2012-05-15T22:20:58-04:00 2011-06-30 ERNST & YOUNG US LLP 190 CARONDELET PLAZA SUITE 1300 CLAYTON MO 63105 990 2010-07-01 460372454 Regional Health Physicians Inc REGI 6057198106 353 Fairmont Blvd Rapid City SD 57701 Mark Thompson 2012-05-15 3142901000 2010 2016-02-24 21:20:13Z Charles Hart MD MS 353 Fairmont Blvd Rapid City SD 57701 42335968 false X www.regionalhealth.com X 2005 SD TO PROIVDE AND SUPPORT HEALTH CARE EXCELLENCE IN PARTNERSHIP WITH THE COMMUNITIIES WE SERVE. 14 10 553 1 0 0 707812 409575 40907928 41910469 15834 15924 0 0 41631574 42335968 0 0 0 0 40160077 40360992 0 0 0 17311903 19136372 57471980 59497364 -15840406 -17161396 10196449 8584969 82707180 98311306 -72510731 -89726337 X To provide and support health care excellence in partnership with the communities we serve. false false 4575259 6591105 Regional Health Physicians Specialty Hospital - provide ambulatory surgery services 4579653 3600911 Spearfish Queen City Regional Medical Clinic Primary Care - provide clinic services to patients 2824904 2582565 Spearfish Queen City Regional Medical Clinic Orthopedic Surgery - provide ambulatory surgery services 30334773 29135888 42314589 true true false false false false false false false true false false false true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true X 0 0 553 true false false false false false false false false false false X 14 10 false false false false true true true true true false false true true true true true true false true false X Mark Thompson 6057198106 353 Fairmont Blvd Rapid City SD 57701 X HART MDCHARLES E 60.0 X X 0 806131 48163 ALTSTIEL TERRY 41.6 X 303640 0 55244 BARLOW MD JOHN 1.92 X 0 756 0 BULMAN KAREN 1.08 X 0 0 0 CAPPA PETER 1.36 X X 0 0 0 DAHLSTROM JONATHAN 1.68 X 0 0 0 DIEDRICH MICHAEL 2.8 X 0 0 0 FINLEY MD ROBERT 1.69 X X 0 0 0 MORRISON TOM 1.93 X 0 0 0 PETERSON HOWARD 0.88 X X 0 0 0 ROMKEMA FRED 0.3 X 0 0 0 SLINGSBY MD GEOFFREY 0.91 X 0 0 0 TOBIAS RICHARD 1.43 X 0 756 0 YELICK EDWARD 2.65 X X 0 0 0 SLUKA JRJOSEPH C 55.0 X 0 360592 44950 THOMPSONMARK A 55.0 X 0 271703 47996 KEEGAN MD JAMES 55.0 X 0 387551 44260 MCGLONEROBERT O 55.0 X 0 287581 46642 MASTENMARY E 55.0 X 0 282042 56575 LATUCHIERICHARD S 55.0 X 0 266196 58674 DEGROOTSHAWN Y 55.0 X 0 218654 31194 HORTONJENNIFER D 55.0 X 0 174442 36230 BRODINMARK F 55.0 X 0 156802 33549 REYNO MDJORGE R 55.0 X 221100 0 21553 PIERCEJOHN Y 55.0 X 169697 0 27959 ROEHRICHJEFF G 55.0 X 147806 0 19152 LITTLE MDRICHARD M 40.0 X 720545 0 70983 SUFFICOOL DOWESLEY L 40.0 X 647502 0 74836 SIGMOND MDERIC R 40.0 X 586492 0 52705 HILL MDREGAN R 40.0 X 494697 0 51247 BREWER MDHEATHER A 40.0 X 490377 0 60608 3781856 3213206 882520 75 false true false ATHENA HEALTH INC 311 ARSENAL ST WATERTOWN MA 02472 SOFTWARE SERVICES 2044133 APPLICATION TECHNOLOGY INC 3025 1ST AVE SUITE 2 SPEARFISH SD 57783 PC SUPPORT 478905 VISTA STAFFING SOLUTIONS INC FILE 50834 LOS ANGELES CA 900740834 LOCUM TENENS 233112 MAYO COLLABORATIVE SERVICES INC PO BOX 9146 MINNEAPOLIS MN 554809146 LABORATORY SERVICES 172438 US TRANSCRIPTION INC 2728 ASBURY ROAD SUITE 650 DUBUQUE IA 52001 MEDICAL TRANSCRIPT 149217 7 409575 409575 Medical clinics 621110 33458067 33458067 Specialty hospital 623000 6822377 6822377 Intercompany revenue 900099 344986 344986 PROGRAM SERVICE RENT 900002 15402 15402 OUTSIDE SALES 900099 592983 592983 676654 676654 41910469 15924 15924 0 0 0 0 0 0 0 42335968 41910469 0 15924 0 0 0 0 398281 398281 0 33285282 28645844 4639438 809225 809225 4050021 2987319 1062702 1818183 1451122 367061 0 0 0 0 0 0 3822144 1253788 2568356 162167 75546 86621 240326 64212 176114 145912 56725 89187 0 2160383 260755 1899628 138650 88947 49703 0 300963 250258 50705 2 2 0 1418469 901293 517176 198923 2930 195993 Medical supplies 2489797 2322275 167522 INTERCOMPANY SUPPLIES 4830552 1991740 2838812 BAD DEBT 925101 925101 MAINTENANCE/EQUIP 795325 325840 469485 MINOR EQUIPMENT 373980 186688 187292 1133678 524204 609474 59497364 42314589 17182775 0 1190360 192099 5231725 4240170 91375 194790 99500 6526967 2813111 