2013-05-15T16:37:51-05:00 2012-06-30 ERNST & YOUNG US LLP 155 NORTH WACKER DR CHICAGO IL 60606 990 2011-07-01 460319070 RAPID CITY REGIONAL HOSPITAL INC % MARK THOMPSON RAPI 6057559130 353 Fairmont Blvd PO Box 6000 Rapid City SD 57701 Mark Thompson 2013-05-15 3128792000 2011 2016-02-24 21:20:13Z Charles E Hart MD MS 2925 Regional Way Rapid City SD 57701 463793517 false X www.regionalhealth.com X 1973 SD to provide and support health care excellence in partnership with the communities we serve. 13 9 3696 442 4923668 1869113 6124669 4749192 431520722 380122755 24676376 20801982 286765 57130874 462608532 462804803 0 0 0 0 179730804 195882187 0 0 344754 205899438 205734979 385630242 401617166 76978290 61187637 778637784 862197416 231260113 268087313 547377671 594110103 X To provide and support health care excellence in partnership with the communities we serve. false false 20953952 98412927 Pharmacy - provide pharmaceuticals in support of acute care hospital patients. 20019807 89136656 Surgical Services - provide in and out patient surgical services to acute care patients. 11558731 72471919 Laboratory - provide laboratory testing in support of acute care patients. 210647331 175712415 263179821 true true false true false false false false false true true false true true true true false true false false false false false false true false true true false false true true false false false false false false false true true true false false false false false true true true false false true 416 0 true 3696 true true true false false false true true true true false false false false X 13 9 true false false false true true true true true false false true true true true true true true true true true X MARK THOMPSON 6057559127 2925 REGIONAL WAY Rapid City SD 57701 X HART MD CHARLES E 60.0 X X 845576 0 48425 DISHMAN ROY 1.0 X FROST MD STEVE 1.0 X FROST MD TIMOTHY 1.0 X HERR MD VICTORIA 1.0 X KOVARIK MD STEPHEN 1.0 X LEE SHARON 2.0 X X MORRISON TOM 2.4 X X POPP DENNIS 1.0 X RIDDLE-SCHUMACHER TAMARA 1.0 X X SEAMAN LISA 2.0 X SMITH MD GREGORY L 40.0 X 305443 0 44507 SORENSEN JIM 2.0 X X WHITE KLYE 1.0 X YELICK EDWARD UNTIL 52012 3.3 X 832 0 SUGHRUE TIMOTHY H 55.0 X X 584238 0 39360 KEEGAN MD JAMES M 55.0 X 451086 0 20073 HAXTON RITA K 55.0 X 260941 0 59054 ALLEN JR MD ROBERT G 55.0 X 283057 0 25650 BERRETH ALLAN L 55.0 X 194078 0 32779 GALBRAITH JEANNE A 55.0 X 152972 0 36458 SLUKA JR JOSEPH C 55.0 X 449352 0 43698 THOMPSON MARK A 55.0 X 327989 0 49153 LATUCHIE RICHARD S 55.0 X 281210 0 43058 MASTEN MARY E 55.0 X 276960 0 54693 MCGLONE ROBERT O 55.0 X 256519 0 70726 DEGROOT SHAWN Y 55.0 X 194297 0 32231 BRODIN MARK F 55.0 X 168624 0 34446 HORTON JENNIFER D 55.0 X 164849 0 31605 TUMA MD JOSEPH L 40.0 X 875135 0 89924 ZINELDINE MD AMAD 40.0 X 738967 0 78704 TEIXEIRA MD JOSE M 40.0 X 727527 0 35816 HEILMAN III MD K JOHN 40.0 X 665913 0 73968 TAKARA MD JAMES P 40.0 X 600188 0 64317 8805753 0 1008645 196 false true false 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 73 159739 1287702 3301751 4749192 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 40993981 40993981 380122755 21659792 13193 21646599 304129 304129 0 822688 918424 -95736 -95736 -95736 -1161939 -1161939 -1161939 -1161939 725055 255233 469822 469822 0 270904 -184943 85961 85961 INTERCOMPANY - MGT FEES 900099 36003860 36003860 PHARMACY SALES TO EMPLOYEES 900099 5096074 5096074 SRVC AGREEMENT - SDSC JOINT VENTURE 900099 3112639 3112639 12458254 11398589 1059665 56670827 462804803 431883107 4923668 21248836 0 0 0 0 8319544 3838277 4481267 193553 193553 166262716 128238748 37810846 213122 3941851 2983198 953846 4807 5882387 4451799 1423415 7173 11282136 8616953 2650496 14687 0 736538 7600 728938 245400 245400 90247 90247 0 1101219 1101219 32123591 18842503 13281088 522260 47142 434756 40362 1445810 742949 693880 8981 7714202 1128818 6585384 0 7026322 602644 6423678 455403 333548 119455 2400 0 1349733 675964 669744 4025 3625818 146749 3479069 0 19673042 8916487 10755059 1496 717318 120 717198 Medical supplies 71693196 73562028 -1868832 INTERCOMPANY SUPPLIES & SERV 29724140 