2020-06-16T17:20:11-05:00 2019-06-30 460434947 ELO PROF LLC PO BOX 249 MITCHELL SD 57301 990 2018-07-01 460345312 HURON REGIONAL MEDICAL CENTER INC HURO 6053536545 172 4TH ST SE HURON SD 57350 TOM HANSEN TREASURER 6053536545 2020-05-21 true JAY TOLSMA CPA P00736087 6059967717 2020-05-28 66.115.209.80 2020-06-16 17:20:11 CD P 725F0A5F6C9BDA4685B8F50C54CA28227E9BAD02 41E34FFD035A4821AB4F8256B3C09C8B817A40CF 2018 2020-09-23 17:36:50Z TOM HANSEN 41911195 false X WWW.HURONREGIONAL.ORG X 1978 SD THE MISSION OF HURON REGIONAL MEDICAL CENTER IS TO WORK TOGETHER WITH EACH INDIVIDUAL AND ORGANIZATION IN THE REGION TO PROMOTE AND IMPROVE COMMUNITY HEALTH. 11 8 377 55 167605 35349 84658 35960589 38614083 2303902 2618304 464856 470249 38764696 41787294 0 0 20144081 20852945 0 0 14938544 17748807 35082625 38601752 3682071 3185542 89459899 92374180 3737258 3465997 85722641 88908183 THE MISSION OF HURON REGIONAL MEDICAL CENTER IS TO WORK TOGETHER WITH EACH INDIVIDUAL AND ORGANIZATION IN THE REGION TO PROMOTE AND IMPROVE COMMUNITY HEALTH. false false 38601752 38614083 PROVIDED MEDICAL SERVICES AS FOLLOWS: INPATIENT ADMISSIONS 1,295 OUTPATIENT VISITS 59,904 SWING BED ADMISSIONS 133 HURON REGIONAL MEDICAL CENTER, INC. PROVIDED COMMUNITY BENEFIT IN THE AMOUNT OF 11,630,595 FOR 2018-2019 9,522,478 FOR 2017-2018. 38601752 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 false false true true false false false false false false true false false false true 49 0 true 377 true true true false false false false false false false false false false false X 11 8 true true false false false false false true true false false true true true true true true true true false X X X MARCIA ZWANZIGER 6053536545 172 4TH ST SE HURON SD 57350 X DR SARA CASTELLANOS DIRECTOR/HCE 40.00 X 326134 0 15097 LAURIE SOLEM VICE CHAIR 1.00 X 0 0 0 TOM HANSEN TREASURER 1.00 X 0 0 0 DOUG BALVIN SECRETARY 1.00 X 0 0 0 PAUL AYLWARD DIRECTOR 1.00 X 0 0 0 JILL LUQUE DIRECTOR 1.00 X 0 0 0 JUSTIN PICEK DIRECTOR 1.00 X 0 0 0 DAVID MCGIRR DIRECTOR 1.00 X 0 0 0 DR WILLIAM MINER CHAIR 1.00 X 0 0 0 DR NATHAN LOEWEN DIRECTOR 1.00 X 0 0 0 LAURA WILLEMSSEN DIRECTOR 1.00 X 0 0 0 MARCIA ZWANZIGER VP - FINANCE 50.00 X 0 0 0 DAVID DICK PRESIDENT/CE 50.00 X 0 0 0 ELYSE BROCK MD 40.00 X 354375 0 18535 ERIC CHOW MD 40.00 X 329129 0 15766 RICARDO SARLI MD 40.00 X 285994 0 6077 JESSE VAN HEUKELOM MD 40.00 X 282294 0 24196 JASON BARNHARD CRNA 40.00 X 198953 0 14520 1776879 94191 18 false true false KRAUS-ANDERSON CONSTRUCTION CO 501 S 8TH ST MINNEAPOLIS MN 55404 CONSTRUCT MGMT 1777516 FOCUS ONE SOLUTIONS LLC PO BOX 3037 OMAHA NE 681030037 MEDICAL 1249052 QUORUM HEALTH RESOURCES LLC 1573 MOLLORY LANE SUITE 200 BRENTWOOD TN 37027 HOSPITAL MGMT 1117027 MONTGOMERY GROUP STEVEN BRANCH MD PHD 1741 DAKOTA AVE S HURON SD 57350 MEDICAL 400000 MEDICAL SOLUTIONS 1010 N 102ND ST SUITE 300 OMAHA NE 68114 MEDICAL 243163 14 84658 84658 ROUTINE SERVICES 38614083 38614083 38614083 2611732 2611732 291506 123901 167605 167605 167605 6572 6572 6572 6572 OTHER OPERATING REVENUE 302644 302644 302644 41787294 41535031 167605 16675894 16675894 4177051 4177051 2132946 2132946 293177 293177 SUPPLIES 6217343 6217343 PURCHASED SERVICES & FEES 4920808 4920808 OTHER EXPENSES 1337377 1337377 REPAIRS & MAINTENANCE 1198010 1198010 1649146 1649146 38601752 38601752 0 0 8084661 6790263 6469449 6892240 499965 663174 676882 707376 565412 696685 67428418 47898008 17692715 19530410 52822210 55477341 2648605 1616691 89459899 92374180 3467258 3225997 270000 240000 3737258 3465997 X 85722641 88908183 85722641 88908183 89459899 92374180 3185542 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1208491 1208491 36769990 24683548 12086442 29449937 23214460 6235477 19530410 INVESTMENTS 55477341 C 55477341 41787294 41787294 41787294 38601752 38601752 38601752 true true true X 1.250000000000 true X true true false true true 123118 123118 0.00320 2563454 2861214 457119 388180 68939 0.00180 3143691 3249394 192057 0.00500 255657 52546 203111 0.00530 102700 102700 0.00270 10899691 9007353 1892338 0.04900 121373 121373 0.00310 11379421 9059899 2319522 0.06010 14523112 12309293 2511579 0.06510 5000 5000 0.00010 95501 95501 0.00250 