MONUMENT HEALTH RAPID CITY HOSPITAL INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: MONUMENT HEALTH RAPID CITY HOSPITAL INC (EIN 46-0319070)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-05-15
IRS object ID: 201321359349308627
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-15T16:37:51-05:00	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	460319070	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	RAPID CITY REGIONAL HOSPITAL INC	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% MARK THOMPSON	InCareOfName
Name Control	RAPI	NameControl
Phone	6057559130	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	353 Fairmont Blvd PO Box 6000	AddressLine1
City	Rapid City	City
State	SD	State
ZIP Code	57701	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Mark Thompson	Name
Title	CFO	Title
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)
Name Of Principal Officer Person	Charles E 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	463793517	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.regionalhealth.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1973	YearFormation
State Legal Domicile	SD	StateLegalDomicile
Activity Or Mission Description	to provide and support health care excellence in partnership with the communities we serve.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	3696	TotalNbrEmployees
Total Nbr Volunteers	442	TotalNbrVolunteers
Total Gross UBI	4923668	TotalGrossUBI
Net Unrelated Business Txbl Income	1869113	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	6124669	ContributionsGrantsPriorYear
Contributions Grants Current Year	4749192	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	431520722	ProgramServiceRevenuePriorYear
Program Service Revenue CY	380122755	ProgramServiceRevenueCY
Investment Income Prior Year	24676376	InvestmentIncomePriorYear
Investment Income Current Year	20801982	InvestmentIncomeCurrentYear
Other Revenue Prior Year	286765	OtherRevenuePriorYear
Other Revenue Current Year	57130874	OtherRevenueCurrentYear
Total Revenue Prior Year	462608532	TotalRevenuePriorYear
Total Revenue Current Year	462804803	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	179730804	SalariesEtcPriorYear
Salaries Etc Current Year	195882187	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	344754	TotalFundrsngExpCurrentYear
Other Expense Prior Year	205899438	OtherExpensePriorYear
Other Expenses Current Year	205734979	OtherExpensesCurrentYear
Total Expenses Prior Year	385630242	TotalExpensesPriorYear
Total Expenses Current Year	401617166	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	76978290	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	61187637	RevenuesLessExpensesCY
Total Assets BOY	778637784	TotalAssetsBOY
Total Assets EOY	862197416	TotalAssetsEOY
Total Liabilities BOY	231260113	TotalLiabilitiesBOY
Total Liabilities EOY	268087313	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	547377671	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	594110103	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	20953952	Expense
Revenue	98412927	Revenue
Description	Pharmacy - provide pharmaceuticals in support of acute care hospital patients.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	20019807	Expense
Revenue	89136656	Revenue
Description	Surgical Services - provide in and out patient surgical services to acute care patients.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	11558731	Expense
Revenue	72471919	Revenue
Description	Laboratory - provide laboratory testing in support of acute care patients.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	210647331	TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev	175712415	TotalOfOtherProgramServiceRev
Total Program Service Expense	263179821	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	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	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	true	ReportProgRelInvest
Report Other Assets	true	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	true	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	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
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	true	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	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	416	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	3696	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	true	NonDeductibleContributions
Non Deductible Disclosure	true	NonDeductibleDisclosure
Quid Pro Quo Contributions	true	QuidProQuoContributions
Quid Pro Quo Disclosure	true	QuidProQuoDisclosure
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	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	NumberIndependentVotingMembers
Family Or Business Relationship	true	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	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
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 (34 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	845576	0	48425
DISHMAN ROY
BOARD OF DIRECTORS MEMBER	1.0	X
FROST MD STEVE
Ex-off BOD, Chief of Med Staff	1.0	X
FROST MD TIMOTHY
BOARD OF DIRECTORS MEMBER	1.0	X
HERR MD VICTORIA
ex-offico BOARD OF DIRECTOR	1.0	X
KOVARIK MD STEPHEN
BOARD OF DIRECTORS MEMBER	1.0	X
LEE SHARON
CHAIRMAN, BOARD OF DIRECTORS	2.0	X	X
MORRISON TOM
VICE CHAIR, bOARD OF DIRECTors	2.4	X	X
POPP DENNIS
BOARD OF DIRECTORS MEMBER	1.0	X
RIDDLE-SCHUMACHER TAMARA
SECRETARY, BOARD OF DIRECTORS	1.0	X	X
SEAMAN LISA
BOARD OF DIRECTORS MEMBER	2.0	X
SMITH MD GREGORY L
ex-offico BOARD OF DIRECTOR	40.0	X		305443	0	44507
SORENSEN JIM
TREASURER, BOARD OF DIRECTORS	2.0	X	X
WHITE KLYE
BOARD OF DIRECTORS MEMBER	1.0	X
YELICK EDWARD UNTIL 52012
BOARD OF DIRECTORS MEMBER	3.3	X		832		0
SUGHRUE TIMOTHY H
CEO RCRH RHN AND COO RH	55.0	X	X	584238	0	39360
KEEGAN MD JAMES M
CMO RH/CEO RHP	55.0		X	451086	0	20073
HAXTON RITA K
VP PATIENT CARE	55.0			260941	0	59054	X
ALLEN JR MD ROBERT G
VP MEDICAL AFFAIRS	55.0			283057	0	25650	X
BERRETH ALLAN L
VP ANCILLARY SERVICES	55.0			194078	0	32779	X
GALBRAITH JEANNE A
VP QUAL SAFETY RISK MGMT	55.0			152972	0	36458	X
SLUKA JR JOSEPH C
EXECUTIVE VP/CAO	55.0		X	449352	0	43698
THOMPSON MARK A
cfo/vice president of finance	55.0		X	327989	0	49153
LATUCHIE RICHARD S
VP INFO TECHNOLOGY CIO	55.0			281210	0	43058	X
MASTEN MARY E
VP LEGAL SERVICES	55.0			276960	0	54693	X
MCGLONE ROBERT O
VP HUMAN RESOURCES	55.0			256519	0	70726	X
DEGROOT SHAWN Y
VP CORP RESPONSIBILITY	55.0			194297	0	32231	X
BRODIN MARK F
VP DECISION SUPPORT	55.0			168624	0	34446	X
HORTON JENNIFER D
VP Public relation & MARKETING	55.0			164849	0	31605	X
TUMA MD JOSEPH L
PHYSICIAN	40.0			875135	0	89924		X
ZINELDINE MD AMAD
PHYSICIAN	40.0			738967	0	78704		X
TEIXEIRA MD JOSE M
PHYSICIAN	40.0			727527	0	35816		X
HEILMAN III MD K JOHN
PHYSICIAN	40.0			665913	0	73968		X
TAKARA MD JAMES P
PHYSICIAN	40.0			600188	0	64317		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	8805753	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1008645	TotalOtherCompensation
Number Individuals GT100 K	196	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
RAPID CITY EMERGENCY SERVICES
353 FAIRMONT BLVD	RAPID CITY	SD	57701	ER COVERAGE	9807704
MICROSOFT
ONE MICROSOFT WAY	REDMOND	WA	98052	software licensing	2436589
WEATHERBY LOCUMS INC
P O BOX 972633	DALLAS	TX	75397	staffing services	2064210
HARTFORD FINANCIAL SERVICE
1 HARTFORD PLAZA	HARTFORD	CT	06155	insurance premiums	1560000
HCC LIFE INSURANCE COMPANY
PO BOX 402032	ATLANTA	GA	303840232	stop loss premiums	1404358

