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MONUMENT HEALTH NETWORK INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MONUMENT HEALTH NETWORK INC (EIN 46-0360899)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-15
IRS object ID
201331359349306028
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-15T15:53:24-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1155 NORTH WACKER DRAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60606ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN460360899EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1REGIONAL HEALTH NETWORK INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% MARK THOMPSONInCareOfName
Name ControlREGINameControl
Phone6057559130Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12925 Regional WayAddressLine1
CityRapid CityCity
StateSDState
ZIP Code57701ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMark ThompsonName
TitleCFOTitle
Date Signed2013-05-15DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone3128792000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonCharles Hart MD MSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12925 Regional WayAddressLine1
CityRapid CityCity
StateSDState
ZIP Code57701ZIPCode
FieldValueIRS element (for citing)
Gross Receipts83347651GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.regionalhealth.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2005YearFormation
State Legal DomicileSDStateLegalDomicile
Activity Or Mission DescriptionTo provide and support health care excellence in partnership with the communities we serve.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees1173TotalNbrEmployees
Total Nbr Volunteers247TotalNbrVolunteers
Total Gross UBI2714684TotalGrossUBI
Net Unrelated Business Txbl Income-57245NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year179284ContributionsGrantsPriorYear
Contributions Grants Current Year193289ContributionsGrantsCurrentYear
Program Service Revenue Prior Year84076396ProgramServiceRevenuePriorYear
Program Service Revenue CY82965196ProgramServiceRevenueCY
Investment Income Prior Year135235InvestmentIncomePriorYear
Investment Income Current Year118209InvestmentIncomeCurrentYear
Other Revenue Prior Year58161OtherRevenuePriorYear
Other Revenue Current Year37852OtherRevenueCurrentYear
Total Revenue Prior Year84449076TotalRevenuePriorYear
Total Revenue Current Year83314546TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year43963341SalariesEtcPriorYear
Salaries Etc Current Year43461740SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year33971752OtherExpensePriorYear
Other Expenses Current Year30405327OtherExpensesCurrentYear
Total Expenses Prior Year77935093TotalExpensesPriorYear
Total Expenses Current Year73867067TotalExpensesCurrentYear
Revenues Less Expenses Prior Year6513983RevenuesLessExpensesPriorYear
Revenues Less Expenses CY9447479RevenuesLessExpensesCY
Total Assets BOY49482747TotalAssetsBOY
Total Assets EOY52913755TotalAssetsEOY
Total Liabilities BOY35120295TotalLiabilitiesBOY
Total Liabilities EOY29103824TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY14362452NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY23809931NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE AND SUPPORT HEALTH CARE EXCELLENCE IN PARTNERSHIP WITH THE COMMUNITIES WE SERVE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense4594106Expense
Revenue19705498Revenue
DescriptionSPEARFISH REGIONAL HOSPITAL SURGICAL SERVICESDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense4396352Expense
Revenue4369309Revenue
DescriptionCUSTER REGIONAL HOSPITAL LONG TERM CARE SKILLED NURSINGDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense2314428Expense
Revenue1780439Revenue
DescriptionCUSTER REGIONAL HOSPITAL REGIONAL MEDICAL CLINIC PRIMARY CAREDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp40084904TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev51389790TotalOfOtherProgramServiceRev
Total Program Service Expense51389790TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096154NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1173NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMARK THOMPSONNamePerson
Telephone Number6057559127TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12925 REGIONAL WAYAddressLine1
CityRapid CityCity
StateSDState
ZIP Code57701ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
HART MD CHARLES E
PRESIDENT AND CEO60.0XX084557648425
BILLS LAVERN
BOARD OF DIR MEM (UNTIL 8/11)0.8X
CAPPA PETER
TREASURER, BOARD OF DIRECTORS0.4XX
DAHLSTROM JONATHAN
BOARD OF DIRECTORS MEMBER0.7X
ESTES DOYLE
BOARD OF DIR MEM (UNTIL 8/11)0.8X
GRABER MD TERRY
PHYSICIAN, SECR., BD OF DIR.40.0XX041158261623
GROEGER MD THOMAS
Physician, vice chair, bd dir.40.0XX017819149654
JOHNSON MD JORGE
Physician and BOARD OF Dir.1.4X
LAMPHERE ROSS
