2026-05-01T10:33:16-04:00 2025-06-30 460434947 ELO PROF LLC PO BOX 249 MITCHELL SD 57301 990 2024-07-01 460345312 HURON REGIONAL MEDICAL CENTER INC HURO 6053536545 172 4TH ST SE HURON SD 57350 SPENCER WHITE TREASURER 6053536545 2026-04-28 true true JAY TOLSMA CPA P00736087 6059967717 2026-04-28 2024 2025-03-06 01:10:19Z ERICK LARSON 57413565 false X WWW.HURONREGIONAL.ORG X 1978 SD THE MISSION OF HURON REGIONAL MEDICAL CENTER IS TO IMPROVE THE WELLBEING OF INDIVIDUALS IN OUR REGION BY PROVIDING HIGH QUALITY HEALTH CARE. 13 10 411 35 -34699 215303 152109 50375252 50042424 3415540 4176453 1163299 2824952 55169394 57195938 0 0 28768980 31214712 0 0 25001993 26759379 53770973 57974091 1398421 -778153 113965413 111988860 7675201 6476801 106290212 105512059 THE MISSION OF HURON REGIONAL MEDICAL CENTER IS TO IMPROVE THE WELLBEING OF INDIVIDUALS IN OUR REGION BY PROVIDING HIGH QUALITY HEALTH CARE. false false 57974091 50042424 PROVIDED MEDICAL SERVICES AS FOLLOWS: INPATIENT ADMISSIONS 816 OUTPATIENT VISITS 107,146 SWING BED ADMISSIONS 50 HURON REGIONAL MEDICAL CENTER, INC. PROVIDED COMMUNITY BENEFIT IN THE AMOUNT OF 15,653,422 FOR 2025 AND 12,210,960 FOR 2024. 57974091 true true false false false false false false false false true true false false false false true false false false false false false false false false true true false false true false false false true false false false false false false false false false true false false false true 23 0 true 411 true true true false false false false false false false false false false false false false X 13 10 true true false false false false false true true false false true true true true true true true true false X X X AMANDA SOESBE 6053536545 172 4TH ST SE HURON SD 57350 DR KEVIN HOFER DIRECTOR 40.00 40.00 X 781021 0 33459 DR VINCENT OYLER HCE 40.00 X 526369 0 27828 DR TERRY LARSEN HCE 40.00 X 499143 0 20165 DR KRISTEN HUGHES HCE 40.00 X 335850 0 28917 DR JASON BARNHARD CRNA HCE 40.00 0.00 X 333562 0 28194 DR ANTHONY LOEWEN SECRETARY 40.00 X 169758 0 3902 DR SEAN SCHOOLEY DIRECTOR 40.00 X 123667 0 8602 DR WAYNE CARR BOARD VICE C 1.00 X 0 0 0 DENIS DRAKE DIRECTOR 1.00 X 0 0 0 JAKE LINDGREN DIRECTOR 1.00 X 0 0 0 MARK ROBISH DIRECTOR 1.00 X 0 0 0 LAURIE SHELTON DIRECTOR 1.00 X 0 0 0 DOUG STAHLY DIRECTOR 1.00 X 0 0 0 ANGIE UTTECHT BOARD CHAIR 1.00 X 0 0 0 SPENCER WHITE TREASURER 1.00 X 0 0 0 LAURA WILLEMSSEN DIRECTOR 1.00 X 0 0 0 ERICK LARSON PRESIDENT/CE 50.00 X 0 0 0 JOEL NELSON INTERIM VP - 50.00 X 0 0 0 2769370 151067 47 false true false CERNER CORPORATION PO BOX 203448 DALLAS TX 753203448 IT SERVICES 1620282 OVATION HEALTHCARE 1573 MALLORY LANE STE 200 BRENTWOOD TN 37027 MANAGEMENT SERV 1073803 COREWORKS 13028 COLLECTION CENTER DRIVE CHICAGO IL 60693 ENVR SERVICES 1055315 UNIDINE CORPORTATION PO BOX 102289 ATLANTA GA 303682289 FOOD SERVICES 1021529 FOCUSONE SOLUTIONS LLC PO BOX 3037 OMAHA NE 681030037 STAFFING SRVCS. 