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	73	NumberOfContractorsGT100K
Related Organizations	159739	RelatedOrganizations
Government Grants	1287702	GovernmentGrants
All Other Contributions	3301751	AllOtherContributions
Total Contributions	4749192	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
In Patient Pharmacy	900099	98412927	98412927
Surgical Services	900099	89136656	89136656
Laboratory	621500	76322729	72471919	3850810
Cath Lab	621500	43321076	43321076
Respiratory Therapy	621500	31935386	31935386

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	40993981	TotalRevenueColumn
Related Or Exempt Function Income	40993981	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	380122755	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	21659792	TotalRevenueColumn
Unrelated Business Revenue	13193	UnrelatedBusinessRevenue
Exclusion	$21,646,599	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	304129	TotalRevenueColumn
Exclusion	$304,129	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	822688	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	918424	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-95736	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-95736	TotalRevenueColumn
Exclusion	-$95,736	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	-1161939	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-1161939	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-1161939	TotalRevenueColumn
Exclusion	-$1,161,939	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	725055	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	255233	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	469822	TotalRevenueColumn
Exclusion	$469,822	ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	270904	GrossSalesOfInventory
Cost Of Goods Sold	-184943	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	85961	TotalRevenueColumn
Exclusion	$85,961	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
INTERCOMPANY - MGT FEES	900099	36003860	36003860
PHARMACY SALES TO EMPLOYEES	900099	5096074	5096074
SRVC AGREEMENT - SDSC JOINT VENTURE	900099	3112639	3112639