BOARD OF DIRECTORS MEMBER1.4X
LARSON JUDITH
CHAIRMAN, BOARD OF DIRECTORS1.4XX
PINSKE DUSTY
BOARD OF DIRECTORS MEMBER0.9X
SABERS KEN
BOARD OF DIRECTORS MEMBER0.9X
SUGHRUE TIMOTHY H
COO RH, CEO RCRH & RHN, Bd dir55.0XX058423839360
THOM DAVID
BOARD OF DIRECTORS MEMBER0.9X
TYSDAL RICHARD
BOARD OF DIRECTORS MEMBER1.3X
SLUKA JR JOSEPH C
EXECUTIVE VP, CAO55.0X044935243698
THOMPSON MARK A
VP OF FINANCE, CFO55.0X032798949153
LATUCHIE RICHARD S
VP OF INFO TECHNOLOGY, CIO55.0028121043058X
MASTEN MARY E
VP OF LEGAL SERVICES55.0027696054693X
MCGLONE ROBERT O
VP OF HUMAN RESOURCES55.0025651970726X
DEGROOT SHAWN Y
VP OF CORPORATE RESPONSIBILITY55.0019429732231X
BRODIN MARK F
VP OF DECISION SUPPORT55.0016862434446X
HORTON JENNIFER D
VP OF PR MARKETING55.0016484931605X
golliher md Warren
physician and Board of Dir.1.2X044000
VEITZ LARRY W
CEO OF SPEARFISH REGIONAL HOSP55.0229216052325X
BRYANT GLENN E
COO OF RHN OUTREACH55.0227129028804X
HYDE VAN
CEO OF STURGIS REGIONAL HOSP.55.0155743019153X
FROMM MD CHRISTOPHER K
PHYSICIAN40.0247974040092X
BAILEY MD LEE B
PHYSICIAN40.0237962042268X
BALT DO DAVID A
PHYSICIAN40.0218615032321X
REID THOMAS
NURSE ANESTHETIST40.0214877020642X
POTTS MD DONALD M
PHYSICIAN40.0214528030836X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1746044TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs4143787TotalReportableCompFrmRltdOrgs
Total Other Compensation825113TotalOtherCompensation
Number Individuals GT100 K27NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
GE MED SYTM ULTRA SOUND PRIMARY
75 REMITTANCE DR StE 1080CHICAGOIL606751080EQUIP ACQUISITION303207
DMS HEALTH TECHNOLOGIES INC
26273 NETWORK PLACECHICAGOIL606731262MRI DIAGNOSTIC SRVS279542
GARY BIEGANSKI
706 BORDEAUX ROADCHADRONNE693379399INTERIM CEO - WESTON192500
SENTRA DATA SYSTEMS INC
600 FAIRWAY DR STE 201DEERFIELD BEACHFL33441CLAIMS PROCESSING169463
MAYO COLLABORATIVE SERVICES INC
PO BOX 9146MINNEAPOLISMN554809146PT. DIAG. LAB TESTS117835
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K
Fundraising Events40918FundraisingEvents
Government Grants83597GovernmentGrants
All Other Contributions68774AllOtherContributions
Total Contributions193289TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
ACUTE CARE HOSPITAL IN AND OUT PATIENTS6230005917200059172000
LONG TERM CARE FACILITIES62300092180009218000
ASSISTED LIVING FACILITIES62300022010002201000
HOME CARE SERVICES62161017540001754000
PHYSICIAN CLINICS62111022180002218000

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column8402196TotalRevenueColumn
Related Or Exempt Function Income5687512RelatedOrExemptFunctionIncome
Unrelated Business Revenue2714684UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Program Service Revenue82965196TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column118209TotalRevenueColumn
Exclusion$118,209ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events70957GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events40918CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses33105FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column37852TotalRevenueColumn
Exclusion$37,852ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column83314546TotalRevenueColumn
Related Or Exempt Function Income80250512RelatedOrExemptFunctionIncome
Unrelated Business Revenue2714684UnrelatedBusinessRevenue
Exclusion$156,061ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1418298Total
Management And General1418298ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total33313478Total
Program Services28329515ProgramServices
Management And General4983963ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total795036Total
Management And General795036ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5678036Total
Program Services4218105ProgramServices
Management And General1459931ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2256892Total
Program Services1834793ProgramServices
Management And General422099ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total46567Total
Management And General46567ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total6000Total
Management And General6000ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total14168Total
Management And General14168ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2140605Total
Program Services1402601ProgramServices
Management And General738004ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total93662Total
Program Services33265ProgramServices
Management And General60397ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total299390Total
Program Services195276ProgramServices
Management And General104114ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total400002Total
Program Services294408ProgramServices
Management And General105594ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1948664Total
Program Services938724ProgramServices
