STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

MONUMENT HEALTH NETWORK INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
MONUMENT HEALTH NETWORK INC (EIN 46-0360899)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-13
IRS object ID
201131339349304823
Schema version
2009v1.7
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)
Timestamp2011-05-13T16:31:57-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

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 Line1190 CARONDELET PLAZA SUITE 1300AddressLine1
CityCLAYTONCity
StateMOState
ZIP Code63105ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN460360899EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1REGIONAL HEALTH NETWORK INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlREGINameControl
Phone6057198106Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1353 Fairmont Blvd PO Box 6000AddressLine1
CityRapid CityCity
StateSDState
ZIP Code57701ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMark A ThompsonName
TitleCFOTitle
Date Signed2011-05-12DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone3142901000Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1353 Fairmont BlvdAddressLine1
CityRapid CityCity
StateSDState
ZIP Code57701ZIPCode
FieldValueIRS element (for citing)
Gross Receipts86504606GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
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 Members8NbrIndependentVotingMembers
Total Nbr Employees1257TotalNbrEmployees
Total Nbr Volunteers385TotalNbrVolunteers
Total Gross UBI1176054TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year18360ContributionsGrantsPriorYear
Contributions Grants Current Year133229ContributionsGrantsCurrentYear
Program Service Revenue Prior Year77402354ProgramServiceRevenuePriorYear
Program Service Revenue CY86191000ProgramServiceRevenueCY
Investment Income Prior Year87372InvestmentIncomePriorYear
Investment Income Current Year105964InvestmentIncomeCurrentYear
Other Revenue Prior Year135782OtherRevenuePriorYear
Other Revenue Current Year44939OtherRevenueCurrentYear
Total Revenue Prior Year77643868TotalRevenuePriorYear
Total Revenue Current Year86475132TotalRevenueCurrentYear
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 Year42421846SalariesEtcPriorYear
Salaries Etc Current Year45506816SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year33261051OtherExpensePriorYear
Other Expenses Current Year34975786OtherExpensesCurrentYear
Total Expenses Prior Year75682897TotalExpensesPriorYear
Total Expenses Current Year80482602TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1960971RevenuesLessExpensesPriorYear
Revenues Less Expenses CY5992530RevenuesLessExpensesCY
Total Assets BOY68322554TotalAssetsBOY
Total Assets EOY66045693TotalAssetsEOY
Total Liabilities BOY56895949TotalLiabilitiesBOY
Total Liabilities EOY48757420TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY11426605NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY17288273NetAssetsOrFundBalancesEOY
Mission DescriptionTo provide and support health care excellence in partnership with the communities we serve.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense3887518Expense
Revenue5234676Revenue
DescriptionCuster Regional Hospital Long Term CareDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense3026051Expense
Revenue12408690Revenue
DescriptionSpearfish Regional Hospital Surgical ServicesDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense2510462Expense
Revenue6462612Revenue
DescriptionDorsett Regional Senior Care Long Term CareDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp45218348TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev62085022TotalOfOtherProgramServiceRev
Total Program Service Expense54642379TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
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
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
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees1257NumberOfEmployees
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
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
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 CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMARK THOMPSONNamePerson
Telephone Number6057198106TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1353 Fairmont BlvdAddressLine1
CityRapid CityCity
StateSDState
ZIP Code57701ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
HART MDCHARLES E
President and CEO60.0XX057945241006
GRABER MDTERRY M
PHYSICIAN AND BOARD of Dir.40.75X042487244567
GROEGER MDTHOMAS JOHN
PHYSICIAN AND BOARD of Dir.41.15X023465753912
GOLLIHERWARREN N
PHYSICIAN AND BOARD of Dir.1.37X0138000
DAHLSTROM JONATHAN H
CHAIRMAN, Board of Directors0.79XX000
LARSON JUDITH
VICE CHAIRMAN, Board of Dir.1.54XX000
BILLS LAVERN
SECRETARY, Board of Dir.1.54XX000
ESTES DOYLE
BOARD of Directors MEMBER1.37X000
SABERS KENNETH
BOARD of Directors MEMBER1.12X000
CAPPA PETER
BOARD of directors MEMBER0.75X000
JOHNSON JORGE MD
BOARD of directors MEMBER0.96X000
LAMPHERE ROSS
BOARD of directors MEMBER0.92X000
SLUKA JRJOSEPH C
Chief Administrative Officer55.0X025071054619
THOMPSONMARK A
CFO/Vice President of Finance55.0X020864050870
Sughrue Timothy H
CEO RCRH and RHN/COO RH55.0X047350154838
MCGLONEROBERT O
VP Human Resources55.0024658039583X
MASTENMARY E
VP Legal Services55.0021562660871X
LATUCHIERICHARD S
VP Info Technology CIO55.0021268447860X
DEGROOTSHAWN Y
VP Corp Responsibility55.0018638437653X
BRYANTGLENN E
Chief Operating Officer55.0213547034623X
VEITZLARRY W
CEO55.0173395037662X
BAILEY MDLEE B
Physician40.0220925037783X
SHORESSTEVEN CRAIG
Nurse Anesthetist40.0182825023192X
HESTONWILLIAM K
Nurse Anesthetist40.0182062027297X
REIDTHOMAS
Nurse Anesthetist40.0177328030026X
SCHMELTZERJOHN W
Nurse Anesthetist40.0158183034842X
GIESELRICHARD A
CEO55.051891603976X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1827181TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3046906TotalReportableCompFrmRltdOrgs
Total Other Compensation715180TotalOtherCompensation
Number Individuals GT100 K25NumberIndividualsGT100K
Formers ListedtrueFormersListed
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
Aegis Therapies Inc
P O Box 8103FORT SMITHAR72902PHYSICAL THERAPY SVC853998
DMS Imaging Inc
2101 North University DriveFARGOND58102MEDICAL IMAGING SVC225421
Comphealth Medical Staffing
P O Box 972651DALLASTX753972651LOCUM TENENS STAFF153910
Priority Inc
P O Box 1051SPEARFISHSD57783Temporary staffing142473
US Transcription Inc
2728 Asbury Road Suite 650DUBUQUEIA52001Transcription Svcs133903
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
All Other Contributions133229AllOtherContributions
Total Contributions133229TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Acute care hospital in and out patients6230005139300051393000
Long term care facilities6230002143800021438000
Assisted living facilities62300022350002235000
Home Care services62161019870001987000
Physician clinics62111022230002223000