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	12458254	TotalRevenueColumn
Related Or Exempt Function Income	11398589	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1059665	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	56670827	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	462804803	TotalRevenueColumn
Related Or Exempt Function Income	431883107	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	4923668	UnrelatedBusinessRevenue
Exclusion	$21,248,836	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	8319544	Total
Program Services	3838277	ProgramServices
Management And General	4481267	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	193553	Total
Program Services	193553	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	166262716	Total
Program Services	128238748	ProgramServices
Management And General	37810846	ManagementAndGeneral
Fundraising	213122	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	3941851	Total
Program Services	2983198	ProgramServices
Management And General	953846	ManagementAndGeneral
Fundraising	4807	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	5882387	Total
Program Services	4451799	ProgramServices
Management And General	1423415	ManagementAndGeneral
Fundraising	7173	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	11282136	Total
Program Services	8616953	ProgramServices
Management And General	2650496	ManagementAndGeneral
Fundraising	14687	Fundraising

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	736538	Total
Program Services	7600	ProgramServices
Management And General	728938	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	245400	Total
Management And General	245400	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	90247	Total
Management And General	90247	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	1101219	Total
Management And General	1101219	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	32123591	Total
Program Services	18842503	ProgramServices
Management And General	13281088	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	522260	Total
Program Services	47142	ProgramServices
Management And General	434756	ManagementAndGeneral
Fundraising	40362	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	1445810	Total
Program Services	742949	ProgramServices
Management And General	693880	ManagementAndGeneral
Fundraising	8981	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	7714202	Total
Program Services	1128818	ProgramServices
Management And General	6585384	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	7026322	Total
Program Services	602644	ProgramServices
Management And General	6423678	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	455403	Total
Program Services	333548	ProgramServices
Management And General	119455	ManagementAndGeneral
Fundraising	2400	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	1349733	Total
Program Services	675964	ProgramServices
Management And General	669744	ManagementAndGeneral
Fundraising	4025	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	3625818	Total
Program Services	146749	ProgramServices
Management And General	3479069	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	19673042	Total
Program Services	8916487	ProgramServices
Management And General	10755059	ManagementAndGeneral
Fundraising	1496	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	717318	Total
Program Services	120	ProgramServices
Management And General	717198	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Medical supplies	71693196	73562028	-1868832
INTERCOMPANY SUPPLIES & SERV	29724140	472794	29251346
LOSS EARLY EXTINGUISH. DEBT	649582		649582
Interest rate swap	7504051		7504051

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	19337107	Total
Program Services	9377947	ProgramServices
Management And General	9911459	ManagementAndGeneral
Fundraising	47701	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	401617166	Total
Program Services	263179821	ProgramServices
Management And General	138092591	ManagementAndGeneral
Fundraising	344754	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	20666928	BOY
EOY	7035183	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	51785670	BOY
EOY	64327994	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	0	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	7588693	BOY
EOY	9182870	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	5823120	BOY
EOY	8004963	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	432623488	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	282023777	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	117084180	BOY
EOY	150599711	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	442316899	BOY
EOY	472387635	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	133372294	BOY
EOY	150659060	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	778637784	BOY
EOY	862197416	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	36944758	BOY
EOY	45365022	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	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	159915706	BOY
EOY	174011840	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	34399649	BOY
EOY	48710451	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	231260113	BOY
EOY	268087313	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	535688824	BOY
EOY	582558987	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	9940868	BOY
EOY	9803137	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

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

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	547377671	BOY
EOY	594110103	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	778637784	BOY
EOY	862197416	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	61187637	ReconcilationRevenueExpenses
Reconcilation Other Changes	-14455205	ReconcilationOtherChanges
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	true	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 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)
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
Volunteers	false	Volunteers
Paid Staff Or Management	true	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	true	GrantsOtherOrganizations
Grants Other Organizations	$50,000	GrantsOtherOrganizationsAmount
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$11,154	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$29,093	OtherActivitiesAmount
Total Lobbying Expenditures IIB	90247	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Moving South Dakota Forward Initiative	Identifier
Return Reference	Schedule C, Part II-B, Line 1f	ReturnReference
Explanation	During fiscal year 2012, Rapid City Regional Hospital paid $50,000.00 to the South Dakota Association of Healthcare Organizations to further the efforts related to the Health Communities ballot question "Moving South Dakota Forward". SD Assoc of Healthcare Org & American Hospital Assoc membership dues Schedule C, Part II-B, Line 1g & 1i Annual dues are paid to the South Dakota Association of Healthcare Organizations. A portion of the dues are applicable to lobbying activities. For calendar year 2011 dues which were paid in fiscal year 2012 in the amount of $ 312,072.69, 4.57% 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 2011 dues, which were paid in fiscal year 2012 in the amount of $60,291.00, 24.60% was used for lobbying purposes. Expenditures of $11,154 were incurred related to lobbying efforts with the South Dakota legislature on matters pertaining to healthcare.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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