Management And General1009940ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total190567Total
Program Services141696ProgramServices
Management And General48871ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total166911Total
Program Services137953ProgramServices
Management And General28958ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total42502Total
Program Services18ProgramServices
Management And General42484ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3802631Total
Program Services2100510ProgramServices
Management And General1702121ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total298287Total
Management And General298287ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
INTERCOMPANY SUPPLIES & SERV1004302720735767969451
MEDICAL SUPPLIES64229146428479-5565
MAINT-EQUIP-CONTR100043396319737236
OTHER DEPT. SUPPLIES745820110149635671

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2743177Total
Program Services2187525ProgramServices
Management And General555652ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total73867067Total
Program Services51389790ProgramServices
Management And General22477277ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY811909BOY
EOY932042EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY9322696BOY
EOY10940177EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1222731BOY
EOY1366936EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY445456BOY
EOY515440EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis82595543LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec44719859LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY36581169BOY
EOY37875684EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY123020BOY
EOY255087EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY975766BOY
EOY1028389EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY49482747BOY
EOY52913755EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4920267BOY
EOY4483286EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY30200028BOY
EOY24620538EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY35120295BOY
EOY29103824EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY13403231BOY
EOY22741766EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY859221BOY
EOY968165EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY100000BOY
EOY100000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14362452BOY
EOY23809931EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY49482747BOY
EOY52913755EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses9447479ReconcilationRevenueExpenses
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$14,168OtherActivitiesAmount
Total Lobbying Expenditures IIB14168TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLobbying portion of membership duesIdentifier
Return ReferenceSCHEDULE C, PART II-B, LINE 1iReturnReference
ExplanationANNUAL DUES ARE PAID TO THE SOUTH DAKOTA ASSOCIATION OF HEALTHCARE ORGANIZATIONS AND THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THESE DUES ARE APPLICABLE TO LOBBYING ACTIVITIES. FOR FISCAL YEAR 2012, DUES IN THE AMOUNT OF $77,531 Were PAID TO THE SOUTH DAKOTA ASSOCIATION OF HEALTHCARE ORGANIZATIONS, 4.57% OF WHICH, ($3,543) WERE USED FOR LOBBYING PURPOSES; AND DUES IN THE AMOUNT OF $43,190 Were PAID TO THE AMERICAN HOSPITAL ASSOCIATION, 24.60% OF WHICH, ($10,625) WERE USED FOR LOBBYING PURPOSES.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance100000BeginningOfYearBalance
End Of Year Balance100000EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance100000BeginningOfYearBalance
End Of Year Balance100000EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance100000BeginningOfYearBalance
End Of Year Balance100000EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance100000BeginningOfYearBalance
End Of Year Balance100000EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis8868079OtherCostOrOtherBasis
Book Value8868079BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis40416309OtherCostOrOtherBasis
Depreciation20175522Depreciation
Book Value20240787BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis30468203OtherCostOrOtherBasis
Depreciation23120685Depreciation
Book Value7347518BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2842952OtherCostOrOtherBasis
Depreciation1423652Depreciation
Book Value1419300BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings37875684TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO RELATED PARTIES-INVESTMENTDescription
Amount$24,620,538Amount
FieldValueIRS element (for citing)
Total Of Amounts24620538TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ENDOWMENT FUNDSSchedule D, Part V, Line 4ENDOWED FUNDS ARE PERMANENTLY RESTRICTED FROM USE AND ARE HELD IN AN INTEREST BEARING ACCOUNT. THE INTEREST EARNED MAY BE USED BY THE ORGANIZATION AT ITS DESCRETION.