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column6915000TotalRevenueColumn
Related Or Exempt Function Income5738946RelatedOrExemptFunctionIncome
Unrelated Business Revenue1176054UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Program Service Revenue86191000TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column105964TotalRevenueColumn
Exclusion$105,964ExclusionAmount

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 Events74413GrossIncomeFundraisingEvents
Fundraising Direct Expenses29474FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column44939TotalRevenueColumn
Exclusion$44,939ExclusionAmount

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 Column86475132TotalRevenueColumn
Related Or Exempt Function Income85014946RelatedOrExemptFunctionIncome
Unrelated Business Revenue1176054UnrelatedBusinessRevenue
Exclusion$150,903ExclusionAmount

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)
Total956104Total
Management And General956104ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total35415389Total
Program Services28257646ProgramServices
Management And General7157743ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total771422Total
Management And General771422ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5981328Total
Program Services4094142ProgramServices
Management And General1887186ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2382573Total
Program Services1874402ProgramServices
Management And General508171ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total54414Total
Management And General54414ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

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)
Total3562600Total
Program Services3016046ProgramServices
Management And General546554ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total90202Total
Program Services27551ProgramServices
Management And General62651ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total305108Total
Program Services196296ProgramServices
Management And General108812ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total176471Total
Program Services59539ProgramServices
Management And General116932ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2167634Total
Program Services683414ProgramServices
Management And General1484220ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total180469Total
Program Services140565ProgramServices
Management And General39904ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total126407Total
Program Services82396ProgramServices
Management And General44011ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total1235821Total
Program Services417ProgramServices
Management And General1235404ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4071152Total
Program Services1984393ProgramServices
Management And General2086759ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total289969Total
Management And General289969ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Medical supplies58891755889175
INTERCOMPANY SUPPLIES793097911376876793292
Miscellaneous419514724984721696675
Bad Debts47002384700238

