| 580360 | 0 | 0 | 0 | 0 | 0 | 15643 | 0 | 8589 | 0 | 604592 | 0 | 0 | 0 |
| SUFFICOOL DO WESLEY L | |||||||||||||
| 638283 | 0 | 0 | 0 | 0 | 0 | 75846 | 0 | 5803 | 0 | 719932 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Supplemental Compensation Information | Schedule J, Part I, Line 3 | THE COMPLIANCE AND AUDIT COMMITTEE, WHICH IS A COMMITTEE OF THE REGIONAL HEALTH (PARENT) BOARD, REVIEWS AND APPROVES BASE SALARY AND TOTAL COMPENSATION RANGES FOR ALL EXECUTIVES WITH THE REGIONAL HEALTH SYSTEM. Please see Form 990, Part VI, Lines 15A & 15B disclosure on schedule O. |
| SUPPLEMENTAL INFORMATION | SCHEDULE J, PART 1, LINE 4B | REGIONAL HEALTH PROVIDES A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND A FLEXIBLE BENEFIT PLAN THAT CAN INCLUDE DEFERRED COMPENSATION FOR ITS EXECUTIVES. SEE COLUMN 'C' ON SCHEDULE J FOR THOSE PERSONS LISTED IN FORM 990, PART VII, SECTION A, LINE 1A THAT PARTICIPATED IN OR RECEIVED PAYMENT FROM THOSE TWO PLANS. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Other Program Services | FORM 990, PART III, Line 4d | REGIONAL HEALTH MAINTAINS CLINICS IN SURROUNDING COMMUNITIES TO PROVIDE GENERAL AND SPECIALIZED MEDICAL SERVICES TO PEOPLE WITHIN THE BLACK HILLS REGION. |
| BOND ISSUES | 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. |
| Description of Classes of Members or stockholders | Form 990, Part VI, Question 6, 7A and 7B | REGIONAL HEALTH, INC. IS THE SOLE MEMBER OF REGIONAL HEALTH PHYSICIANS, INC. Regional Health, Inc. has authority over certain decisions pertaining to regional health physicians, inc. |
| Describe the Process used by Management &/or Governing Body to Review 990 | Form 990, Part VI, Question 11b | 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. |
| Description of Process to Monitor Transactions for Conflicts of Interest | Form 990, Part VI, Question 12c | AS A PART OF THE ANNUAL DISCLOSURE OF POTENTIAL CONFLICTS PROCESS, ALL BOARD MEMBERS, OFFICERS, 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. IF, WHERE A PROPOSED TRANSACTION INVOLVES A BOARD MEMBER, THE TRANSACTION IS REVIEWED BY THE COMPLIANCE AND AUDIT COMMITTEE OF THE BOARD WITH ONLY NON-CONFLICTED MEMBERS OF THE COMMITTEE PRESENT. AT MEETINGS, BOARD MEMBERS WHO HAVE A CONFLICT OF INTEREST MAY BE INVITED TO SPEAK ON THE MATTER BY THE CHAIRMAN, BUT ARE NOT PERMITED 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 GROUNDS FOR REMOVAL FROM OFFICE OR MEMBERSHIP AND, IN THE CASES OF ALL EMPLOYEES, TERMINATION OF EMPLOYMENT. |
| Offices & Positions for Which Process was Used, & Year Process was Begun | Form 990, Part VI, Question 15a & 15b | THE COMPLIANCE AND AUDIT COMMITTEE OF THE SOLE MEMBER'S BOARD, A COMMITTEE THAT INCLUDES ONLY BOARD MEMBERS DEEMED "INDEPENDENT", DETERMINES THE APPROPRIATE BASE SALARY RANGE OF THE REGIONAL HEALTH SYSTEM CEO 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 RETANS AN INDEPENDENT CONSULTANT, SULLIVAN AND COTTER, TO PROVIDE SURVEY / COMPARABILITY DATA FOR BOTH BASE SALARY AND TOTAL COMPENSATION AT LEAST EVERY THREE YEARS. EMPLOYED PHYSICIAN COMPENSATION IS DETERMINED BY EITHER OF TWO METHODS. 1) WHEN PHYSICIANS BECOME EMPLOYED AS A RESULT OF A PRACTICE ACQUISITION, AN INDEPENDENT COMPANY EVALUATES THE VALUE OF THE PRACTICE ALONG WITH THE PHYSICIAN COMPENSATION. THIS VALUATION IS REVIEWED AND APPROVED BY THE COMPLIANCE AND AUDIT COMMITTEE. 2) FOR PHYSICIANS WHO HAVE BEEN RECRUITED OR OTHERWISE HIRED, THE COMPLIANCE AND AUDIT COMMITTEE HAS APPROVED THE METHODOLOGY TO APPLY TO INDIVIDUAL PHYSICIANS' COMPENSATION. THAT METHODOLOGY IS A COMBINATION OF BASE SALARY PLUS INCENTIVE PAY BASED ON WORKED RELATIVE VALUE UNITS (RVU) TIMES A CONVERSION RATE. THE RVU VALUES ARE THOSE DEVELOPED BY CMS WHILE THE CONVERSION RATE IS BASED ON MGMA SURVEY DATA. RVU VALUES, AND CONVERSION RATES ARE REVIEWED BY AN INDEPENDENT CONSULTANT. |
| Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public | Form 990, Part VI, Question 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. 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. |