Footnote TO FINANCIAL STATEMENTS FOR UNCERTAIN TAX POSITIONS UNDER ASC 740SCHEDULE D, PART X, LINE 2REGIONAL HEALTH BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. REGIONAL HEALTH WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. REGIONAL HEALTH'S FEDERAL FORM 990T FILINGS ARE NO LONGER SUBJECT TO FEDERAL TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2009.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1HOSPICE BALLNameOfEvent1
Gross Receipts Event154086GrossReceiptsEvent1
Charitable Contributions Event12475CharitableContributionsEvent1
Gross Revenue Event151611GrossRevenueEvent1
Rent Facility Costs Event114347RentFacilityCostsEvent1
Entertainment Event12700EntertainmentEvent1
Other Direct Expenses Event13293OtherDirectExpensesEvent1
Name Of Event2GOLF TOURN.NameOfEvent2
Gross Receipts Event224071GrossReceiptsEvent2
Charitable Contributions Event24725CharitableContributionsEvent2
Gross Revenue Event219346GrossRevenueEvent2
Rent Facility Costs Event28834RentFacilityCostsEvent2
Other Direct Expenses Event2970OtherDirectExpensesEvent2
Total Number Of Other Events2TotalNumberOfOtherEvents
Gross Receipts Other Events33718GrossReceiptsOtherEvents
Charitable Contrib Other Events33718CharitableContribOtherEvents
Other Direct Expenses Other Events2961OtherDirectExpensesOtherEvents
Gross Receipts Total111875GrossReceiptsTotal
Charitable Contributions Total40918CharitableContributionsTotal
Gross Revenue Total Events70957GrossRevenueTotalEvents
Rent Facility Costs Total Events23181RentFacilityCostsTotalEvents
Entertainment Total Events2700EntertainmentTotalEvents
Other Direct Expenses Total Events7224OtherDirectExpensesTotalEvents
Direct Expense Summary Events33105DirectExpenseSummaryEvents
Net Income Summary37852NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CarefalseFPGReferenceFreeCare
FPG Reference Discounted CarefalseFPGReferenceDiscountedCare
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense3146963TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense3146963NetCommunityBenefitExpense
Percent Of Total Expense0.04260PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense9310112TotalCommunityBenefitExpense
Direct Offsetting Revenue8433578DirectOffsettingRevenue
Net Community Benefit Expense876534NetCommunityBenefitExpense
Percent Of Total Expense0.01190PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense12457075TotalCommunityBenefitExpense
Direct Offsetting Revenue8433578DirectOffsettingRevenue
Net Community Benefit Expense4023497NetCommunityBenefitExpense
Percent Of Total Expense0.05450PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs28NumberOfActivitiesOrPrograms
Persons Served2776PersonsServed
Total Community Benefit Expense24592TotalCommunityBenefitExpense
Direct Offsetting Revenue9940DirectOffsettingRevenue
Net Community Benefit Expense14652NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Persons Served26PersonsServed
Total Community Benefit Expense39612TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense39612NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served123PersonsServed
Total Community Benefit Expense16534TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense16534NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs39NumberOfActivitiesOrPrograms
Persons Served2925PersonsServed
Total Community Benefit Expense80738TotalCommunityBenefitExpense
Direct Offsetting Revenue9940DirectOffsettingRevenue
Net Community Benefit Expense70798NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs39NumberOfActivitiesOrPrograms
Persons Served2925PersonsServed
Total Community Benefit Expense12537813TotalCommunityBenefitExpense
Direct Offsetting Revenue8443518DirectOffsettingRevenue
Net Community Benefit Expense4094295NetCommunityBenefitExpense
Percent Of Total Expense0.05540PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense1363TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense1363NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense1541TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense1541NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs9NumberOfActivitiesOrPrograms
Persons Served1047PersonsServed
Total Community Building Expense3945TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense3945NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Total Community Building Expense1296TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense1296NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served15PersonsServed
Total Community Building Expense10063TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense10063NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Total Community Building Expense371TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense371NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs21NumberOfActivitiesOrPrograms
