2018-04-07T16:06:01-05:00 2017-06-30 460434947 ELO PROF LLC PO BOX 249 MITCHELL SD 57301 990 2016-07-01 460345312 HURON REGIONAL MEDICAL CENTER INC HURO 6053536545 172 4TH STREET SE HURON SD 57350 TOM HANSEN TREASURER 6053536539 2018-03-27 true JAY TOLSMA CPA P00736087 6059967717 2018-03-27 19BCCE788F45D36A47A91A8AE4CDE4EDB5AA26DD E26F38C6856609400D6D4A6E6DF4DFB284A62E34 2016 2021-01-29 14:40:06Z TOM HANSEN 37865338 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 8 350 63 237860 -56883 26552 32915 31884242 34910299 1442927 1608636 505354 1139049 33859075 37690899 0 0 18026107 18763367 0 0 12748876 15402353 30774983 34165720 3084092 3525179 81563029 85514399 3047638 3473829 78515391 82040570 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 34165720 PROVIDED MEDICAL SERVICES AS FOLLOWS: INPATIENT ADMISSIONS 1,268 OUTPATIENT VISITS 57,299 SWING BED ADMISSIONS 108 HURON REGIONAL MEDICAL CENTER, INC. PROVIDED COMMUNITY BENEFIT IN THE AMOUNT OF 10,323,896 FOR 2016-2017 AND 10,357,186 FOR 2015-2016. 34165720 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 42 0 true 350 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 MARCIA ZWANZIGER 6053536545 172 4TH ST SE HURON SD 57350 X LAURIE SOLEM DIRECTOR 1.00 X 0 0 0 LINDA MARCUS DIRECTOR 1.00 X 0 0 0 PAUL AYLWARD DIRECTOR 1.00 X 0 0 0 DR ROBERT HOHM 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 NATHAN LOEWEN DIRECTOR 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 WILLIAM MINER VICE CHAIRMA 1.00 X 0 0 0 DEB KUHLER CHAIRMAN 1.00 X 0 0 0 MARCIA ZWANZIGER VP - FINANCE 40.00 X 0 0 0 DAVID DICK PRESIDENT/CE 40.00 X 0 0 0 TRAVIS LEHMAN MD 40.00 X 293040 0 18544 JESSE VAN HUEKELOM MD 40.00 X 270162 0 21845 JASON BARNHARD CRNA 40.00 X 187763 0 12382 SAMUEL JANES CRNA 40.00 X 181189 0 20967 JESSICA HAINES CRNA 40.00 X 152370 0 14412 1084524 88150 5 false true false QHR 105 CONTINENTAL PLACE BRENTWOOD TN 37027 HOSPITAL MGMT 1037713 GRAPE TREE MEDICAL STAFFING INC 880 W GERITAGE PARK BLVD SUITE 110 LAYTON UT 84041 STAFFING 244822 LOCUMTENENSCOM PO BOX 405547 ATLANTA GA 303845547 STAFFING 204033 JOHNSON CONTROLS INC PO BOX 730068 DALLAS TX 75373 MEDICAL EQUIP 167051 SANFORD LABORATORIES 1210 S GRANGE AVE SIOUX FALLS SD 57105 MEDICAL 164700 12 32915 32915 ROUTINE SERVICES 34910299 34910299 34910299 1630027 1630027 390908 153048 237860 237860 237860 21391 -21391 -21391 -21391 OTHER OPERATING REVENUE 901189 901189 901189 37690899 37420124 237860 15095240 15095240 3668127 3668127 1873034 1873034 223618 223618 SUPPLIES 5095299 5095299 PURCHASED SERVICES & FEES 4108913 4108913 OTHER EXPENSES 1432364 1432364 REPAIRS & MAINTENANCE 1254314 1254314 1414811 1414811 34165720 34165720 0 0 2540835 9562961 3929388 5862457 84771 12917 1268965 451390 689835 605951 656196 608772 63014170 44685991 19217090 18328179 52684268 48151856 491681 1929916 81563029 85514399 3047638 3173829 300000 3047638 3473829 X 78515391 82040570 78515391 82040570 81563029 85514399 3525179 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 63014170 44685991 18328179 18328179 INVESTMENTS 48151856 C 48151856 37690899 37690899 37690899 34165720 34165720 34165720 true true true X 1.250000000000 true X true true false false 47579 47579 0.00140 2451373 2448417 2956 0.00010 332910 295166 37744 0.00110 2831862 2743583 88279 0.00260 309120 35040 274080 0.00800 80950 80950 0.00240 8926214 7481999 1444215 0.04230 120864 120864 0.00350 9437148 7517039 1920109 0.05620 12269010 10260622 2008388 0.05880 5700 5700 0.00020 53993 53993 0.00160 59693 59693 0.00170 false 3559666 711933 12744324 12802626 -58302 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 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 PEDIATRIC CLINIC 733,238, SURGICAL CLINIC 855,368, AND IM CLINIC 723,457 FOR A TOTAL OF 2,312,063. BAD DEBT EXPENSE NOT REPORTED ON LINE 7G WAS 94,802. 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, 2017 AND 2016 WERE 9,559,809 AND 6,595,592. ALLOWANCE FOR DOUBTFUL ACCOUNTS AS OF JUNE 30 2017 AND 2016 WERE (3,697,351) AND (2,666,204). ACCOUNTS RECEIVABLE, NET AS OF JUNE 30, 2017 AND 2016 WERE 5,862,458 AND 3,929,388. 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 TRAVIS LEHMAN MD 240594 10000 42446 5415 13129 311584 JESSE VAN HUEKELOM MD 203403 10000 56759 8368 13477 292007 JASON BARNHARD CRNA 187763 6483 5899 200145 SAMUEL JANES CRNA 181189 7490 13477 202156 JESSICA HAINES CRNA 152370 3384 11028 166782 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 JESSE VAN HUEKELOM HCE HOUSING ASSISTANCE X 50000 12917 false true true 12917 LINDA MARCUS DIRECTOR 75214 FAMILY MEMBER COMP false FORM 990, PAGE 6, PART VI, LINE 2 SEE ATTACHED 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 IN 2015 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 IN 2015 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 ALSO MADE PUBLIC THROUGH QUARTERLY AND ANNUAL POSTING ON ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) AND ANNUAL POSTING OF FORM 990 THROUGH GUIDESTAR. 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