Current Year Minus3 Years CurrentYearMinus3Years

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

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

Land Land

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

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	208880923	OtherCostOrOtherBasis
Depreciation	117905012	Depreciation
Book Value	90975911	BookValue

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovements

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	203022326	OtherCostOrOtherBasis
Depreciation	164118765	Depreciation
Book Value	38903561	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	18277192	OtherCostOrOtherBasis
Book Value	18277192	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	150599711	TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (5 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
CURRENT FUNDS BOND INDENTURE	41475253	F
FUNDS UNDER DEF COMP PLAN	6573588	F
DESIGNATED BY BOARD	410861977	F
DESIGNATED BY DONOR	13410843	F
INVESTMENT IN RELATED PARTIES	65974	F

Field	Value	IRS element (for citing)
Total Of Book Value Program Related	472387635	TotalOfBookValueProgramRelated

Other Assets OtherAssets (4 entries)

DescriptionDescription	Book ValueBookValue
INTERCOMPANY RECEIVABLES	143843160
Other receivables	2712438
Goodwill, net	2126511
Bond issue costs, net	1976951

Field	Value	IRS element (for citing)
Total Book Value Other Assets	150659060	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
Payable under interest rate swap	$14,045,106
Other long term liabilities	$15,600,359
Accrued pension liability	$19,064,986

Field	Value	IRS element (for citing)
Total Of Amounts	48710451	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
endowment funds	schedule d, part v, line 4	Endowed funds are held in an interest bearing account subject to the terms as specified by the donor. The earnings on the endowment funds become temporarily restricted funds and therefore are not part of the endowment balance. Of the $1,747,979 endowment funds, $739,460 are restricted to be used for grants/scholarships to students in a healthcare program, $512,197 is restricted for use in the pediatrics unit, $100,000 for promotion of a healthy community, $197,000 for cardiac services, $100,000 for hospice patients, $36,000 for plants in public areas and $25,000 for cancer care.
footnote to financial statements for uncertain tax positions under ASC 740	schedule D, part x, line 2	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 examination by tax authorities for years before 2009.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	Duck Race	NameOfEvent1
Gross Receipts Event1	107701	GrossReceiptsEvent1
Gross Revenue Event1	107701	GrossRevenueEvent1
Rent Facility Costs Event1	10172	RentFacilityCostsEvent1
Food And Beverage Event1	408	FoodAndBeverageEvent1
Other Direct Expenses Event1	25433	OtherDirectExpensesEvent1
Name Of Event2	Tough Enough	NameOfEvent2
Gross Receipts Event2	140139	GrossReceiptsEvent2
Gross Revenue Event2	140139	GrossRevenueEvent2
Rent Facility Costs Event2	1690	RentFacilityCostsEvent2
Food And Beverage Event2	1123	FoodAndBeverageEvent2
Other Direct Expenses Event2	67628	OtherDirectExpensesEvent2
Total Number Of Other Events	17	TotalNumberOfOtherEvents
Gross Receipts Other Events	477215	GrossReceiptsOtherEvents
Gross Revenue Other Events	477215	GrossRevenueOtherEvents
Other Direct Expenses Other Events	148779	OtherDirectExpensesOtherEvents
Gross Receipts Total	725055	GrossReceiptsTotal
Gross Revenue Total Events	725055	GrossRevenueTotalEvents
Rent Facility Costs Total Events	11862	RentFacilityCostsTotalEvents
Food And Beverage Total Events	1531	FoodAndBeverageTotalEvents
Other Direct Expenses Total Events	241840	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	255233	DirectExpenseSummaryEvents
Net Income Summary	469822	NetIncomeSummary

