REGIONAL HOSPITAL FOR RESPIRATORY AND: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: REGIONAL HOSPITAL FOR RESPIRATORY AND (EIN 91-1170040)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-14
IRS object ID: 201303199349305470
Schema version: 2012v2.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule C
Schedule D
Schedule H
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-14T19:07:27-07:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	911170040	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	REGIONAL HOSPITAL FOR RESPIRATORY AND COMPLEX CARE	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	REGI	NameControl
Phone	2062484604	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	12844 Military Road South	AddressLine1
City	Tukwila	City
State	WA	State
ZIP Code	981683045	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Anne McBride	Name
Title	CEO	Title
Phone	2062484542	Phone
Date Signed	2013-11-13	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Anne McBride	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	12844 Military Road S	AddressLine1
City	Tukwila	City
State	WA	State
ZIP Code	98168	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	15874490	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.regionalhospital.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1994	YearFormation
State Legal Domicile	WA	StateLegalDomicile
Activity Or Mission Description	The Regional Hospital is committed to playing a critical role in the continuum of care by providing acute, long-term, complex care with the single goal of improving quality of life for our patients and their families.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	10	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	7	NbrIndependentVotingMembers
Total Nbr Employees	137	TotalNbrEmployees
Total Nbr Volunteers	3	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	0	ContributionsGrantsPriorYear
Contributions Grants Current Year	0	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	20079399	ProgramServiceRevenuePriorYear
Program Service Revenue CY	15684916	ProgramServiceRevenueCY
Investment Income Prior Year	-50148	InvestmentIncomePriorYear
Investment Income Current Year	0	InvestmentIncomeCurrentYear
Other Revenue Prior Year	260500	OtherRevenuePriorYear
Other Revenue Current Year	189574	OtherRevenueCurrentYear
Total Revenue Prior Year	20289751	TotalRevenuePriorYear
Total Revenue Current Year	15874490	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	11415563	SalariesEtcPriorYear
Salaries Etc Current Year	9056365	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	9983540	OtherExpensePriorYear
Other Expenses Current Year	8383335	OtherExpensesCurrentYear
Total Expenses Prior Year	21399103	TotalExpensesPriorYear
Total Expenses Current Year	17439700	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-1109352	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-1565210	RevenuesLessExpensesCY
Total Assets BOY	12477917	TotalAssetsBOY
Total Assets EOY	10220163	TotalAssetsEOY
Total Liabilities BOY	3406555	TotalLiabilitiesBOY
Total Liabilities EOY	6505558	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	9071362	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	3714605	NetAssetsOrFundBalancesEOY
Mission Description	The Regional Hospital is committed to playing a critical role in the continuum of care by providing acute, long-term, complex care with the single goal of improving quality of life for our patients and their families.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	14498155	Expense
Grants	0	Grants
Revenue	31919366	Revenue
Description	The Regional Hospital for Respiratory and Complex Care (Regional Hospital) is a licensed, nonprofit, acute care hospital certified by Medicare as a long-term acute care hospital (LTACH). Regional Hospital's mission is to provide high quality, cost-effective care for a special population of patients requiring complex acute care for an extended period of time. Regional Hospital is committed to excellence in the delivery of specialized hospital care that improves the quality of life for our patients and their families. Therefore, in keeping with this commitment, free care and/or subsidized care is provided to persons covered by governmental programs at below cost and will be considered for other patients in need and when individuals are unable to pay for all of their care. Recognizing its mission to the community, services are provided to both Medicare and Medicaid patients. To the extent reimbursement is below cost, the Hospital recognizes these amounts as uncompensated care. The Hospital provides patient care to individuals in the communities it serves who do not have adequate resources to pay for healthcare services. Patient service charges incurred for charity care are defined by the Hospital to include all charges forgone for patients qualifying as medically indigent under the state Medicaid guidelines. During the year 2012, Regional Hospital provided nursing and ancillary services to 209 intermediate term patients for 7,134 patient days, and provided $16,461,084 in uncompensated services and contractual discounts.	Description