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total80482602Total
Program Services54642379ProgramServices
Management And General25840223ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2220794BOY
EOY1680027EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY10752245BOY
EOY10966489EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY957734BOY
EOY1084032EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY448901BOY
EOY366671EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis80966226LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec39283380LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY42784333BOY
EOY41682846EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY11158547BOY
EOY10265628EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY68322554BOY
EOY66045693EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3769377BOY
EOY7195110EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY53126572BOY
EOY41562310EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY56895949BOY
EOY48757420EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY10547577BOY
EOY16360033EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY779028BOY
EOY828240EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY100000BOY
EOY100000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11426605BOY
EOY17288273EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY68322554BOY
EOY66045693EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

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$11,849OtherActivitiesAmount
Total Lobbying Expenditures IIB11849TotalLobbyingExpendituresIIB

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 American Hospital Association. A portion of the dues are applicable to lobbying activities. For calendar year 2009 dues, which were paid in fiscal year 2010, in the amount of 68,779.17 were paid to South Dakota Hospital Association, 4.41% of which were used for lobbying purposes and 37,104 were paid to American Hospital Association, 23.76% of which 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
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)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis9001699OtherCostOrOtherBasis
Book Value9001699BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis43489446OtherCostOrOtherBasis
Depreciation17966997Depreciation
Book Value25522449BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis26582755OtherCostOrOtherBasis
Depreciation19856260Depreciation
Book Value6726495BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis1892326OtherCostOrOtherBasis
Depreciation1460123Depreciation
Book Value432203BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings41682846TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
OTHER RECEIVABLES467830
BOARD DESIGNATED FUNDS113926
Goodwill, net9446290
Other long-term assets237582
FieldValueIRS element (for citing)
Total Book Value Other Assets10265628TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO RELATED PARTIESDescription
Amount$41,562,310Amount
FieldValueIRS element (for citing)
Total Of Amounts41562310TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierEndowment FundsIdentifier
Return ReferenceSchedule D, Part V, Line 4ReturnReference
ExplanationEndowed funds are held in an interest bearing account. Use of the funds is subject to the terms of the contributor.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Hospice BallNameOfEvent1
Gross Receipts Event140425GrossReceiptsEvent1
Gross Revenue Event140425GrossRevenueEvent1
Rent Facility Costs Event19824RentFacilityCostsEvent1
Entertainment Event12792EntertainmentEvent1
Other Direct Expenses Event15307OtherDirectExpensesEvent1
Name Of Event2Golf TournamentNameOfEvent2
Gross Receipts Event219413GrossReceiptsEvent2
Gross Revenue Event219413GrossRevenueEvent2
Rent Facility Costs Event28377RentFacilityCostsEvent2
Other Direct Expenses Event21852OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events14575GrossReceiptsOtherEvents
Gross Revenue Other Events14575GrossRevenueOtherEvents
Other Direct Expenses Other Events1322OtherDirectExpensesOtherEvents
Gross Receipts Total74413GrossReceiptsTotal
Gross Revenue Total Events74413GrossRevenueTotalEvents
Rent Facility Costs Total Events18201RentFacilityCostsTotalEvents
Entertainment Total Events2792EntertainmentTotalEvents
Other Direct Expenses Total Events8481OtherDirectExpensesTotalEvents
Direct Expense Summary Events29474DirectExpenseSummaryEvents
Net Income Summary44939NetIncomeSummary

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 Expense1600466TotalCommunityBenefitExpense
Net Community Benefit Expense1600466NetCommunityBenefitExpense
Percent Of Total Expense0.01990PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense4773458TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense4773458NetCommunityBenefitExpense
Percent Of Total Expense0.05930PercentOfTotalExpense