Persons Served1062PersonsServed
Total Community Building Expense18579TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense18579NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$1,541,168BadDebtExpenseAmount
Amount Attributable To225949AmountAttributableTo
Amount Reimbursed By Medicare21773544AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare22194928CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-421384MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities4NumberOfHospitalFacilities

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

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalCritical Access HospitalCriticalAccessHospitalEr24 HoursEr24Hours
Custer Regional Hospital
11039 Montgomery StreetCusterSD57730XXXX
Lead-Deadwood Regional Hospital
261 charles StreetDeadwoodSD57732XXXX
Spearfish Regional Hospital
31440 N Main StreetSpearfishSD57783XXX
Sturgis Regional Hospital
4949 Harmon StreetSturgisSD57785XXXX

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (4 entries)

Hospital Facility NumberHospitalFacilityNumberEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeUses FPG DiscountedUsesFPGDiscountedExplains BasisExplainsBasisIncome LevelIncomeLevelOther FactorsOtherFactorsExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresPosted On WebsitePostedOnWebsitePosted In Emergency RoomPostedInEmergencyRoomPosted In Admission OfficePostedInAdmissionOfficeProvided On AdmissionProvidedOnAdmissionAvailable On RequestAvailableOnRequestOther PublicityOtherPublicityActions On NonpaymentActionsOnNonpaymentCollection ActivitiesCollectionActivitiesNotify Upon AdmissionNotifyUponAdmissionNotified All PatientsNotifiedAllPatientsDocumented DeterminationDocumentedDeterminationNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyUsed Other MethodUsedOtherMethodAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossCharges
Custer Regional Hospital
1truefalsefalsetrueXXtruetrueXXXXXXtruefalseXXXtrueXfalsetrue
Lead-Deadwood Regional Hospital
2truefalsefalsetrueXXtruetrueXXXXXXtruefalseXXXtrueXfalsetrue
Spearfish Regional Hospital
3truefalsefalsetrueXXtruetrueXXXXXXtruefalseXXXtrueXfalsetrue
Sturgis Regional Hospital
4truefalsefalsetrueXXtruetrueXXXXXXtruefalseXXXtrueXfalsetrue

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities2NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
CUSTER REGIONAL SENIOR CARE
1065 MONTGOMERY STREETCUSTERSD57730SKILLED LONG TERM NURSING HOME FACILITY
STURGIS REGIONAL SENIOR CARE
949 HARMON STREETSTURGISSD57785SKILLED LONG TERM NURSING HOME FACILITY

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

IdentifierIdentifierExplanationExplanation
SUPPLEMENTAL SCHEDULE H INFORMATIONREFERENCES TO "REGIONAL HEALTH" APPLY TO ALL ENTITIES CONTROLLED OR LEASED BY REGIONAL HEALTH, INC. THIS INCLUDES THE REPORTING ENTITY.
PART I, LINE 3CREGIONAL 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 6AA 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 7MEDICARE 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 4THE 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 8THE 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 REPORT. THE RESULT IS A SHORTFALL WITH COSTS EXCEEDING THE REIMBUREMENT.
PART III, LINE 9BTHE COLLECTION POLICY REQUIRES INVOKING OF THE FINANCIAL ASSISTANCE POLICY ANY TIME A PATIENT EXPRESSED FINANCIAL DIFFICULTY IN MEETING THEIR DEBT OBLIGATION. Part V, Section B, 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 hospitals Financial Assistance Policy is posted for all patients at various points of entry with the policy in its entirety available upon request.
PART V, SECTION B, LINE 19DAll 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 21ALL 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 AssessmentREGIONAL 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 INTEREST 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 and Eligibility for AssistanceWE 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 InformationREGIONAL 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 HealthREGIONAL HEALTH PROVIDES NUMEROUS COMMUNITY HEALTH EDUCATION EVENTS AND SCREENINGS THROUGHOUT THE BLACK HILLS REGION. REGIONAL HEALTH ALSO PROVIDES FINANCIAL SUPPORT TO OTHER NONPROFIT ORGANIZATIONS TO HELP SUPPORT COMMUNITY HEALTH OUTREACH. ADDITIONALLY, REGIONAL HEALTH PROVIDES IN-KIND SUPPORT AND EMPLOYEE VOLUNTEERS TO HELP SUPPORT COMMUNITY HEALTH EVENTS AND ACTIVITIES. Other Information REGIONAL HEALTH IS GOVERNED BY A COMMUNITY BOARD THAT PROVIDES LEADERSHIP TO THE ORGANIZATION TO MEET THE COMMUNITY NEEDS. REGIONAL HEALTH PARTNERS WITH EDUCATIONAL INSTITUTIONS TO PROVIDE NUMEROUS CLINICAL TRAINING PROGRAMS; PROVIDES MEDICAL SERVICES THAT IF THEY WERE NOT PROVIDED BY REGIONAL HEALTH WOULD NOT EXIST IN OUR REGION; AND OFFERS HEALTH SCREENINGS AND EVENTS TO THE PEOPLE OF THE REGION.