3276661 3713856 302913 247969 10196449 8584969 3640778 3763248 166469 -181798 78899933 94729856 82707180 98311306 X -72510731 -89726337 -72510731 -89726337 10196449 8584969 X -17161396 -54210 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 1119942 335640 784302 0 0 0 0 0 5407024 2477470 2929554 0 0 0 0 3713856 0 Intercompany payable 94729856 94729856 Footnote to financial statements for uncertain tax positions under ASC 740 Schedule D, Part X Regional Health believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. Regional health would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. Regional Health's federal form 990T filings are no longer subject to federal tax examinations by tax authorities for years before 2008. true true X false false true true true false true true 1388285 0 1388285 0.02370 5172780 2766832 2405948 0.04110 6561065 2766832 3794233 0.06480 18 820 11009 0 11009 0.00020 2 54 984 0 984 0.00000 33395120 27456139 5938981 0.10140 9 4687 91803 91803 0.00160 29 5561 33498916 27456139 6042777 0.10320 29 5561 40059981 30222971 9837010 0.16800 4 185 1135 1135 0.00000 3 130 555 555 0.00000 1 517 517 0.00000 8 315 2207 2207 0.00000 true 785133 0 8340191 18409895 -10069704 X true true 1 1 SPEARFISH REGIONAL SURGERY CENTER

1316 N 10TH STREET Spearfish SD 57783

X SPECIALTY HOSPITAL SPEARFISH REGIONAL SURGERY CENTER 1 SCHEDULE H SUPPLEMENTAL INFORMATION REFERENCES TO "REGIONAL HEALTH" APPLY TO ALL ENTITITES CONTROLLED OR LEASED BY REGIONAL HEALTH, INC. THIS INCLDUES THE REPORTING ENTITY. PART I, LINE 3C Regional Health uses low income housing guideline 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 CALCULATION OF COST OF SERVICES PROVIDED. THE AMOUNT OF BAD DEBT EXPENSE SUBTRACTED FROM THE DENOMINATOR BEFORE CALCULATING THE PERCENTAGES IN COLUMN (F) IS $925,101. PART II Regional Health provides numerous community health events and screenings throughout the Black Hills region. Regional health also provides financial support to other nonprofit organizations to help support community health outreach. Additionally, Regional Health provides in-kind support and employee volunteers to help support community health events and activities. PART III, LINE 4 The allowance for doubtful accounts is based upon management's assessment of historical and expected net collections considering business and economic conditions, trends in health care coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience by payor category. The results of this review are then used to make any modifications to the allowance for doubtful accounts. After satisfaction of amounts due from insurance and other third-party payors, Regional Health follows established guidelines for placing certain past-due patient balances with collection agencies. PART III, LINE 8 The Medicare shortfall is derived from the actual payments received from the Medicare program for services provided to patients with Medicare coverage. The payments are compared to the actual cost of providing the service. The result is a shortfall with costs exceeding the reimbursement. PART III, LINE 9B The collection policy requires invoking of the financial assistance policy any time a patient expressed financial difficulty in meeting their debt obligation. 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 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 of eligibility for assistance We provide information on all statements, on our website, we have information available at all admission areas, we contract with Midland Medical Group (an 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 educational institutions to provide numerous clinical training programs; provides medical services that if were not provided by us would not exist in our Region; and offers health screenings and events to the people of the Region. Affiliated health care system Regional Health is committed to partnering with 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 MDCHARLES E 0 661553 0 144578 0 0 0 42904 0 5259 0 854294 