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 Expense6373924TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense6373924NetCommunityBenefitExpense
Percent Of Total Expense0.07920PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense38494TotalCommunityBenefitExpense
Direct Offsetting Revenue6521DirectOffsettingRevenue
Net Community Benefit Expense31973NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense98364TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense98364NetCommunityBenefitExpense
Percent Of Total Expense0.00120PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense20790347TotalCommunityBenefitExpense
Direct Offsetting Revenue20318364DirectOffsettingRevenue
Net Community Benefit Expense471983NetCommunityBenefitExpense
Percent Of Total Expense0.00590PercentOfTotalExpense

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)
Total Community Benefit Expense1437TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense1437NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense20928642TotalCommunityBenefitExpense
Direct Offsetting Revenue20324885DirectOffsettingRevenue
Net Community Benefit Expense603757NetCommunityBenefitExpense
Percent Of Total Expense0.00750PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense27302566TotalCommunityBenefitExpense
Direct Offsetting Revenue20324885DirectOffsettingRevenue
Net Community Benefit Expense6977681NetCommunityBenefitExpense
Percent Of Total Expense0.08670PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served300PersonsServed
Total Community Building Expense523TotalCommunityBuildingExpense
Net Community Building Expense523NetCommunityBuildingExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served1813PersonsServed
Total Community Building Expense684TotalCommunityBuildingExpense
Net Community Building Expense684NetCommunityBuildingExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs9NumberOfActivitiesOrPrograms
Persons Served829PersonsServed
Total Community Building Expense10606TotalCommunityBuildingExpense
Net Community Building Expense10606NetCommunityBuildingExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Building Expense838TotalCommunityBuildingExpense
Net Community Building Expense838NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Persons Served45PersonsServed
Total Community Building Expense3907TotalCommunityBuildingExpense
Net Community Building Expense3907NetCommunityBuildingExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Persons Served197PersonsServed
Total Community Building Expense18892TotalCommunityBuildingExpense
Net Community Building Expense18892NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served21PersonsServed
Total Community Building Expense268TotalCommunityBuildingExpense
Net Community Building Expense268NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs22NumberOfActivitiesOrPrograms
Persons Served3205PersonsServed
Total Community Building Expense35718TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense35718NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$2,205,099BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare0AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare0CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall0MedicareSurplusOrShortfall
Costing Methodology UsedCostingMethodologyUsed
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV (4 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalCritical Access HospitalCriticalAccessHospitalEr24 HoursEr24Hours
Custer Regional Hospital
1039 Montgomery StreetCusterSD57730XXXX
Lead-Deadwood Regional Hospital
61 charles StreetDeadwoodSD57732XXXX
Spearfish Regional Hospital
1440 N Main StreetSpearfishSD57783XXX
Sturgis Regional Hospital
949 Harmon StreetSturgisSD57785XXXX