Affiliated Health Care SystemREGIONAL 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 AssessmentREGIONAL 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

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (20 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
HART MD CHARLES E
06966920148195068904341005015089400100
GRABER MD TERRY
0411582000005784203781047320500
GROEGER MD THOMAS
0178191000004319406460022784500
SUGHRUE TIMOTHY H
05168160674220003424605114062359800
SLUKA JR JOSEPH C
03954580538940003847505223049305000
THOMPSON MARK A
02869980409910004311406039037714200
LATUCHIE RICHARD S
02579060233040003934703711032426800
MASTEN MARY E
02517930251670004958505108033165300
MCGLONE ROBERT O
02341070224120006612204604032724500
DEGROOT SHAWN Y
01763760179210002829603935022652800
BRODIN MARK F
01446380239860002939805048020307000
HORTON JENNIFER D
01493300155190002476606839019645400
VEITZ LARRY W
21024201897400047990043350281541000
BRYANT GLENN E
20716501996400023607051970255933000
HYDE VAN
14213701360600014039051140174896000
FROMM MD CHRISTOPHER K
2479740000036051040410288066000
BAILEY MD LEE B
2379620000038487037810280230000
BALT DO DAVID A
2186150000027839044820250936000
REID THOMAS
214627025000014049065930235519000
POTTS MD DONALD M
2145280000027696031400245364000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Supplemental Compensation InformationPart I, Line 3THE COMPLIANCE AND AUDIT COMMITTEE, WHICH IS A COMMITTEE OF THE REGIONAL HEALTH (PARENT) BOARD, REVIEWS AND APPROVES BASE SALARY AND TOTAL COMPENSATION RANGES FOR ALL EXECUTIVES WITH IN THE REGIONAL HEALTH SYSTEM.
SUPPLEMENTAL INFORMATIONSCHEDULE J, PART I, LINE 4BREGIONAL HEALTH PROVIDES A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND A FLEXIBLE BENEFIT PLAN THAT CAN INCLUDE DEFERRED COMPENSATION FOR ITS EXECUTIVES. SEE COLUMN 'C' ON SCHEDULE J FOR THOSE PERSONS LISTED IN FORM 990, PART VII, SECTION A, LINE 1A THAT PARTICIPATED IN OR RECEIVED PAYMENT FROM THOSE TWO PLANS.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Other Program ServicesFORM 990, PART III, Line 4DThe REGIONAL HEALTH NETWORK, INC. IS A NETWORK OF SMALL HOSPITALS, NURSING HOMES AND ASSISTED LIVING FACILITIES IN WESTERN SOUTH DAKOTA. THESE HOSPITALS AND LONG TERM CARE FACILITIES ARE LOCATED IN SMALL RURAL TOWNS AND PROVIDE A VERY NECESSARY RURAL HEALTHCARE SAFETY NET.
Bond IssuesForm 990, Part IV, Line 24aAll related corporations are equally liable for the repayment of the bonds reported on the Rapid City Regional Hospital Form 990.
Description of classes of members or stockholdersForm 990, PART VI, Question 6, 7A AND 7BRegional Health, Inc. is the sole member of Regional Health Network, Inc. REGIONAL HEALTH, INC. HAS FINAL AUTHORITY OVER CERTAIN DECISIONS PERTAINING TO REGIONAL HEALTH NETWORK, INC.