0 0 ALTSTIEL TERRY 303640 0 0 0 0 0 51151 4093 358884 0 0 0 SLUKA JRJOSEPH C 0 303566 0 57026 0 0 0 39375 0 5575 0 405542 0 0 MCGLONEROBERT O 0 247831 0 39750 0 0 0 42135 0 4507 0 334223 0 0 MASTENMARY E 0 240385 0 41657 0 0 0 51487 0 5088 0 338617 0 0 THOMPSONMARK A 0 231849 0 39854 0 0 0 42667 0 5329 0 319699 0 0 LATUCHIERICHARD S 0 226634 0 39562 0 0 0 54044 0 4630 0 324870 0 0 DEGROOTSHAWN Y 0 186706 0 31948 0 0 0 26983 0 4211 0 249848 0 0 HORTONJENNIFER D 0 147776 0 26666 0 0 0 26663 0 9567 0 210672 0 0 BRODINMARK F 0 133039 0 23763 0 0 0 28944 0 4605 0 190351 0 0 KEEGAN MD JAMES 0 314335 0 73216 0 0 0 40311 0 3949 0 431811 0 0 REYNO MDJORGE R 181714 0 39386 0 0 0 17192 0 4361 0 242653 0 0 0 PIERCEJOHN Y 148696 0 21001 0 0 0 23731 0 4228 0 197656 0 3344 0 ROEHRICHJEFF G 128246 0 19560 0 0 0 14759 0 4393 0 166958 0 0 0 LITTLE MDRICHARD M 720545 0 0 0 0 0 66890 0 4093 0 791528 0 0 0 SUFFICOOL DOWESLEY L 647502 0 0 0 0 0 70898 0 3938 0 722338 0 0 0 SIGMOND MDERIC R 586492 0 0 0 0 0 43938 0 8767 0 639197 0 54869 0 HILL MDREGAN R 494697 0 0 0 0 0 42553 0 8694 0 545944 0 0 0 BREWER MDHEATHER A 490377 0 0 0 0 0 56515 0 4093 0 550985 0 9767 0 Supplemental Compensation Information SCHEDULE J, PART I, LINE 3 THE AUDIT AND COMPLIANCE COMMITTEE, WHICH IS A COMMITTEE OF THE REGIONAL HEALTH (PARENT) BOARD, REVIEWS AND APPROVES BASE SALARY AND TOTAL COMPENSATION RANGES FOR ALL EXECUTIVES WITH REGIONAL HEALTH SYSTEM. PLEASE SEE FORM 990, PART VI, LINES 15A & 15B DISCLOSURE ON SCHEDULE O. SUPPLEMENTAL COMPENSATION 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 THESE TWO PLANS. DESCRIPTION OF OTHER PROGAM SERVICES FORM 990, PART III, LINE 4D REGIONAL HEALTH MAINTAINS CLINICS IN SURROUNDING COMMUNITIES TO PROVIDE GENERAL AND SPECIALIZED MEDICAL SERVICES TO PEOPLE WITHIN THE BLACK HILLS REGION. PART IV, LINE 24E BOND ISSUES ALL RELATED CORPORATIONS ARE EQUALLY LIABLE FOR THE REPAYMENT OF THE BONDS REPORTED ON THE RAPID CITY REGIONAL HOSPITAL FORM 990. Description of Classes of MEMBERS OR STOCKHOLDERS FORM 990, PART VI, QUESTION 6, 7A AND 7B Regional Health, Inc. is the sole member of Regional Health Physicians, Inc. Regional Health, Inc. has authority over certain decisions pertaining to Regional Health Physicians, Inc. Describe the Process used by Management &/or Governing Body to Review 990 Form 990, Part VI, Question 11B THE 990 IS PREPARED AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. IT IS THEN REVIEWED INTERNALLY BY FINANCE AND LEGAL MANAGEMENT. THE FORM 990 IS FURTHER REVIEWED, PRIOR TO FILING, BY THE ORGANIZATION'S BOARD OF DIRECTORS THROUGH A PORTAL TO THE ORGANIZATION'S INTERNAL INFORMATION SYSTEM, TO WHICH EACH BOARD MEMBER HAS ACCESS. EDUCATIONAL SESSIONS HAVE BEEN PROVIDED TO EACH BOARD MEMBER ON HOW TO ACCESS THE PORTAL. Description of Process to Monitor Transactions for Conflicts of Interest Form 990, Part VI, Question 12C As a part of the annual disclosure of potential conflicts process, all board members, officers, management receive a copy of the Conflict of interest policy and sign an acknowledgement they have read and understand it. 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, certain physicians, and certain non-management employees involved in purchasing. Where a proposed transaction involves a board member, the transaction is reviewed by the Compliance and Audit Committee of the sole member. 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. Offices & Positions for Which Process was Used, & Year Process was Begun Form 990, Part VI, Question 15A & 15B The Compliance and Audit Committee of the sole Member's Board, a committee that includes only board members deemed "independent", determines the appropriate base salary range of the Regional Health system CEO and its other executive staff. The CEO of the Member or his designee then determines the actual base salary of the other Executives within the Committee-approved ranges based on a performance evaluation conducted by the CEO or designee. For determination of the base salary ranges, as well as incentive compensation, benefit plans and perquisites (total compensation), the Compliance and Audit Committee retains an independent consultant, Sullivan and Cotter, to provide survey/comparability data for both base salary and total compensation at least every three years. Employed physician compensation is determined by either of two methods. 