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Income Based CriteriaRegional Health uses low income housing guidelines from Housing and Urban Development to determine charity eligibility. The income guidelines, along with the number of dependents within the household are used in a matrix to determine the percent discounts applied to the outstanding balance. Discounts range from 100% to 10% of the balance. The charity policy also has a catastrophic provision which limits a patient/guarantor's exposure to owe no more than 20% of net assets.IncomeBasedCriteria
Annual Community Benefit ExplnA community benefit report is completed by Regional Health, the parent organization, for all related organizations and made available to the public on its website.AnnualCommunityBenefitExpln
Costing Method UsedMedicare Cost Report cost to charge ratio is used for calculation of cost of services provided.CostingMethodUsed
Subsidized Health Services ExplnN/ASubsidizedHealthServicesExpln
Bad Debt FootnoteThe 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. Cost is developed per the Medicare cost to charge ratio. The hospital provides care regardless of the patient's ability to pay, except for certain elective procedures.BadDebtFootnote
Shortfall As Community BenefitMedicare shortfall is determined by applying the cost to charge ratio from the Medicare Cost Report to gross Medicare charges which is then compared to actual reimbursement.ShortfallAsCommunityBenefit
Debt Collection PolicyThe collection policy requires invoking of the charity policy any time a patient expresses financial difficulty in meeting their debt obligation.DebtCollectionPolicy
Number Of Facility Type ExplnRegional Health is working in partnership with several community not-for-profit organizations to conduct a full Community Needs Assessment for the Black Hills region.NumberOfFacilityTypeExpln
General ExplanationReferences to "Regional Health" apply to all entities controlled or leased by Regional Health, Inc. This includes the reporting entity.GeneralExplanation
Needs AssessmentRegional Health is working in partnership with several community not-for-profit organizations to conduct a full Community Health Needs Assessment for the Black Hills region. More than 30,000 surveys were mailed to the people in the Black Hills region during Fall of 2010. Additionally, a web based survey tool was also developed so people who did not get the survey would also have an opportunity to provide feedback. Our means of assessment prior to the above consisted of: 1)Using the community health needs assessment sponsored by the Black Hills area United Way. 2)Requests from other tax-exempt or community organizations to partner with Regional Health to provide programs. 3)Requests from Public agencies or community groups for Regional Health to provide community benefit activities or programs. 4)Hospital personnel have identified needs based on admissions/discharge or other hospital or state agency data.NeedsAssessment
Patient Education AssistanceWe provide information on all statements, on our website, we have information available at all admission areas, we contract with The Midland Medical Group (an unrelated entity) to meet with all uninsured patients to assist them with finding a funding source or applying for charity, and our self pay outsource partner also communicates any funding and charity opportunities to our patients.PatientEducationAssistance
Community InformationRegional Health serves the people of the Black Hills region. This area is comprised of the geographic area in a 250 miles radius of Rapid City, South Dakota. 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.CommunityInformation
Community Building ActivitiesRegional 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.CommunityBuildingActivities
Other InformationRegional Health is governed by a community board that provides leadership to the organization to meet the community needs. Regional Health does not turn anyone away for emergency or non-elective care, regardless of ability to pay. Regional Health partners with educational institutions to provide numerous clinical training programs, patient and community education, research, clinical trials medical services that if not provided by us would not exist in our Region and offers health screenings and events to the people of the Region.OtherInformation
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 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.AffiliatedHealthCareSystem
Reports Filed With StatesSDReportsFiledWithStates

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymenttrueSeverancePayment
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 (18 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 MDCHARLES E
05794520000025294015712062045800
SLUKA JRJOSEPH C
025071000000352040194150305329015789
MCGLONEROBERT O
024658000000246050149780286163023186
MASTENMARY E
02156260000046570014301027649700
LATUCHIERICHARD S
02126840000033789014071026054400
THOMPSONMARK A
02086400000032639018231025951000
DEGROOTSHAWN Y
018638400000241440135090224037018775
GIESELRICHARD A
333430000185486000397605228920230090
BRYANTGLENN E
213547000002124801337502481700207080
VEITZLARRY W
17339500000232910143710211057000
BAILEY MDLEE B
22092500000198910178920258708000
SHORESSTEVEN CRAIG
18282500000118610113310206017000
HESTONWILLIAM K
18206200000115220157750209359000
REIDTHOMAS
17732800000114900185360207354000
SCHMELTZERJOHN W
15818300000146210202210193025000
GRABER MDTERRY M
03695510553210003899205575046943900
GROEGER MDTHOMAS JOHN
0205325029332000331370207750288569033360
Sughrue Timothy H
04735010000032154022684052833900