966477 33 152109 152109 OUTPATIENT REVENUES 130556289 130556289 ANCILLARY 14802006 14802006 ROUTINE SERVICES 8054300 8054300 SWING BED REVENUES 2300388 2300388 DEDUCTIONS FROM REVENUES -105670559 -105670559 50042424 2442378 2442378 182928 217627 -34699 -34699 -34699 1734075 1734075 1734075 1734075 OTHER OPERATING REVENUE 2859651 2859651 2859651 57195938 57078528 -34699 25770893 25770893 5443819 5443819 3876616 3876616 788172 788172 SUPPLIES 8224787 8224787 PURCHASED SERVICES & FEES 8169761 8169761 OTHER EXPENSES 1884410 1884410 REPAIRS & MAINTENANCE 1512077 1512077 2303556 2303556 57974091 57974091 0 0 1081663 1390706 12197739 12317238 21833 72769 987404 1071682 618915 753508 89859554 60949496 32130422 28910058 64454020 63231395 2473417 4241504 113965413 111988860 6522770 5995649 1152431 481152 7675201 6476801 X 106290212 105512059 106290212 105512059 113965413 111988860 -778153 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1208491 1208491 48000574 48000574 40650489 60949496 -20299007 28910058 INVESTMENTS 63231395 C 63231395 57195938 57195938 57195938 57974091 57974091 57974091 true true true X 1.250000000000 true X true true false true true 231410 231410 0.00400 4873431 5531783 224654 247420 5329495 5779203 231410 0.00400 435014 68753 366261 0.00630 61332 61332 0.00110 37247500 31907153 5340347 0.09210 95693 95693 0.00170 37839539 31975906 5863633 0.10110 43169034 37755109 6095043 0.10510 5000 5000 0.00010 172446 172446 0.00300 137371 137371 0.00240 314817 314817 0.00540 false 4427196 1106799 17680316 17680276 40 true true 1 1 HURON REGIONAL MEDICAL CENTER 172 4TH STREET HURON SD 57350 X X X X HURON REGIONAL MEDICAL CENTER 1 false false true X X X X X X X X X 22 true false true true X WWW.HURONREGIONAL.ORG X true 22 true WWW.HURONREGIONAL.ORG false false true X 125.000000000000 200.000000000000 X X X true true X X X true X WWW.HURONREGIONAL.ORG X WWW.HURONREGIONAL.ORG X WWW.HURONREGIONAL.ORG X X X X true X false true X X false false FACILITY 1, HURON REGIONAL MEDICAL CENTER - PART V, LINE 5 A CHNA SURVEY WAS DEPLOYED TO THE HOPITAL'S LOCAL EXPERT ADVISORS AND OFFERED TO THE COMMUNITY TO GAIN INPUT ON LOCAL HEALTH NEEDS AND THE NEEDS OF PRIORITY POPULATIONS. LOCAL EXPERT ADVISORS WERE LOCAL INDIVIDUALS SELECTED ACCORDING TO CRITERIA REQUIRED BY THE FEDERAL GUIDELINES AND REGULATIONS AND THE HOSPITAL'S DESIRE TO REPRESENT THE REGION'S GEOGRAPHICALLY DIVERSE POPULATION. COMMUNITY INPUT FROM 35 IDENTIFIED LOCAL EXPERT ADVISORS AND 76 COMMUNITY MEMBERS WERE RECIEVED. SURVEY RESPONSES STARTED IN JANUARY 2022 AND ENDED IN APRIL 2022. FACILITY 1, HURON REGIONAL MEDICAL CENTER - PART V, LINE 6B OTHER ORGANIZATIONS WITH WHICH THE HOSPITAL FACILITY CONDUCTED ITS CHNA: OVATION HEALTHCARE - HOSPITAL FACILITY MANAGEMENT COMPANY FACILITATED CHNA. JAMES