50865 50865 0.00130 151366 151366 0.00390 false 3513327 878332 15701600 15738173 -36573 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 19 true false true true X WWW.HURONREGIONAL.ORG X true 19 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 X true X false X X X true X X false false FACILITY 1, HURON REGIONAL MEDICAL CENTER - PART V, LINE 5 BETWEEN FEBRUARY 11 AND MARCH 1, WRITTEN SURVEYS WERE COMPLETED BY 26 LOCAL EXPERTS, WHICH INCLUDED PERSONS WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY, INCLUDING THOSE WITH EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY, MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY AND MENTALLY ILL POPULATIONS. ADDITIONALLY, THREE FOCUS GROUPS WERE CONDUCTED BY SDSU NURSING STUDENTS AND A COMMUNITY SURVEY WAS ANSWERED ONLINE BY 196 RESPONDANTS. FACILITY 1, HURON REGIONAL MEDICAL CENTER - PART V, LINE 6B OTHER ORGANIZATIONS WITH WHICH THE HOSPITAL FACILITY CONDUCTED ITS CHNA; QUORUM HEALTH RESOURCES (QHR) - HOSPITAL FACILITY MANAGEMENT COMPANY FACILITATED CHNA. PART V - LINE 11 ADDRESSING COMMUNITY HEALTH NEEDS SEE ATTACHED GRID - HRMC COMMUNITY HEALTH NEEDS ASSESSMENT GRID PART V - LINE 20(D) EFFORTS MADE BEFORE INITIALIZING ANY OF THE ACTIONS LISTED HRMC IN PROCESS OF OBTAINING AND MEETING PRESUMPTIVE ELIGIBILITY REQUIREMENTS OF STATE OF SOUTH DAKOTA. PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION COSTS ATTRIBUTABLE TO PHYSICIAN CLINIC AS SUBSIDIZED HEALTH SERVICES UROLOGY CLINIC 328,757, NEPHROLOGY CLINIC 15,321, OB/GYN CLINIC 1,632,324, PEDIATRIC CLINIC 1,385,939, SURGICAL CLINIC 1,290,682, AND IM CLINIC 882,608 FOR A TOTAL OF 5,535,631. BAD DEBT EXPENSE NOT REPORTED ON LINE 7G WAS 150,623. PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION WORKSHEET 2 WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN THE TABLES ALONG WITH COST REPORT AMOUNTS WHEN APPLICABLE. PART II - COMMUNITY BUILDING ACTIVITIES SEE ATTACHED 5 PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY ACCOUNTS RECEIVABLE FROM PATIENTS CONSIST OF THE FOLLOWING: ACCOUNTS RECEIVABLE AS OF JUNE 30, 2019 AND 2018 WERE 8,774,367 AND 9,596,793. ALLOWANCE FOR DOUBTFUL ACCOUNTS AS OF JUNE 30, 2019 AND 2018 WERE (1,882,127) AND (3,127,344). ACCOUNTS RECEIVABLE, NET AS OF JUNE 30, 2019 AND 2018 WERE 6,892,240 AND 6,469,449. 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. PART VI, LINE 2 - NEEDS ASSESSMENT SEE ATTACHED 2 PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SEE ATTACHED 3 PART VI, LINE 4 - COMMUNITY INFORMATION SEE ATTACHED 4 PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH SEE ATTACHED 5 ADDITIONAL INFORMATION SEE ATTACHED 1 X X true true X X X X X false false false false false false false false false DR SARA CASTELLANOS DIRECTOR/HCE 326134 15097 341231 ELYSE BROCK MD 247242 10000 97133 2769 15766 372910 ERIC CHOW MD 264640 10000 54489 15766 344895 RICARDO SARLI MD 270994 15000 6077 292071 JESSE VAN HEUKELOM MD 229362 5833 47099 8430 15766 306490 JASON BARNHARD CRNA 198953 7481 7039 213473 SCHEDULE J, PART III QUORUM HEALTH RESOURCES (QHR) WHO IS CONTRACTED BY THE BOARD OF DIRECTORS TO MANAGE THE HOSPITAL PAYS THE PRES/CEO AND VP-FINANCE SINCE THEY ARE EMPLOYEES OF QHR. TRAVEL FOR BOARD MEMBERS SPOUSE TO BOARD CONFERENCE PAID PER POLICY. HOUSING LOAN FORGIVEN TO 3 OF THE HIGHLY COMPENSATED EMPLOYEES PER BOARD APPROVED RECRUITMENT AGREEMENT. SARA CASTELLANOS DIRECTOR/HCE 326134 WAGES false SARA CASTELLANOS DIRECTOR/HCE 10650 WAGES PAID TO SPOUSE false FORM 990, PAGE 6, PART VI, LINE 2 SEE ATTACHED FORM 990, PAGE 6, PART VI, LINE 3 HRMC CONTRACTED WITH QUORUM HEALTH RESOURCES (QHR) TO PROVIDE MANAGEMENT SERVICES AS DIRECTED BY THE BOARD. QHR THEN EMPLOYS PRESIDENT/CEO AND VP-FINANCE/CFO. FORM 990, PAGE 6, PART VI, LINE 11B AUDITOR AND/OR CFO PRESENTS AND THE BOARD OF DIRECTOR REVIEWS THE FORM 990 AND APPROVES PRIOR TO SUBMISSION. 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 QHR 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 QHR 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 FUNDRAISIN SD 501C 3 NA false false false false false false false false false false false false false false false false false false false false