Total Of Other Program Service Exp	0	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	0	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	0	TotalOfOtherProgramServiceRev
Total Program Service Expense	14498155	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	0	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	0	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	34	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	137	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	10	NbrVotingGoverningBodyMembers
Number Independent Voting Members	7	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Gregg Terreson Highline Med Center	NamePerson
Telephone Number	2062484758	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	12844 Military Road South	AddressLine1
City	Tukwila	City
State	WA	State
ZIP Code	981683045	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Earl Sedlik
President	1	0	X	X	0	0	0
Sue Manfredi
Vice President	1	0	X	X	0	0	0
Laurie Brown RN
Board member	1	0	X		0	0	0
Lloyd Musselman
Treasurer and Secretary	1	0	X	X	0	0	0
David Keller MD
Board Member	1	0	X		55000	0	0
Frederick Jackson MD
Board Member	1	0	X		0	0	0
Dana Kyles
Board member	1	0	X		0	0	0
Nicki Bly
Board Member	1	0	X		0	0	0
Paul Hayes
Board Member	1	0	X		0	0	0
John Glassman
Board Member	1	0	X		0	0	0
Katherine Bechtold RN
Board member	1	0	X		0	0	0
Eric Jensen
CEO	40	0		X	259961	0	23372
Anne McBride
CFO	20.00	0		X	122950	0	0
Barbara Hostetler
COO	40	0		X	126603	0	16791
Josephine Ramiro
RN	43	0			142560	0	33413	X
Susan P Ferguson
RN	45	0			136687	0	23980	X
Lerma Cua
RN	49	0			173397	0	35571	X
Virginia Mondragon
RN	46	0			127315	0	32282	X
Tamira London
Clinical Nurse Liason	40	0			114063	0	30406	X
Walter Weeks
Clinical Nurse Liason	40	0			98085	0	29998		X
Mathew Landers
RN	1	0			113459	0	16000		X
Richard Hawkes
RN	36	0			62241	0	5763		X
Richard Pedrick
RN	10	0			24380	0	413		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1556701	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	247989	TotalOtherCompensation
Number Individuals GT100 K	16	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Highline Medical Center
16251 Sylvester Road SW	Burien	WA	98166	Lease & Ancillary Services	4482481
South Sound Inpatient Physicians PLLC
PO BOX 742936	Los Angeles	CA	900742936	Physician Services	694507
Highline Physical Therapy
31919 1st Avenue S Suite 101	Federal Way	WA	98003	Physical Therapy Services	351436
Northwest Kidney Centers
700 Broadway	Seattle	WA	98122	Dialysis Services	145280
IV Nurse Consultants Inc
9100 BRIDGEPORT WAY SW	LAKEWOOD	WA	984992418	IV FUSION SERVICES	104837

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	5	NumberOfContractorsGT100K
Total Contributions	0	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	Patient Service Revenue	Description
Business Code	622000	BusinessCode
Total Revenue Column	15684916	TotalRevenueColumn
Related Or Exempt Function Income	15684916	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	15684916	TotalProgramServiceRevenue

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	0	Real
Personal	0	Personal

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	0	Securities
Other	0	Other

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
Sales to Other Hospital	622000	188201	188201	0	$0
Medical Record Copies	622000	1373	1373	0	$0

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	189574	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	15874490	TotalRevenueColumn
Related Or Exempt Function Income	15874490	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	781004	Total
Program Services	55000	ProgramServices
Management And General	726004	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	6165211	Total
Program Services	5340588	ProgramServices
Management And General	824623	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	372559	Total
Program Services	286441	ProgramServices
Management And General	86118	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	1130908	Total
Program Services	869497	ProgramServices
Management And General	261411	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	606683	Total
Program Services	466447	ProgramServices
Management And General	140236	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	137908	Total
Program Services	0	ProgramServices
Management And General	137908	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	68628	Total
Program Services	0	ProgramServices
Management And General	68628	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	118594	Total
Program Services	0	ProgramServices
Management And General	118594	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	4067577	Total
Program Services	4067577	ProgramServices
Management And General	0	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	75601	Total
Program Services	362	ProgramServices
Management And General	75239	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	72678	Total
Program Services	30215	ProgramServices
Management And General	42463	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	327938	Total
Program Services	327938	ProgramServices