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	10757270	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	10757270	NetCommunityBenefitExpense
Percent Of Total Expense	0.02680	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	47059182	TotalCommunityBenefitExpense
Direct Offsetting Revenue	39261335	DirectOffsettingRevenue
Net Community Benefit Expense	7797847	NetCommunityBenefitExpense
Percent Of Total Expense	0.01940	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	57816452	TotalCommunityBenefitExpense
Direct Offsetting Revenue	39261335	DirectOffsettingRevenue
Net Community Benefit Expense	18555117	NetCommunityBenefitExpense
Percent Of Total Expense	0.04620	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	56	NumberOfActivitiesOrPrograms
Persons Served	15262	PersonsServed
Total Community Benefit Expense	307118	TotalCommunityBenefitExpense
Direct Offsetting Revenue	53922	DirectOffsettingRevenue
Net Community Benefit Expense	253196	NetCommunityBenefitExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	13	NumberOfActivitiesOrPrograms
Persons Served	12507	PersonsServed
Total Community Benefit Expense	5671291	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3881120	DirectOffsettingRevenue
Net Community Benefit Expense	1790171	NetCommunityBenefitExpense
Percent Of Total Expense	0.00450	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServed
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	0	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	250	PersonsServed
Total Community Benefit Expense	2196562	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1882957	DirectOffsettingRevenue
Net Community Benefit Expense	313604	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	17	NumberOfActivitiesOrPrograms
Persons Served	2156	PersonsServed
Total Community Benefit Expense	825402	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	825402	NetCommunityBenefitExpense
Percent Of Total Expense	0.00210	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	88	NumberOfActivitiesOrPrograms
Persons Served	30175	PersonsServed
Total Community Benefit Expense	9000373	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5817999	DirectOffsettingRevenue
Net Community Benefit Expense	3182373	NetCommunityBenefitExpense
Percent Of Total Expense	0.00800	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	88	NumberOfActivitiesOrPrograms
Persons Served	30175	PersonsServed
Total Community Benefit Expense	66816825	TotalCommunityBenefitExpense
Direct Offsetting Revenue	45079334	DirectOffsettingRevenue
Net Community Benefit Expense	21737490	NetCommunityBenefitExpense
Percent Of Total Expense	0.05420	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	1500	PersonsServed
Total Community Building Expense	3333	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	3333	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	1995	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	1995	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	9	NumberOfActivitiesOrPrograms
Persons Served	1400	PersonsServed
Total Community Building Expense	14266	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	14266	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	333	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	333	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	122	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	122	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5	NumberOfActivitiesOrPrograms
Persons Served	2990	PersonsServed
Total Community Building Expense	31728	TotalCommunityBuildingExpense
Direct Offsetting Revenue	3154	DirectOffsettingRevenue
Net Community Building Expense	28574	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	10	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Building Expense	30543	TotalCommunityBuildingExpense
Direct Offsetting Revenue	189	DirectOffsettingRevenue
Net Community Building Expense	30354	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	8	NumberOfActivitiesOrPrograms
Persons Served	53	PersonsServed
Total Community Building Expense	8272	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	8272	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	39	NumberOfActivitiesOrPrograms
Persons Served	5943	PersonsServed
Total Community Building Expense	90592	TotalCommunityBuildingExpense
Direct Offsetting Revenue	3343	DirectOffsettingRevenue
Net Community Building Expense	87249	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$20,163,773	BadDebtExpenseAmount
Amount Attributable To	2258540	AmountAttributableTo
Amount Reimbursed By Medicare	112121826	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	118933412	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-6811586	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

Form990 Schedule H Part IV Form990ScheduleHPartIV (7 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
BLACK HILLS MED BLDG
OFFICE BUILDING	0.67930	0.00000	0.32070
MEDICAL DENTAL BLDG
OFFICE BUILDING	0.71450	0.00000	0.28500
THE IMAGING CENTER
MEDICAL IMAGING	0.50000	0.00000	0.50000
THE MRI CENTER
MEDICAL IMAGING	0.33330	0.00000	0.66670
SAME DAY SURGERY CTR
SPECIALTY AND AMBULATORY SVCS	0.40000	0.00000	0.60000
WESTERN PROVIDERS
PHO	0.50000	0.00000	0.50000
N PLAINS PREMIER COL
PURCHASING COLLABORATIVE	0.50000	0.00000	0.00000

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

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

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Teaching HospitalTeachingHospital	Er24 HoursEr24Hours
RAPID CITY REGIONAL HOSPITAL
1	353 FAIRMONT BLVD	RAPID CITY	SD	57701	X	X	X	X
SAME DAY SURGERY CENTER
2	651 CATHEDRAL DRIVE	RAPID CITY	SD	57701	X

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

Hospital Facility NumberHospitalFacilityNumber	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	Uses FPG DiscountedUsesFPGDiscounted	Explains BasisExplainsBasis	Income LevelIncomeLevel	Other FactorsOtherFactors	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted On WebsitePostedOnWebsite	Posted In Emergency RoomPostedInEmergencyRoom	Posted In Admission OfficePostedInAdmissionOffice	Provided On AdmissionProvidedOnAdmission	Available On RequestAvailableOnRequest	Other PublicityOtherPublicity	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Notify Upon AdmissionNotifyUponAdmission	Notified All PatientsNotifiedAllPatients	Documented DeterminationDocumentedDetermination	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Used Other MethodUsedOtherMethod	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges	No Emergency CareNoEmergencyCare
RAPID CITY REGIONAL HOSPITAL
1	true	false	false	true	X	X	true	true	X	X	X	X	X	X	true	false	X	X	X	true	X	false	true
SAME DAY SURGERY CENTER
2	true	false	false	true	X	X	true	true	X	X	X	X	X	X	true	false	X	X	X	false	X	false	true	X