VALLEY COMMUNITY HEALTH CLINIC AND COMMUNITY COUNSELING SERVICES, CARR CHIROPRACTIC CLINIC AND VARIOUS LARGE EMPLOYERS WITH NON ENGLISH SPEAKING EMPLOYEES PARTICIPATED IN CONFIRMING SIGNIFICANT NEEDS AND DEVELOPING IMPLEMENTATION STRATEGY. PART V, SECTION B, LINE 11 FACILITY 1 - HRMC SEE ATTACHED FACILITY 1 - HRMC - HRMC COMMUNITY HEALTH NEEDS ASSESSMENT GRID PART V, SECTION B, LINE 20(D) HRMC IN PROCESS OF OBTAINING AND MEETING PRESUMPTIVE ELIGIBILITY REQUIREMENTS OF STATE OF SOUTH DAKOTA. SCHEDULE H, PART I, LINE 7G COSTS ATTRIBUTABLE TO PHYSICIAN CLINIC AS SUBSIDIZED HEALTH SERVICES: ORTHOPEDIC CLINIC 1,482,456, OB/GYN CLINIC 1,308,983, FAMILY MEDICINE CLINIC 2,254,618, SURGICAL CLINIC 736,858, UROLOGY CLINIC 398,374, WOUND CARE CLINIC 565,698, PEDIATRIC CLINIC 542,658, PODIATRY CLINIC 541,965, CARDIOLOGY CLINIC 362,921, NEW LIFE CLINIC 1,446,091 AND IM CLINIC 1,684,585 FOR A TOTAL OF 11,325,207. BAD DEBT EXPENSE NOT REPORTED ON LINE 7G WAS 0. SCHEDULE H, PART I, LINE 7 WORKSHEET 2 WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN THE TABLES ALONG WITH COST REPORT AMOUNTS WHEN APPLICABLE. SCHEDULE H, PART II SEE ATTACHED SCHEDULE H, PART III, LINE 2 ACCOUNTS RECEIVABLE FROM PATIENTS CONSIST OF THE FOLLOWING: ACCOUNTS RECEIVABLE AS OF JUNE 30, 2025 AND 2024 WERE 17,922,060 AND 15,741,924. ALLOWANCE FOR DOUBTFUL ACCOUNTS AS OF JUNE 30, 2025 AND 2024 WERE (5,527,738) AND (3,544,188). ACCOUNTS RECEIVABLE, NET AS OF JUNE 30, 2025 AND 2024 WERE 12,394,322 AND 12,197,739. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED ON AN ESTIMATE USING PAST COLLECTION EXPERIENCE,FINANCIAL CLASS, AND AGE FOR THE PATIENT ACCOUNT. ESTIMATED BAD DEBTS EXPENSE REFLECTS THIS PROVISION FOR ACTUAL OR EXPECTED DOUBTFUL ACCOUNTS. DISCOUNTS AND PAYMENTS ON ACCOUNTS REDUCES ACCOUNTS RECEIVABLE BALANCES THEREFORE REDUCING BAD DEBTS EXPENSE. A STUDY OF FINANCIAL ASSISTANCE APPLICATIONS AND EXPERIENCE OF FINANCIAL ASSISTANCE STAFF WAS USED TO REASONABLY ESTIMATE THE PERCENTAGE OF BAD DEBT FOR PATIENTS WHO WHOULD HAVE QUALIFIED FOR ASSISTANCE IF THEY APPLIED. SEE FOOTNOTE 1 PATIENT ACCOUNTS RECEIVABLES SECTION AND FOOTNOTE 4 OF AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART VI, LINE 2 SEE ATTACHED 2 SCHEDULE H, PART VI, LINE 3 SEE ATTACHED 3 SCHEDULE H, PART VI, LINE 4 SEE ATTACHED 4 SCHEDULE H, PART VI, LINE 5 SEE ATTACHED 5 SCHEDULE H, PART VI SEE ATTACHED 1 FORM 990, PART VI, LINE 2 - FAMILY/BUSINESS RELATIONSHIP ONE HOSPITAL BOARD TRUSTEE IS A DIRECTOR OF HURON CHAMBER OF COMMERCE. ONE HOSPITAL BOARD TRUSTEE IS THE MAYOR OF HURON, SD. ONE HOSPITAL BOARD TRUSTEE SERVES ON THE BEADLE COUNTY COMMISSION. ONE HOSPITAL BOARD TRUSTEE IS BANK PRESIDENT OF AN HRMC FINANCIAL INSTITUTION. ONE HOSPITAL OFFICER, EMPLOYED BY OVATION HEALTHCARE, HAS HIS SPOUSE AND DAUGHTER EMPLOYED BY THE HOSPITAL. ONE HOSPITAL BOARD TRUSTEE