Management And General	0	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	557010	Total
Program Services	475081	ProgramServices
Management And General	81929	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	86845	Total
Program Services	13768	ProgramServices
Management And General	73077	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	26810	Total
Program Services	0	ProgramServices
Management And General	26810	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	455953	Total
Program Services	455953	ProgramServices
Management And General	0	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	150317	Total
Program Services	147459	ProgramServices
Management And General	2858	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Medical Supplies	894290	884925	9365
Equipment Rental and Maintenance	339535	309087	30448
Provision for Bad Debt	226634	226634	0
License & Taxes	128003	179	127824

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	649014	Total
Program Services	541004	ProgramServices
Management And General	108010	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	17439700	Total
Program Services	14498155	ProgramServices
Management And General	2941545	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	5591202	BOY
EOY	5041053	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	4411589	BOY
EOY	3096381	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	176716	BOY
EOY	153304	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	156813	BOY
EOY	40516	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	5320354	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	3431445	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	2141597	BOY
EOY	1888909	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	12477917	BOY
EOY	10220163	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	2604875	BOY
EOY	5888864	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	801680	BOY
EOY	616694	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	3406555	BOY
EOY	6505558	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	9071362	BOY
EOY	3714605	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	9071362	BOY
EOY	3714605	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	12477917	BOY
EOY	10220163	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-1565210	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	0	ReconciliationUnrealizedInvest
Reconcilation Donated Services	0	ReconcilationDonatedServices
Reconcilation Invest Expenses	0	ReconcilationInvestExpenses
Reconcilation Prior Adjustment	-3791547	ReconcilationPriorAdjustment
Reconcilation Other Changes	0	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	0	FSAudited
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	1	GrantsOtherOrganizations
Grants Other Organizations	$5,171	GrantsOtherOrganizationsAmount
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	5171	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	SchC_P2B_S00_L01	Identifier
Return Reference	Schedule C, Part II-B, Line 1	ReturnReference
Explanation	For the calendar year 2012, the Washington State Hospital Association determined that 23.5% of the membership dues were expended in activities that meet the Medicare definition of lobbying. 24.99% of the National Association of Long Term Hospitals dues for fiscal year 2012, were determined as used for lobbying activities.	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	0	OtherCostOrOtherBasis
Book Value	0	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	0	OtherCostOrOtherBasis
Depreciation	0	Depreciation
Book Value	0	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	1194843	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	0	OtherCostOrOtherBasis
Depreciation	1050765	Depreciation
Book Value	144078	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	4125511	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	0	OtherCostOrOtherBasis
Depreciation	2380680	Depreciation
Book Value	1744831	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	0	OtherCostOrOtherBasis
Depreciation	0	Depreciation
Book Value	0	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	1888909	TotalOfBookValueLandBuildings

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent100	X	Pcent100
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent200 D	X	Pcent200D
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	0	AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	96277	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	96277	NetCommunityBenefitExpense
Percent Of Total Expense	0.0056	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1108640	TotalCommunityBenefitExpense
Direct Offsetting Revenue	133879	DirectOffsettingRevenue
Net Community Benefit Expense	974761	NetCommunityBenefitExpense
Percent Of Total Expense	0.0559	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	1204917	TotalCommunityBenefitExpense
Direct Offsetting Revenue	133879	DirectOffsettingRevenue
Net Community Benefit Expense	1071038	NetCommunityBenefitExpense
Percent Of Total Expense	0.0615	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	37093	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	37093	NetCommunityBenefitExpense