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

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

Other Facilities OtherFacilities (3 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
Regional Heart Doctors
4150 Fifth Street	Rapid City	SD	57701	CLINIC
Regional Med Clinic-Neurology & Rehab
2929 Fifth Street	Rapid City	SD	57701	CLINIC
Family Medicine Residency
502 E Monroe Suite 401	Rapid City	SD	57701	FAMILY MEDICINE RESIDENCY PROGRAM

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

IdentifierIdentifier	ExplanationExplanation
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 needs assessment is 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 the calculation of cost of services provided.
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 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 as arrived at through the Medicare cost reports. The result is a shortfall with costs exceeding the reimbursement.
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.
part v, section b, lines 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 hospital's 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. THIS CNA WAS 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 AND 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 eligibilty 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 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. 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 the educational institutions to provide numerous clinical training programs, that if they were not provided by RH 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 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 (21 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
696692	0	148195	0	689	0	43410	0	5015	0	894001	0	0	0
SMITH MD GREGORY L
298508	0	0	0	6935	0	40432	0	4075	0	349950	0	0	0
SUGHRUE TIMOTHY H
516816	0	67422	0	0	0	34246	0	5114	0	623598	0	0	0
KEEGAN MD JAMES M
400995	0	50091	0	0	0	16292	0	3781	0	471159	0	0	0
HAXTON RITA K
217567	0	43374	0	0	0	52972	0	6082	0	319995	0	0	0
ALLEN JR MD ROBERT G
258571	0	24486	0	0	0	22770	0	2880	0	308707	0	0	0
BERRETH ALLAN L
162347	0	31731	0	0	0	32441	0	338	0	226857	0	0	0
GALBRAITH JEANNE A
139423	0	13549	0	0	0	33187	0	3271	0	189430	0	0	0
SLUKA JR JOSEPH C
395458	0	53894	0	0	0	38475	0	5223	0	493050	0	0	0
THOMPSON MARK A
286998	0	40991	0	0	0	43114	0	6039	0	377142	0	0	0
LATUCHIE RICHARD S
257906	0	23304	0	0	0	39347	0	3711	0	324268	0	0	0
MASTEN MARY E
251793	0	25167	0	0	0	49585	0	5108	0	331653	0	0	0
MCGLONE ROBERT O
234107	0	22412	0	0	0	66122	0	4604	0	327245	0	0	0
DEGROOT SHAWN Y
176376	0	17921	0	0	0	28296	0	3935	0	226528	0	0	0
BRODIN MARK F
144638	0	23986	0	0	0	29398	0	5048	0	203070	0	0	0
HORTON JENNIFER D
149330	0	15519	0	0	0	24766	0	6839	0	196454	0	0	0
TUMA MD JOSEPH L
824948	0	48642	0	1545	0	83697	0	6227	0	965059	0	0	0
ZINELDINE MD AMAD
690325	0	48642	0	0	0	72577	0	6127	0	817671	0	0	0
TEIXEIRA MD JOSE M
678885	0	48642	0	0	0	31508	0	4308	0	763343	0	0	0
HEILMAN III MD K JOHN
612951	0	48642	0	4320	0	67613	0	6355	0	739881	0	0	0
TAKARA MD JAMES P
599288	0	0	0	900	0	57275	0	7042	0	664505	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
Supplemental Compensation Information	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.
SUPPLEMENTAL INFORMATION	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 J, PART I, LINE 4B

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
SD HEALTH & EDUCATIONAL FACILITIES AUTHORITY
460315509	83755VNL4	2008-08-14	67465000	see schedule o	false	false	false
sd health & educational facilities authority
460315509	83755vq46	2010-08-17	54390000	see schedule o	false	false	false
sd health & educational facilities authority
460315509	83755vSW5	2011-11-22	50460000	see schedule o	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Amount UnspentAmountUnspent	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
505000	67033801	790000	45000	12387353	51125000	0	2011	true	false	true	true
0	57294245	784764	0	16322361	31601312	8584906	2013	true	false	false	true
0	54449182	709782	0	4013993	23739401	25985607	2014	true	false	false	true

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Engage Bond Counsel ResearchEngageBondCounselResearch	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	true	true	false	true	false	0.00000	0.00000	0.00000	true
false	true	true	false	true	false	0.00340	0.00260	0.00600	true
false	true	true	false	true	false	0.00000	0.00000	0.00000	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
us bank na
false	true	true	16.2	false	false	false	0	false	false
0
false	false	false				false	0	false	false
0
false	false	false				false	0	false	false

Field	Value	IRS element (for citing)
Fed Tax Requirements Compliance	X	FedTaxRequirementsCompliance

