2017-02-15T13:43:50-06:00 2016-06-30 460434947 ELO PROF LLC PO BOX 249 MITCHELL SD 57301 990 2015-07-01 460345312 HURON REGIONAL MEDICAL CENTER INC HURO 6053536545 172 4TH STREET SE HURON SD 57350 DAVID DICK PRESIDENT/CEO 6053536539 2016-01-27 true JAY TOLSMA CPA P00736087 6059967717 2017-01-27 2015 2021-01-29 14:40:06Z DAVID DICK 34135805 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 7 352 65 108653 -103793 38559 26552 32085990 31884242 1329148 1442927 806876 505354 34260573 33859075 0 0 17874737 18026107 0 0 12992457 12748876 30867194 30774983 3393379 3084092 80542439 81563029 4111140 3047638 76431299 78515391 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 30774983 PROVIDED MEDICAL SERVICES AS FOLLOWS: INPATIENT ADMISSIONS 1,191 OUTPATIENT VISITS 54,532 SWING BED ADMISSIONS 94 HURON REGIONAL MEDICAL CENTER, INC. PROVIDED COMMUNITY BENEFIT IN THE AMOUNT OF 7,917,583 FOR 2014-2015 AND 10,357,186 FOR 2015-2016. 30774983 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 true true true false false false false false false false false false true 46 0 true 352 true true true false false false false false false false false false X 11 7 false 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 LINDA MARCUS DIRECTOR X 0 0 0 TOM HANSEN DIRECTOR X 0 0 0 DOUG BALVIN TREASURER X 0 0 0 DR KARL BLESSINGER CHAIRMAN X 0 0 0 PAUL AYLWARD DIRECTOR X 0 0 0 DR ROBERT HOHM DIRECTOR X 0 0 0 BILL ANDERSON DIRECTOR X 0 0 0 STAN KOPFMANN DIRECTOR X 0 0 0 PHIL WIEDENMAN VICE CHAIRMA X 0 0 0 DEB KUHLER SECRETARY X 0 0 0 DR NATHAN LOEWEN DIRECTOR X 0 0 0 MARCIA ZWANZIGER VP - FINANCE X 0 0 0 DAVID DICK PRESIDENT/CE X 0 0 0 DR JOHN ROBERT MD X 445092 0 3782 TRAVIS LEHMAN MD X 312270 0 10899 JESSE VAN HUEKELOM MD X 274257 0 12937 SAMUEL JANES CRNA X 180860 0 16195 JASON BARNHARD CRNA X 173608 0 9601 1386087 53414 13 false true false QHR 1573 MALLORY LANE SUITE 200 BRENTWOOD TN 37027 HOSPITAL MGMT 1024133 JOHNSON CONTROLS PO BOX 730068 SIOUX FALLS SD 57106 HVAC MAINT & RE 255297 XIGENT SOLUTIONS 17200 MEDIA ROAD SUITE 800 PLYMOUTH MN 55447 IT SUPPORT 190816 SANFORD LABORATORIES PO BOX 5056 SIOUX FALLS SD 57105 LAB SERVICES 184069 EARTHBEND 2300 E 54TH STREET SIOUX FALLS SD 57104 IT NETWORK 151943 8 26552 26552 ROUTINE SERVICES 31884242 31884242 31884242 1442927 1442927 385383 276730 108653 108653 108653 OTHER OPERATING REVENUE 396701 396701 396701 33859075 33723870 108653 14676765 14676765 3349342 3349342 38016 38016 1862309 1862309 239666 239666 SUPPLIES 4118976 4118976 PURCHASED SERVICES & FEES 2809977 2809977 OTHER EXPENSES 1186971 1186971 REPAIRS & MAINTENANCE 1152945 1152945 1340016 1340016 30774983 30774983 0 0 2788507 2540835 3082071 3929388 63105 84771 1353976 1268965 713494 689835 712092 656196 62050018 42832928 19463005 19217090 51069479 52684268 1296710 491681 80542439 81563029 3421438 3047638 689702 4111140 3047638 X 76431299 78515391 76431299 78515391 80542439 81563029 3084092 -1000000 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 62050018 42832928 19217090 19217090 INVESTMENTS 52684268 C 52684268 34135805 276730 276730 33859075 33859075 31051713 276730 276730 30774983 30774983 SCHEDULE D, PAGE 4, PART XI, LINE 2D RENTAL EXPENSES 276,730 SCHEDULE