472794 29251346 LOSS EARLY EXTINGUISH. DEBT 649582 649582 Interest rate swap 7504051 7504051 19337107 9377947 9911459 47701 401617166 263179821 138092591 344754 20666928 7035183 0 0 0 0 51785670 64327994 0 0 0 0 0 0 7588693 9182870 5823120 8004963 432623488 282023777 117084180 150599711 0 0 0 0 442316899 472387635 0 0 133372294 150659060 778637784 862197416 36944758 45365022 0 0 0 0 159915706 174011840 0 0 0 0 0 0 0 0 34399649 48710451 231260113 268087313 X 535688824 582558987 9940868 9803137 1747979 1747979 547377671 594110103 778637784 862197416 X 61187637 -14455205 X X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false true 50000 true 11154 false true 29093 90247 false Moving South Dakota Forward Initiative Schedule C, Part II-B, Line 1f 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. 1747979 1747979 1747979 1747979 1747979 1747979 1747979 1747979 1.00000 false false 2443047 2443047 208880923 117905012 90975911 203022326 164118765 38903561 18277192 18277192 150599711 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 472387635 INTERCOMPANY RECEIVABLES 143843160 Other receivables 2712438 Goodwill, net 2126511 Bond issue costs, net 1976951 150659060 0 Payable under interest rate swap 14045106 Other long term liabilities 15600359 Accrued pension liability 19064986 48710451 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. Duck Race 107701 107701 10172 408 25433 Tough Enough 140139 140139 1690 1123 67628 17 477215 477215 148779 725055 725055 11862 1531 241840 255233 469822 true true X false false true true true false true true 10757270 0 10757270 0.02680 47059182 39261335 7797847 0.01940 0 0 0 0.00000 57816452 39261335 18555117 0.04620 56 15262 307118 53922 253196 0.00060 13 12507 5671291 3881120 1790171 0.00450 0 0 0 0 0.00000 2 250 2196562 1882957 313604 0.00080 17 2156 825402 0 825402 0.00210 88 30175 9000373 5817999 3182373 0.00800 88 30175 66816825 45079334 21737490 0.05420 2 1500 3333 0 3333 0.00000 3 0 1995 0 1995 0.00000 9 1400 14266 0 14266 0.00000 1 0 333 0 333 0.00000 1 0 122 0 122 0.00000 5 2990 31728 3154 28574 0.00010 10 0 30543 189 30354 0.00010 8 53 8272 0 8272 0.00000 39 5943 90592 3343 87249 0.00020 true 20163773 2258540 112121826 118933412 -6811586 X true true 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 2 1 RAPID CITY REGIONAL HOSPITAL

353 FAIRMONT BLVD RAPID CITY SD 57701

X X X X 2 SAME DAY SURGERY CENTER

651 CATHEDRAL DRIVE RAPID CITY SD 57701

X 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 X false true 3 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 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. false true false false false false false false false 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 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 SCHEDULE J, PART I, LINE 4B Regional Health provides a supplemental nonqualified retirement plan and a flexible benefit plan that can include deferred compensation for its executives. 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. 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 505000 0 67033801 0 0 0 790000 45000 0 12387353 51125000 0 2011 true false true true 0 0 57294245 0 0 0 784764 0 0 16322361 31601312 8584906 2013 true false false true 0 0 54449182 0 0 0 709782 0 0 4013993 23739401 25985607 2014 true false false true 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 false true true us bank na 16.2 false false false 0 false false false false false 0 false 0 false false false false false 0 false 0 false false X 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 PART IV, LINE 1 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. 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 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 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 Western Providers Inc 677 Cathedral Dr Suite 309 Rapid City SD 57701 411889163 Medical Service SD NA C Corp 174332 135778 0.50000 false false false true false false false false true true true true false true true false false false 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