Describe the Process used by Management &/or Governing Body to Review 990Form 990, Part VI, Question 11BTHE 990 IS PREPARED AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. IT IS THEN REVIEWED INTERNALLY BY FINANCE AND LEGAL MANAGEMENT. THE FORM 990 IS FURTHER REVIEWED, PRIOR TO FILING, BY THE ORGANIZATION'S BOARD OF DIRECTORS THROUGH A PORTAL TO THE ORGANIZATION'S INTERNAL INFORMATION SYSTEM, TO WHICH EACH BOARD MEMBER HAS ACCESS. EDUCATIONAL SESSIONS HAVE BEEN PROVIDED TO EACH BOARD MEMBER ON HOW TO ACCESS THE PORTAL.
Description of Process to Monitor Transactions for Conflicts of InterestForm 990, Part VI, Question 12cAS A PART OF THE ANNUAL DISCLOSURE OF POTENTIAL CONFLICTS PROCESS, ALL BOARD MEMBERS, OFFICERS, MANAGEMENT RECEIVE A COPY OF THE CONFLICT OF INTEREST POLICY AND SIGN AN ACKNOWLEDGEMENT THEY HAVE READ AND UNDERSTAND IT. ADDITIONALLY, THEY ARE EACH REQUIRED TO COMPLETE A DISCLOSURE STATEMENT. ANNUALLY, A SUMMARY LIST OF ALL CONFLICTS DISCLOSED BY BOARD MEMBERS IS PREPARED AND PROVIDED TO THE FULL BOARD SO BOARD MEMBERS ARE AWARE OF THE CONFLICTS / INTERESTS OF OTHER BOARD MEMBERS AND ARE ABLE TO POINT OUT CONFLICTS IF AN INDIVIDUAL MEMBER WITH A CONFLICT FORGETS. ADDITIONALLY, THE AGENDA FOR EACH BOARD MEETING AND EACH BOARD COMMITTEE MEETING INCLUDES AN INITIAL AGENDA ITEM "CONFLICTS OF INTEREST" WHERE BOARD MEMBERS ARE ASKED IF THEY HAVE ANY CONFLICTS RELATED TO THE OTHER ITEMS ON THE AGENDA. ALL EMPLOYEES ARE COVERED BY THE CONFLICT OF INTEREST POLICY BUT COMPLETION OF THE ANNUAL DISCLOSURE STATEMENT IS LIMITED TO BOARD AND BOARD COMMITTEE MEMBERS, MANAGEMENT, AND CERTAIN PHYSICIANS. IF, WHERE A PROPOSED TRANSACTION INVOLVES A BOARD MEMBER, THE TRANSACTION IS REVIEWED BY THE COMPLIANCE AND AUDIT COMMITTEE OF THE BOARD WITH ONLY NON-CONFLICTED MEMBERS OF THE COMMITTEE PRESENT. AT MEETINGS, BOARD MEMBERS WHO HAVE A CONFLICT OF INTEREST MAY BE INVITED TO SPEAK ON THE MATTER BY THE CHAIRMAN, BUT ARE NOT PERMITED TO VOTE ON THE MATTER AND ARE REQUIRED TO LEAVE THE MEETING DURING DISCUSSION, AFTER THEY HAVE MADE ANY COMMENTS INVITED BY THE CHAIR. FAILURE TO COMPLY WITH THIS POLICY CONSTITUTES GROUNDS FOR REMOVAL FROM OFFICE OR MEMBERSHIP AND, IN THE CASES OF ALL EMPLOYEES, TERMINATION OF EMPLOYMENT.
Offices & Positions for Which Process was Used, & Year Process was BegunForm 990, Part VI, Question 15a & 15bTHE 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 PublicForm 990, Part VI, Question 19THE ARTICLES OF INCORPORATION OF THE ORGANIZATION ARE FILED IN THE OFFICE OF THE SECRETARY OF STATE OF SOUTH DAKOTA AND ARE AVAILABLE TO THE PUBLIC. OTHER DOCUMENTS (BYLAWS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS) ARE NOT POSTED FOR THE PUBLIC BUT ARE AVAILABLE OR DESCRIBED IN OTHER PUBLIC DOCUMENTS SUCH AS OFFERING STATEMENTS IN BOND ISSUES OR MUNICIPAL SECURITIES RULEMAKING BOARD'S ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) DATA PORT.