D, PAGE 4, PART XII, LINE 2D RENTAL EXPENSES 276,730 true true true X 1.250000000000 true X true true false true true 99067 99067 0.00320 42377 29864 12513 0.00040 141444 29864 111580 0.00360 335675 33260 302415 0.00980 1111250 1111250 0.03610 6697627 4821607 1876020 0.06100 138200 138200 0.00450 8282752 4854867 3427885 0.11140 8424196 4884731 3539465 0.11500 10174 3600 6574 0.00020 66594 66594 0.00220 76768 3600 73168 0.00240 false 1772821 354564 10971584 10951757 19827 X 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 X 16 true false true true X WWW.HURONREGIONAL.ORG X true 16 true WWW.HURONREGIONAL.ORG/ABOUT-US/COMM... false false true X 125.000000000000 200.000000000000 X X X true true X X X true X WWWHURONREGIONALORG X WWWHURONREGIONALORG X WWWHURONREGIONALORG X X X true X true X 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 THE 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, SECTION B, LINE 11 SEE ATTACHED CHNA PAGES 43-66 PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION COSTS ATTRIBUTABLE TO PHYSICIAN CLINIC AS SUBSIDIZED HEALTH SERVICES PEDIATRIC CLINIC 541,648, SURGICAL CLINIC 680,778, INTERNAL MED CLINIC 527,458 AND FOR A TOTAL OF 1,749,884. BAD DEBT EXPENSE NOT REPORTED ON LINE 7G WAS 57,035. 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 JUN 30 2016 AND 2015 WERE 6,595,592 AND 6,954,914. ALLOWANCE FOR DOUBTFUL ACCOUNTS AS OF JUNE 30 2016 AND 2015 WERE (2,666,204) AND (3,872,843). ACCOUNTS RECEIVABLE, NET AS OF JUNE 30, 2016 AND 2015 WERE 3,929,388 AND 3,082,071. THE ABOVE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED ON AN ESTIMATE USING PAST COLLECTION EXPERIENCE, FINANCIAL CLASS, AND AGE OF 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. FOOTNOTE 4 PAGE 8 OF AUDIT 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 6 ADDITIONAL INFORMATION SEE ATTACHED 1 X X true true X X X X X false false false false false false false false false DR JOHN ROBERT MD 445092 3782 448874 TRAVIS LEHMAN MD 312270 10899 323169 JESSE VAN HUEKELOM MD 274257 12937 287194 SAMUEL JANES CRNA 180860 16195 197055 JASON BARNHARD CRNA 173608 9601 183209 SCHEDULE J, PART III PART I, LINE 1A TRAVEL FOR COMPANIONS - BOARD POLICY ALLOWS TRAVEL EXPENSE FOR BOARD MEMBER SPOUSE TO BOARD ESSENTIAL TRAINING. THIS WAS PROVIDED TO LINDA MARCUS AND WAS NOT TREATED AS TAXABLE COMPENSATION. HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE - PHYSICIANS JESSE VAN HUEKELOM, TRAVIS LEHMAN, AND JOHN ROBERT WERE GIVEN HOUSING LOANS AS PART OF THEIR RECRUITMENT PACKAGES. THESE LOANS WERE TREATED AS TAXABLE COMPENSATION DR TRAVIS LEHMAN HCE HOUSING ASSISTANCE X 50000 37500 false true true DR JOHN ROBERT HCE HOUSING ASSISTANCE X 50000 24354 true true true DR JESSE VAN HUEKELOM HCE HOUSING ASSISTANCE X 50000 22917 false true true 84771 DR KARL BLESSINGER DIRECTOR 157625 LAB/PATHOLOGY false LINDA MARCUS DIRECTOR 80196 FAM. MBR. COMPENSATI false 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 2014 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 2014 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 THROUGH ANNUAL POSTING OF FORM 990 THROUGH GUIDESTAR. FORM 990, PART XI, LINE 9 TRANSFER TO HRMC FOUNDATION -1,000,000 TOTAL -1,000,000