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Supplemental Compensation InformationSchedule J, Part I, Line 3The 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 the regional health system.
Supplemental Compensation InformationSchedule J, Part I, Line 4ARichard Giesel, severance $185,485.40.
Supplemental Compensation InformationSchedule J, Part I, Line 4bRegional Health Network, Inc. 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.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 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 FACILTIIES 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.
DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PART VI, QUESTION 6REGIONAL HEALTH, INC. IS THE SOLE MEMBER OF REGIONAL HEALTH NETWORK, INC.
DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTSFORM 990, PART VI, QUESTION 7AREGIONAL HEALTH, INC., IS THE SOLE MEMBER OF Regional Health Network, INC.
DESCR CLASSES OF PERSONS, DIRECTORS REQUIRING APPR & TYPE OF VOTING RIGHTSFORM 990, PART VI, QUESTION 7BRegional Health, Inc., being the sole member of Regional Health Network, Inc. has 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 11AThe 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, 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. 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 BEGUNFORM 990, PART VI, QUESTIONS 15A & 15BThe governing body's Compliance and Audit Committee, a committee that includes only board members deemed "independent", establishes the compensation of the CEO. It also provides oversight of the compensation of other senior/executive management. Compensation includes base salary, any incentive or bonus compensation, benefit plans and perquisites. For the Ceo, the Committee retains an independent consultant, Sullivan and Cotter, who collects survey/comparability data. The Committee, based on the results of the CEO's performance evaluation completed by the full Board and the information provided by the consultant, then determines compensation. The committee's decisions are documented in the minutes. For the balance of the executive staff, the Committee also retains Sullivan and Cotter to provide comparability data. The Committee, for the other executives, determines the appropriate base salary ranges for each position, but the CEO or his designee then determines the actual base salary within those ranges based on a performance evaluation conducted by the CEO or designee. The independent consultant provides data on the CEO position and other executive positions at least every three years. For the past three years, the consultant has been used annually for the CEO position.
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 VIICompensation of Officers, Directors, Trustees 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. CHARLES E. HART, MD JONATHAN H. DAHLSTROM JUDITH A. LARSON LAVERN O. BILLS PETER J. CAPPA DOYLE D. ESTES WARREN N. GOLLIHER, MD TERRY M. GRABER, MD THOMAS J. GROEGER, MD KENNETH J. SABERS JORGE JOHNSON, MD ROSS LAMPHERE
Independent Board MembersForm 990, Part VIIRegional Health, Inc. considers some members of the Board to not be independent because they are medical professionals. Independent Board members are not compensated by Regional Health, Inc. or any of its affiliates.
OVERSIGHT OR SELECTION PROCESSFORM 990, PART XI, 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/BusinessNameLine1
Regional Health Inc
353 Fairmont BlvdRapid CitySD57701201487506HEALTHCARESD501(c)(3)11-Type IIINA
Rapid City Regional Hospital Inc
460319070HEALTHCARESD501(c)(3)3NA
Regional Health Physicians Inc
460372454HealthcareSD501(c)(3)3NA

Form990 Schedule R Part III Form990ScheduleRPartIII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStatePredominant Income TypePredominantIncomeType
Black Hills Medical Builidng
353 Fairmont BlvdRapid CitySD57701411992146MED OFFICE BLDG.SDN/A
Medical Dental Building
2805 5th StRapid CitySD57701460339629MED OFFICE BLDG.SDN/A
The Sleep Health Center
2929 5th St Suite 240Rapid CitySD57701421717215Sleep StudiesSDN/A
The Imaging Center LLC
PO Box 8130Rapid CitySD57701300357026HealthcareSDN/A
The MRI Center LLC
P O Box 8130Rapid CitySD57709300357077Medical imagingSDN/A
Same Day Surgery Center
651 Cathedral DriveRapid CitySD57701411889892HEALTHCARESDN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
Western Health Inc
353 Fairmont BlvdRapid CitySD57701460372456Third Party AdminSDNAC CORP
Western Services HMO
353 Fairmont BlvdRapid CitySD57701411899566HEALTH MAINT ORGSDNAC CORP
Western Providers Inc
353 Fairmont BlvdRapid CitySD57701411889163MEDICAL ServiceSDNAC CORP
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 OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Regional Health Physicians Inc
i661443
Rapid City Regional Hospital Inc
n41979032
Rapid City Regional Hospital Inc
o21625723