1) When physicians become employed as a result of a practice acquisition, an independent company evaluates the value of the practice along with the physician compensation. This valuation is reviewed and approved by the Compliance and Audit Committee. 2) For physicians who have been recruited or otherwise hired, the Compliance and Audit Committee has approved the methodology to apply to individual physicians' compensation. That methodology is a combination of base salary plus incentive pay based on worked relative value units (RVU) times a conversion rate. The RVU values are those developed by CMS while the conversion rate is based on MGMA survey data. RVU values, and conversion rate are reviewed by the HAY Group, an independent consultant. Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public Form 990, Part VI, Question 19 The articles of incorporation of the organization are filed in the office of the Secretary of State of South Dakota and are available to the public. Other documents (bylaws, conflict of interest policy and financial statements) are not posted for the public but are available or described in other public documents or sites such as offering statements in bond issues or Municipal Securities rulemaking Board's Electronic Municipal Market Access (EMMA) data port. COMPENSATION OF OFFICERS DIRECTORS TRUSTEES FORM 990, PART VII THE HOURS DEVOTED TO THE POSITIONS REPORTED ON THE ATTACHMENT TO PART VII AND SCHEDULE J FOR THE FOLLOWING REFLECT THE AGGREGATE TOTAL HOURS THESE INDIVIDUALS DEVOTE TO THEIR POSITIONS FOR RAPID CITY REGIONAL HOSPITAL, INC., REGIONAL HEALTH, INC., REGIONAL HEALTH PHYSICIANS, INC. AND/OR REGIONAL HEALTH NETWORK, INC. HART MD, CHARLES E SLUKA JR., JOSEPH C. THOMPSON, MARK A. MCGLONE, ROBERT O. MASTEN, MARY E. LATUCHIE, RICHARD S. DEGROOT, SHAWN Y. HORTON, JENNIFER D. BRODIN, MARK F. KEEGAN MD, JAMES M. 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. OTHER CHANGES IN NET ASSETS OR FUND BALANCE Form 990, Part XI, LINE 5 Cumulative Effect of a Change in Accounting Principle ($54,210) OVERSIGHT OR SELECTION PROCESS Form 990, Part XII, Question 2C Independent auditors are engaged by the Compliance and Audit Committee of the Regional Health, Inc. Board of Trustees. Final audit results, on a consolidated basis, are reported by the independent auditors directly to the Compliance and Audit Committee. Regional Health Inc 353 Fairmont Blvd Rapid City SD 57701 201487506 Healthcare SD 501 (c)(3) 11-Type III na Rapid City Regional Hospital Inc 353 Fairmont Blvd Rapid City SD 57701 460319070 Healthcare SD 501 (c)(3) 3 na Regional Health Network Inc 353 Fairmont Blvd Rapid City SD 57701 460360899 Healthcare SD 501 (c)(3) 3 na Same Day Surgery CTR 411889892 651 Cathedral Dr RAPID CITY SD 57701 Healthcare SD NA N/A Black Hills Med BLDG 411992146 353 Fairmont Blvd RAPID CITY SD 57701 Med Office Bldg SD NA N/A Medical Dental BLDG 460339629 2805 S Fifth St Rapid City SD 57701 Med Office Bldg SD NA N/A Imaging Center LLC 30-0357026 P O Box 8130 Rapid City SD 57709 Healthcare SD NA N/A The MRI Center LLC 300357077 P O Box 8130 Rapid City SD 57709 Healthcare SD NA N/A N PLAINS PREMIER COL 900701417 3900 W AVERA DR SIOUX FALLS SD 57108 COLLAB PURCH NEG. SD NA N/A Western Providers Inc 677 Cathedral Dr Suite 309 Rapid City SD 57701 411889163 Medical Service SD NA C false false false false false false false false true true false true false true true false false false Rapid City Regional Hospital Inc i 335408 Regional Health Network Inc j 443439 Rapid City Regional Hospital Inc l 5426475 Rapid City Regional Hospital Inc n 36654393 Rapid City Regional Hospital Inc o 14370511