Compensation of Officers Directors TrusteesFORM 990, PART VII, HOURS DEVOTED TO FILING AND RELATED ORGANIZATIONSTHE 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 8.12 51.88 GRABER MD, TERRY SECRETARY BOARD OF DIRECTORS MEMBER 20.62 19.38 GROEGER MD, THOMAS VICE CHAIRMAN, BOARD OF DIRECTORS MEMBER 20.62 19.38 SUGHRUE, TIMOTHY H. CEO RCRH, RHN & COO RH 8.52 46.48 GOLLIHER MD, WARREN BOARD OF DIRECTORS MEMBER 0.62 0.58 SLUKA JR., JOSEPH C. EXECUTIVE VP & CAO 7.44 47.56 THOMPSON, MARK A. CFO & VP FINANCE 7.44 47.56 LATUCHIE, RICHARD S. VP INFO TECHNOLOGY & CIO 7.44 47.56 MASTEN, MARY E. VP LEGAL SERVICES 7.44 47.56 MCGLONE, ROBERT O. VP HUMAN RESOURCES 7.44 47.56 DEGROOT, SHAWN Y. VP CORP RESPONSIBILITY 7.44 47.56 BRODIN, MARK R. VP DECISION SUPPORT 7.44 47.56 HORTON, JENNIFER D. VP PR MARKETING 7.44 47.56
Independent Board MembersForm 990, Part VIIREGIONAL HEALTH CONSIDERS SOME MEMBERS OF THE BOARD TO NOT BE INDEPENDENT BECAUSE THEY ARE ACTIVELY PRACTICING PHYSICIANS ON ONE OF ITS HOSPITALS' MEDICAL STAFFS OR ARE EMPLOYEES OF A SUPPORTED ORGANIZATION.
Oversight or Selection ProcessForm 990, Part XII, Question 2cINDEPENDENT AUDITORS ARE ENGAGED BY THE COMPLIANCE AND AUDIT COMMITTEE OF THE REGIONAL HEALTH, INC. BOARD OF TRUSTEES. FINAL AUDIT RESULTS, ON A CONSOLIDATED BASIS, ARE REPORTED BY THE INDEPENDENT AUDITORS DIRECTLY TO THE COMPLIANCE AND AUDIT COMMITTEE.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
REGIONAL HEALTH INC
353 FAIRMONT BLVDRAPID CITYSD57701201487506HEALTHCARESD501(c)(3)11-TYPE IIINAfalse
RAPID CITY REGIONAL HOSPITAL INC
460319070HEALTHCARESD501(c)(3)3rhitrue
REGIONAL HEALTH PHYSICIANS INC
460372454HEALTHCARESD501(c)(3)3rhitrue

Form990 Schedule R Part III Form990ScheduleRPartIII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodePrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeEINEIN
BLACK HILLS MED bldg 411992146
677 CATHEDRAL DRIVERAPID CITYSD57701MED OFFICE BLDG.SDNAN/A
MED dental bldg
2805 s 5th st rapid city sdRAPID CITYSD57701MED OFFICE BLDG.SDNAN/A460339629
THE Imaging Center LLC
PO Box 8130 Rapid City SDRapid CitySD57701medical imagingSDnan/a300357026
THE MRI CENTER LLC
equipmentSDNAN/A300357077
SAME DAY SURGERY Ctr 411889892
HEALTHCARESDNAN/A411889892
N PLAINS PREMIER COL 900701417
PURCHASINGSDNAN/A900701417

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Western Providers IncBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1677 Cathedral Dr Ste 309AddressLine1
CityRapid CityCity
StateSDState
ZIP Code57701ZIPCode
FieldValueIRS element (for citing)
EIN411889163EIN
Primary ActivityMedical ServicePrimaryActivity
Legal Domicile StateSDLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CorpTypeOfEntity
Percentage Ownership0.50000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
REGIONAL HEALTH PHYSICIANS INC
i351864COST
REGIONAL HEALTH PHYSICIANS INC
k2435537COST
RAPID CITY REGIONAL HOSPITAL INC
k689546Cost
RAPID CITY REGIONAL HOSPITAL INC
l7907025Cost
RAPID CITY REGIONAL HOSPITAL INC
p1711361Cost