2019-03-27T09:17:01-05:00 2018-06-30 460434947 ELO PROF LLC PO BOX 249 MITCHELL SD 57301 990 2017-07-01 460345312 HURON REGIONAL MEDICAL CENTER INC HURO 6053536545 172 4TH ST SE HURON SD 57350 TOM HANSEN TREASURER 6053536545 2019-03-21 true JAY TOLSMA CPA P00736087 6059967717 2019-03-21 66.115.209.80 2019-03-27 09:17:01 CD P 725F0A5F6C9BDA4685B8F50C54CA28227E9BAD02 E6EC423C45044536EABED301A8229F04E2AB9EE9 2017 2019-02-21 02:37:17Z TOM HANSEN 38896969 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 8 369 60 190995 -119234 32915 35349 34910299 35960589 1608636 2303902 1139049 464856 37690899 38764696 0 0 18763367 20144081 0 0 15402353 14938544 34165720 35082625 3525179 3682071 85514399 89459899 3473829 3737258 82040570 85722641 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 35082625 PROVIDED MEDICAL SERVICES AS FOLLOWS: INPATIENT ADMISSIONS 1,207 OUTPATIENT VISITS 60,721 SWING BED ADMISSIONS 119 HURON REGIONAL MEDICAL CENTER, INC. PROVIDED COMMUNITY BENEFIT IN THE AMOUNT OF 9,522,478 FOR 2017-2018 10,323,896 FOR 2016-2017. 35082625 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 true false false false false false false true false false false true 49 0 true 369 true true true 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 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 DR SARA CASTELLANOS DIRECTOR 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 50.00 X 354436 0 14181 ERIC CHOW MD 40.00 X 324727 0 14310 JESSE VAN HUEKELOM MD 45.00 X 274135 0 22962 JASON BARNHARD CRNA 40.00 X 201947 0 13355 SAMUEL JANES CRNA 40.00 X 190843 0 22354 1346088 87162 17 false true false QUORUM HEALTH RESOURCES LLC 1573 MOLLORY LANE SUITE 200 BRENTWOOD TN 37027 HOSPITAL MGMT 1052089 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 302475 OTIS ELEVATOR COMPANY PO BOX 73579 CHICAGO IL 606737579 EQUIPMENT 249053 SANFORD HEALTH PATHOLOGY CLINIC SANFORD USD MEDICAL CENTER PO BOX 5074 SIOUX FALLS SD 571175074 MEDICAL 195676 12 35349 35349 ROUTINE SERVICES 35960589 35960589 35960589 2303902 2303902 323268 132273 190995 190995 190995 OTHER OPERATING REVENUE 273861 273861 273861 38764696 38538352 190995 16243792 16243792 3900289 3900289 1994826 1994826 257592 257592 SUPPLIES 4748782 4748782 PURCHASED SERVICES & FEES 4154926 4154926 OTHER EXPENSES 1285310 1285310 REPAIRS & MAINTENANCE 1180248 1180248 1316860 1316860 35082625 35082625 0 0 9562961 8084661 5862457 6469449 12917 68425 451390 431540 605951 676882 608772 565412 63457777 45765062 18279705 17692715 48151856 52822210 1978390 2648605 85514399 89459899 3173829 3467258 300000 270000 3473829 3737258 X 82040570 85722641 82040570 85722641 85514399 89459899 3682071 X false true X true false X 1208491 1208491 34393005 23959650 10433355 27856281 21805412 6050869 17692715 INVESTMENTS 52822210 C 52822210 38764696 38764696 38764696 35082625 35082625 35082625 true true true X 1.250000000000 true X true true false false 72031 72031 0.00210 2387608 2507259 435696 397348 38348 0.00110 2895335 2904607 110379 0.00310 330038 35530 294508 0.00840 25550 25550 0.00070 6636003 4816639 1819364 0.05190 122728 122728 0.00350 7114319 4852169 2262150 0.06450 10009654 7756776 2372529 0.06760 5375 5375 0.00020 82012 82012 0.00230 41957 41957 0.00120 129344 129344 0.00370 false 2583100 516620 13453597 13484471 -30874 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 16 true false true true X WWW.HURONREGIONAL.ORG X true 16 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 TWO ROUNDS OF WRITTEN SURVEYS WERE COMPLETED BY 32 LOCAL EXPERTS ALONG WITH 3 FOCUS GROUP LISTENING SESSIONS. LOCAL EXPERTS 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. 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. JAMES VALLEY COMMUNITY HEALTH CLINIC AND COMMUNITY COUNSELING SERVICES PARTICIPATED IN CONFIRMING SIGNIFICANT NEEDS AND DEVELOPING IMPLEMENTATION STRATEGY. 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 NEPHROLOGY CLINIC 5,239, OB/GYN CLINIC 691,200, PEDIATRIC CLINIC 640,687, SURGICAL CLINIC 661,907, AND IM CLINIC 717,757 FOR A TOTAL OF 2,716,790. BAD DEBT EXPENSE NOT REPORTED ON LINE 7G WAS 130,974. 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 PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY ACCOUNTS RECEIVABLE FROM PATIENTS CONSIST OF THE FOLLOWING: ACCOUNTS RECEIVABLE AS OF JUNE 30, 2018 AND 2017 WERE 9,596,793 AND 9,559,809. ALLOWANCE FOR DOUBTFUL ACCOUNTS AS OF JUNE 30 2018 AND 2017 WERE (3,127,344) AND (3,697,351). ACCOUNTS RECEIVABLE, NET AS OF JUNE 30, 2018 AND 2017 WERE 6,469,449 AND 5,862,458. 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 true true X X X X X false false false false false false false false false ELYSE BROCK MD 248186 10000 96250 14181 368617 ERIC CHOW MD 261828 10000 52899 14310 339037 JESSE VAN HUEKELOM MD 204972 10000 59163 8260 14702 297097 JASON BARNHARD CRNA 201947 6907 6448 215302 SAMUEL JANES CRNA 190843 7652 14702 213197 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. DR ERIC CHOW HCE HOUSING ASSISTANCE X 50000 34675 false true true DR ELYSE BROCK HCE HOUSING ASSISTANCE X 50000 30833 false true true DR JESSE VAN HUEKELOM HCE HOUSING ASSISTANCE X 50000 2917 false true true 68425 SARA CASTELLANOS DIRECTOR 140506 PURCHASE OF WWC SUPP false SARA CASTELLANOS DIRECTOR 48584 WWC TRANSITION PAYME 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