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (8 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
DAKOTA RADIOLOGY
SEE PART V	59927	SEE PART V	false
GEIB ELSTON FROST PROFESSIONAL ASS
SEE PART V	280696	SEE PART V	false
MATTHEW F THOMPSON
SEE PART V	14968	SEE PART V	false
SCOTT ECCARIUS MD
SEE PART V	110461	SEE PART V	false
MICHAEL KEEGAN
SEE PART V	15137	SEE PART V	false
LINDSEY SEAMAN
SEE PART V	17987	SEE PART V	false
BLACK HILLS POWER LIGHT
SEE PART V	1743350	SEE PART V	false
PREMIER purchasing partners LP
SEE PART V	329685	SEE PART V	false

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	PART IV, LINE 1	Identifier
Explanation	Timothy Frost, MD is one of 12 partners in Dakota Radiology which is in a 50/50 joint venture (The Imaging Center, LLC) with RCRH. Dakota Radiology is a 33% owner in the joint venture (The MRI Center, LLC) of which RCRH is also a 33% owner. Part IV, Line 2 RCRH contracts with Geib, Elston, Frost PA for pathology and laboratory medical directorship services. James Frost MD, brother of Timothy and Steve Frost is a partner in Geib, Elston and Frost PA. Ex-Officio Board of Directors Member Victoria Herr, MD is also a partner of Geib, Elston, Frost PA. Part IV, line 3 Matthew Thompson, son of officer mark Thompson, is employed as an anesthesia technician. Part IV, line 4 Scott Eccarius, MD, brother in law of Mary Masten, VP of Legal Services, is compensated by RCRH as a Medical Informatics Officer. Part IV, line 5 Michael Keegan, son of RH CMO/RHP CEO James Keegan, MD, was compensated by RCRH as an Intern. Part IV, Line 6 Lindsey Seaman, daughter of Board of Directors member Lisa Seaman, is compensated by RCRH as a Clinical Research Specialist. Part IV, Line 7 Board of Directors member Kyle White is an officer with Black Hills Power and Light which provides utility services to RCRH. Board of Directors Member Lisa Seaman is an employee of Black Hills Corporation, the parent company of Black Hills Power and Light. Part IV, Line 8 Charles Hart MD is a director of Premier Purchasing Partners, L.P. (Premier). RCRH subscribes to a benchmarking service provided by Premier. Monthly financial and statistical information is provided to Premier which is entered in their database and then used for various comparative reporting.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Description of Other Program Services	Form 990, Part III, Line 4d	Rapid City Regional Hospital, Inc. (RCRH) is a tertiary hospital serving western South Dakota. The nearest larger hospital is in Sioux Falls, SD, more than 350 miles away. As such, the services provided by RCRH are truly a healthcare safety net for western South Dakota. The Hospital provides comprehensive care, including level II trauma care. Description of Relationships Form 990, Part VI, Question 2 Board of Directors members Timothy Frost, MD, (partner in Dakota Radiology) and Steve Frost, MD (partner in West River Anesthesiology) are brothers. In addition, their brother, James Frost, MD is a partner in Geib, Elston, Frost PA with whom the organization has a contract to provide pathology services. Their parents, Dr. Harold and Ellie Frost as well as Dr. Timothy and Debora Frost are substantial contributors.
Description of classes of members or stockholders	Form 990, Part VI, Question 6, 7a and 7b	Regional Health, Inc. is the sole member of Rapid City Regional Hospital, Inc. Regional Health, Inc., being the sole member of Rapid City Regional Hospital, Inc. has final authority over certain decisions pertaining to Rapid City Regional Hospital, 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 organizations 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. 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 consistutes ground for removal from office or membership and, in the case 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 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.
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 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.
compensation of officers directors trustees	Form 990, Part VII	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 44.12 15.88 FINLEY MD, ROBERT RHI/RHP BOARD OF TRUSTEES MEMBER 34.02 5.98 MORRISON, TOM BOARD OF TRUSTEES MEMBER 2.04 0.36 YELICK, EDWARD CHAIRMAN, BOARD OF TRUSTEES 2.81 0.49 SUGHRUE, TIMOTHY H. CEO RCRH, RHN & COO RH 46.33 8.67 KEEGAN MD, JAMES M. CMO RH & CEO RHP 46.77 8.23 SLUKA JR., JOSEPH C. EXECUTIVE VP & CAO 40.45 14.55 THOMPSON, MARK A. CFO & VP FINANCE 40.45 14.55 LATUCHIE, RICHARD S. VP INFO TECHNOLOGY & CIO 40.45 14.55 MASTEN, MARY E. VP LEGAL SERVICES 40.45 14.55 MCGLONE, ROBERT O. VP HUMAN RESOURCES 40.45 14.55 DEGROOT, SHAWN Y. VP CORP RESPONSIBILITY 40.45 14.55 BRODIN, MARK R. VP DECISION SUPPORT 40.45 14.55 HORTON, JENNIFER D. VP PR MARKETING 40.45 14.55
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 are they are employees of a related organization.
reconciliation of net assets	form 990, part xi, line 5	Unrealized gain (loss) on investments (5,197,449) Adj to the Funded Status of the Pension Plan (7,475,181) Medical Staff and Auxiliary net income 157,210 Non-controlling interest in joint venture (2,722,000) Net assets released from restriction 782,215 ------------- Part XI, Line 5 (14,455,205)
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. (the parent organization) Board of Trustees. Final audit results, on a consolidated basis, are reported by the independent auditors directly to the Compliance and Audit Committee.
Schedule K supplemental information	Bond Issued on 8/14/2008	Part I, Line A, Columb (f) To finance the cost of hospital buildings and equipment, and to refund series 2003 bonds of the south Dakota health and educational facilities authority previously issued on April 1, 2003. Schedule K, Part II, Line 3 Issue Price 67,465,000 Less Partial Redemption (505,000) Plus interest earnings 73,801 __________ 67,033,801
Schedule K Supplemental information	Bond Issued on 8/17/2010	Part I, Line B, Column (f) To finance the cost of hospital buildings and equipment and to refund series 1998 and 1999 bonds of the south Dakota health and educational facilities authority previously issued on April 16, 1998 and June 3, 1999, respectively. Schedule K, Part II, Line 3 Issue Price 54,390,000 Plus interest earnings 6,474 Net Premium 2,897,771 __________ 57,294,245
Schedule K Supplemental Information	Bond issued on 11/22/2011	part I, Line C, column (f) To finance the cost of hospital buildings and equipment and to refund the Series 2001 bonds of the South Dakota Health and Educational Facilities Authority previously issued on April 11, 2001. Schedule K, Part III, Line 3 Issue Price 50,460,000 Net Premium 3,989,182 __________ 54,449,182