HAS HIS WIFE AND DAUGHTER-IN-LAW EMPLOYED BY THE HOSPITAL. ONE HOSPITAL BOARD TRUSTEE HAS HIS WIFE EMPLOYED BY THE HOSPITAL. THREE BOARD TRUSTEES ARE EMPLOYED BY THE HOSPITAL - NOT INDEPENDENT. X X true true X X X X X false false false false false false false false false DR KEVIN HOFER DIRECTOR 675802 20000 85219 5004 28455 814480 DR VINCENT OYLER HCE 463377 15000 47992 6332 21496 554197 DR TERRY LARSEN HCE 475420 15000 8723 3997 16168 519308 DR KRISTEN HUGHES HCE 299653 10000 26197 5675 23242 364767 DR JASON BARNHARD CRNA HCE 333562 4952 23242 361756 DR ANTHONY LOEWEN SECRETARY 148555 15000 6203 3902 173660 SCHEDULE J, PART III OVATION HEALTHCARE WHO IS CONTRACTED BY THE BOARD OF DIRECTORS TO MANAGE THE HOSPITAL PAYS THE PRES/CEO AND VP-FINANCE SINCE THEY ARE EMPLOYEES OF OVATION HEALTH CARE. HRMC PAID THE PLANE FARE FOR A DAUGHTER OF A TRUSTEE TO ATTEND A BOARD TRAINING CONFERENCE. DR SEAN SCHOOLEY MD HOUSING X 50000 40565 false true true DR KEVIN HOFER MD HOUSING X 50000 31371 false true true DR ANTHONY LOEWEN MD HOUSING X 50000 833 false true true 72769 FORM 990, PAGE 6, PART VI, LINE 2 SEE ATTACHED FORM 990, PAGE 6, PART VI, LINE 3 HRMC CONTRACTED WITH OVATION HEALTHCARE TO PROVIDE MANAGEMENT SERVICES AS DIRECTED BY THE BOARD. OVATION HEALTHCARE THEN EMPLOYS PRESIDENT/CEO AND VP-FINANCE/CFO. FORM 990, PAGE 6, PART VI, LINE 11B ORGANIZATION'S PROCESS IS TO PROVIDE FORM 990 TO THE BOARD OF DIRECTORS PRIOR TO SUBMISSION. FORM 990 ALSO PRESENTED TO BOARD BY AUDITOR/CFO. FORM 990, PAGE 6, PART VI, LINE 12C ENFORCEMENT OF CONFLICTS OF INTEREST POLICY FOR BOARD OF DIRECTORS IS DONE THROUGH THE EXECUTIVE COMMITTEE WHO ACTIVELY MONITORS COMPLIANCE. FORM 990, PAGE 6, PART VI, LINE 15A COMPENSATION COMMITTEE IN CONJUNCTION WITH OVATION HEALTHCARE REVIEWED INDEPENDENT COMPENSATION CONSULTANT'S COMPENSATION SURVEY FOR BOTH CEO AND CFO. BOARD APPROVED EXECUTIVE COMPENSATION POLICY, REQUIRES AN INDEPENDENT COMPENSATION SURVEY EVERY 4 YEARS AND REVIEW OF CEO AND CFO COMPENSATION ANNUALLY. FORM 990, PAGE 6, PART VI, LINE 15B COMPENSATION COMMITTEE IN CONJUNCTION WITH OVATION HEALTHCARE REVIEWED INDEPENDENT COMPENSATION CONSULTANT'S COMPENSATION SURVEY FOR BOTH CEO AND CFO. BOARD APPROVED EXECUTIVE COMPENSATION POLICY, REQUIRES AND INDEPENDENT COMPENSATION SURVEY EVERY 4 YEARS AND REVIEW OF CEO AND CFO COMPENSATION ANNUALLY. FORM 990, PAGE 6, PART VI, LINE 19 FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY AVAILABLE FOR PUBLIC INSPECTION AT THE ADMINISTRATION OFFICE OF THE ORGANIZATION. FINANCIAL STATEMENTS MADE PUBLIC AND ANNUAL POSTING OF FORM 990 THROUGH GUIDESTAR AND ON HOSPITAL WEBSITE HURON REG MEDICAL CTR FOUNDATION 110 4TH STREET SE HURON SD 57350 460437171 FUNDRAISER SD 501C 3 NA false false false false false false false false false false false false false false false false false false false false