| compensation of officers directors trustees | FORM 990, PART VII, HOURS DEVOTED TO FILING AND RELATED ORGANIZATIONS | THE HOURS DEVOTED TO THE POSITIONS REPORTED ON PART VII FOR THE FOLLOWING REFLECT THE THE AGGREGATE TOTAL HOURS THESE INDIVIDUALS DEVOTE TO THEIR POSITIONS FOR REGIONAL HEALTH, INC.; RAPID CITY REGIONAL HOSPITAL, INC.; REGIONAL HEALTH NETWORK, INC.; AND/OR REGIONAL HEALTH PHYSICIANS, INC. Avg Hours/Week Devoted to Name & Title Filing Org Related Orgs ____________ __________ ____________ HART MD, CHARLES E. PRESIDENT AND CEO 7.63 52.37 ALTSTIEL MD, TERRY BOARD OF TRUSTEES MEMBER 39.30 0.70 FINLEY MD, ROBERT VICE CHAIRMAN, BOARD OF TRUSTEES 5.88 34.12 MORRISON, TOM BOARD OF TRUSTEES MEMBER 0.35 2.05 YELICK, ED CHAIRMAN, BOARD OF TRUSTEES 0.49 2.81 KEEGAN MD, JAMES M. CMO RH & CEO RHP 8.08 46.92 SLUKA JR., JOSEPH C. EXECUTIVE VP & CAO 6.99 48.01 THOMPSON, MARK A. CFO & VP FINANCE 6.99 48.01 LATUCHIE, RICHARD S. VP INFO TECHNOLOGY & CIO 6.99 48.01 MASTEN, MARY E. VP LEGAL SERVICES 6.99 48.01 MCGLONE, ROBERT O. VP HUMAN RESOURCES 6.99 48.01 DEGROOT, SHAWN Y. VP CORP RESPONSIBILITY 6.99 48.01 BRODIN, MARK R. VP DECISION SUPPORT 6.99 48.01 HORTON, JENNIFER D. VP PR MARKETING 6.99 48.01 GRABER MD, TERRY RHN BOARD OF TRUSTEES MEMBER 19.38 20.62 GROEGER MD, THOMAS RHN BOARD OF TRUSTEES MEMBER 19.38 20.62 GOLLIHER MD, WARREN RHN BOARD OF TRUSTEES MEMBER 0.58 0.62 |
| Independent Board Members | Form 990, Part VII | REGIONAL HEALTH CONSIDERS SOME MEMBERS OF THE BOARD TO NOT BE INDEPENDENT BECAUSE THEY ARE ACTIVELY PRACTICING PHYSICIANS ON ONE OF ITS HOSPITALS' MEDICAL STAFFS OR ARE EMPLOYEES OF A SUPPORTED ORGANIZATION. |
| oversight or selection process | form 990, part xii, question 2c | 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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| REGIONAL HEALTH INC (RHI) | ||||||||||
| 353 FAIRMONT BLVD | RAPID CITY | SD | 57701 | 201487506 | HEALTHCARE | SD | 501(c)(3) | 11-Type III | NA | false |
| RAPID CITY REGIONAL HOSPITAL INC | ||||||||||
| 353 FAIRMONT BLVD | RAPID CITY | SD | 57701 | 460319070 | HEALTHCARE | SD | 501(c)(3) | 3 | RHI | true |
| REGIONAL HEALTH NETWORK INC | ||||||||||
| 353 FAIRMONT BLVD | RAPID CITY | SD | 57701 | 460360899 | HEALTHCARE | SD | 501(c)(3) | 3 | RHI | true |
Form990 Schedule R Part III Form990ScheduleRPartIII (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType |
|---|---|---|---|---|---|---|---|---|
| SAME DAY SURGERY CTR 411889892 | ||||||||
| 651 CATHEDRAL DR rapid city sd | RAPID CITY | SD | 57701 | 411889892 | HEALTHCARE | SD | NA | N/A |
| BLACK HILLS MED Bldg 411992146 | ||||||||
| 677 CATHEDRAL DR Rapid City SD | RAPID CITY | SD | 57701 | 411992146 | MED OFFICE BLDG | SD | NA | N/A |
| MEDICAL DENTAL Bldg 460339629 | ||||||||
| 2805 S 5th ST rapid city sd | RAPID CITY | SD | 57701 | 460339629 | MED OFFICE BLDG | SD | NA | N/A |
| THE IMAGING CTR LLC | ||||||||
| PO BOX 8130 rapid city sd | RAPID CITY | SD | 57709 | 300357026 | MEDICAL IMAGING | SD | NA | N/A |
| THE MRI CENTER LLC 300357077 | ||||||||
| PO BOX 8130 rapid city sd | RAPID CITY | SD | 57709 | 300357077 | EQUIPMENT | SD | NA | N/A |
| N PLAINS PREMIER COL 900701417 | ||||||||
| 3900 W AVERA DR sioux falls sd | SIOUX FALLS | SD | 57108 | 900701417 | purchasing | SD | NA | N/A |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WESTERN PROVIDERS INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 677 CATHEDRAL DR SUITE 309 | AddressLine1 |
| City | RAPID CITY | City |
| State | SD | State |
| ZIP Code | 57701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411889163 | EIN |
| Primary Activity | MEDICAL SERVICE | PrimaryActivity |
| Legal Domicile State | SD | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C corp | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| RAPID CITY REGIONAL HOSPITAL INC | ||
| i | 8634 | cost |
| RAPID CITY REGIONAL HOSPITAL INC | ||
| j | 920524 | cost |
| REGIONAL HEALTH NETWORK INC | ||
| j | 351864 | cost |
| REGIONAL HEALTH NETWORK INC | ||
| l | 2435537 | cost |
| RAPID CITY REGIONAL HOSPITAL INC | ||
| l | 614562 | cost |
| RAPID CITY REGIONAL HOSPITAL INC | ||
| n | 298800 | cost |
| RAPID CITY REGIONAL HOSPITAL INC | ||
| p | 1487835 | cost |