Percent Of Total Expense	0.0021	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	37093	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	37093	NetCommunityBenefitExpense
Percent Of Total Expense	0.0021	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	1242010	TotalCommunityBenefitExpense
Direct Offsetting Revenue	133879	DirectOffsettingRevenue
Net Community Benefit Expense	1108131	NetCommunityBenefitExpense
Percent Of Total Expense	0.0636	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$120,870	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	6303201	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	3361674	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	2941527	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Regional Hospital for Respiratory and Complex Care	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	12844 Military Road South	AddressLine1
City	Tukwila	City
State	WA	State
ZIP Code	98168	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
Other	Long-term acute care hospital	Other

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Regional Hospital for Respiratory and Complex Care	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	100	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	250	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Medicaid Medicare	X	MedicaidMedicare
Other Factors	X	OtherFactors
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Nondiscrim Emergency Care Policy	0	NondiscrimEmergencyCarePolicy
Other Reason	X	OtherReason
Medicare Rate	X	MedicareRate
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SchH_P01_S00_L07	Schedule H, Part I, Line 7	Worksheet 2 Ratio of Patient Care Cost to Charges from the IRS Instructions to Schedule H was used to calculate the amounts reported in the Table for Line 7 of Schedule H.
SchH_P01_S00_L072f	Schedule H, Part I, Line 7, Column f	The total bad debt expense included in Form 990, Part IX, line 25, column (A), but removed from the total expense for purposes of calculating the percentage in Schedule H, Part I, Line 7, column (f) was $226,634.
SchH_P01_S00_L07g	Schedule H, Part I, Line 7g	Not applicable
SchH_P03_S0A_L04	Schedule H, Part III, Section A, Line 4	The Hospital provides for an allowance against patient accounts receivable for amounts that could become uncollectible whereby such receivables are reduced to their estimated net realizable value. The Hospital estimates this allowance based on the aging of accounts receivable and other relevant factors.
SchH_P03_S0B_L08	Schedule H, Part III, Section B, Line 8	The cost to charge ratio as calculated in Worksheet 2 was applied to the total patient revenue, net of contractual adjustments, received from Medicare, reported on line 5.
SchH_P03_S0C_L09b	Schedule H, Part III, Section C, Line 9b	During the patient registration process, Regional Hospital makes an initial determination regarding Charity Care eligibility based on an oral or written application for Charity Care. If a Charity Care application is started at this point, either in writing or verbally, Regional Hospital will suspend all collection efforts and will not require any deposit pending an initial determination of Charity Care eligibility. In the event that a responsible party pays a portion of all of the charges related to appropriate hospital-based medical care services, and is subsequently found to have met the Charity Care criteria at the time services were provided, any payments in excess of the amount eligible for discount shall be refunded to the patient within thirty days of establishing Charity Care eligibility.
SchH_P05_S0B_L12	Schedule H, Part V, Section B, Line 12	12h: State and Federal Disability
SchH_P05_S0B_L14	Schedule H, Part V, Section B, Line 14	14g: Written notice regarding the existance of the financial assistance policy is provided to patients upon admittance to the hospital.
SchH_P05_S0B_L19	Schedule H, Part V, Section B, Line 19	Regional Hospital is a long-term acute care hospital which does not operate an emergency room, which precluded it from providing care for emergency medical conditions.
SchH_P06_S00_L02	Schedule H, Part VI, Line 2	Regional Hospital employs two full time clinical liaison nurses whose primary responsibilities are to represent the hospital at clinical conferences on pulmonary care, trauma care, and critical care. They are frequently present to talk with physicians and other practitioners on the standard of care for ventilator dependent patients and the positive results achieved from the hospital's weaning methodology. In addition, these individuals provide educational seminars to clinical professionals at local area hospitals on a rotating basis. Through this process, Regional Hospital has been able to identify critical unmet needs of patients on ventilators. Additionally, on a weekly basis, the two full time clinical liaison nurses visit other not-for-profit hospitals in King and Pierce counties to evaluate critical care patients for admission to Regional Hospital and to maintain ICU availability for the acute care hospitals.