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
353 Fairmont Boulevard	Rapid City	SD	57701	201487506	Healthcare	SD	501 c (3)	11-Type III	NA	false
Regional Health Network Inc
353 Fairmont Blvd	Rapid City	SD	57701	460360899	Healthcare	SD	501 (c) (3)	3	rhi	true
Regional Health Physicians Inc
353 Fairmont Blvd	Rapid City	SD	57701	460372454	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	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	Code VCodeVAmount	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
Same Day Surgery Ctr 411889892
651 Cathedral Dr rapid city sd	Rapid City	SD	57701	411889892	Healthcare	SD	NA	Investment	2278605	1345579	false	$0	false	0.40000
Medical Dental Bldg 460339629
				460339629	Med office bldg	SD	NA	Investment	21141	787756	false	$0	false	0.71450
Black Hills Med bldg 411992146
677 cathedral dr rapid city sd	Rapid City	SD	57701	411992146	med office bldg	SD	NA	Investment	-44483	1684148	false	$0	false	0.67930
THE Imaging Center LLC 300357026
PO Box 8130 Rapid City SD	Rapid City	SD	57701	300357026	MEDICAL IMAGING	SD	NA	Investment	826835	170795	false	$0	false	0.50000
THE MRI CENTER LLC
PO Box 8130 rapid city sd	Rapid City	SD	57709	300357077	EQUIPMENT	SD	NA	Investment	418	-245145	false	$0	false	0.33330
n plains premier col 900701417
3900 W Avera Dr sioux falls sd	Sioux Falls	SD	57108	900701417	purchasing	SD	NA	Investment	-64524	35148	false	$0	false	0.50000

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
Share Of Total Income	174332	ShareOfTotalIncome
Share Of EOY Assets	135778	ShareOfEOYAssets
Percentage Ownership	0.50000	PercentageOwnership

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	true	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	true	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	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (12 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Regional Health Network Inc
l	689546	cost
Regional Health Physicians Inc
j	8634	cost
Regional Health Physicians Inc
n	298800	cost
Regional Health Physicians Inc
i	920524	cost
Same Day Surgery Centter LLC
i	632289	cost + markup
Regional Health Network Inc
k	7907025	cost
Regional Health Physicians Inc
k	614562	cost
Same Day Surgery Centter LLC
k	343241	cost + markup
Same Day Surgery Centter LLC
n	2481190	cost + markup
Regional Health Network Inc
o	1711361	cost
Regional Health Physicians Inc
o	1487835	cost
Same Day Surgery Centter LLC
o	171332	cost + markup