SchH_P06_S00_L03	Schedule H, Part VI, Line 3	Understanding that all patients admitted to Regional Hospital are transferred in from other Pacific Northwest area hospitals, the communication regarding Regional Hospital's Charity Care program occurs with the patient and their family during the admitting process. Specifically, in the admitting packet of information, the patient/family is informed that Regional Hospital will help the family understand the federal/state/local assistance programs available to them. In addition, Regional Hospital provides charity care to those individuals meeting the hospital's charity care policy criteria. If a family member requests information about charity care, the social worker contacts the financial counselor who provides additional information through a personal visit or telephone call with the family.
SchH_P06_S00_L04	Schedule H, Part VI, Line 4	Regional Hospital is one of only two long-term acute care hospitals in the state of Washington, enabling admissions of patients from a broad geographic area, who are in need of ventilator weaning, or who have complex medical, respiratory and wound care needs requiring an extended hospital stay and recovery.
SchH_P06_S00_L05	Schedule H, Part VI, Line 5	Regional Hospital has an open medical staff and a ten member Board of Directors, which includes hospital executives from other local area hospitals, community leaders, and physicians. These individuals are volunteers who serve out of their civic commitment to ensure the long-term benefit of the hospital in the community it serves. Regional Hospital also has an open medical staff with privileges available to all qualified physicians. Established in 1993 as the first long-term acute care hospital in the Pacific Northwest, Regional Hospital has provided state-of-the-art hospital care for over 19 years to patients in need of ventilator weaning, or who have complex medical, respiratory and wound care needs requiring an extended hospital stay and recovery. Over the years, Regional Hospital has grown to serve the increasing demand for these services from the growing populations of Seattle and other Puget Sound communities. Originally a 17-bed facility, Regional is now a licensed 40-bed facility and the premier long-term acute care hospital in the Pacific Northwest. As a Long Term Acute Care Hospital (LTACH) serving medically complex and critically ill patients who are experiencing prolonged recoveries, Regional Hospital's mission is to restore the quality of life for patients and their families. Regional Hospital specializes in extended critical care, and is the regional expert in mechanical ventilator weaning, commonly referred to as life support, for patients experiencing respiratory complications or respiratory failure. As a part of Regional's dedication to individualized care, each patient is recognized as unique and hospital staff work to provide a personalized level of care based on their unique medical needs and augmented, when appropriate, with activities designed to heal the spirit. Our specialized, evidence-based medicine utilizes the latest in medical technology combined with a highly skilled clinical staff to accomplish this mission. Our dedicated and compassionate staff are committed to helping every patient achieve their full potential within the limitations of their illness, whether that is a complete recovery, or intensive medical care and rehabilitation that allows them to bridge the gap to the next level of recovery and care. At Regional Hospital, patients and families can expect from each member of our team compassion, optimism and honest concern for them as patients and family members. Through its unique blend of medical technology and compassionate care, Regional Hospital has established a reputation for producing outstanding results, and is well known throughout the Pacific Northwest for delivering the highest standards of clinical quality and patient safety. Helping patients recover with dignity and care is central to Regional Hospital's mission along with ensuring that hospital providers throughout the Seattle region can rely on Regional Hospital as a referral resource for their ICU patients allowing them to keep their ICU beds available for the more acutely ill patients.
SchH_P06_S00_L06	Schedule H, Part VI, Line 6	Not applicable.
SchH_P06_S00_L07	Schedule H, Part VI, Line 7	Not applicable.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Written Employment Contract	X	WrittenEmploymentContract
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Eric Jensen
CEO	258895	0	0	0	1066	0	0	0	26775	0	286736	0	0	0
Lerma Cua
RN	173363	0	0	0	34	0	12199	0	23488	0	209084	0	0
Josephine Ramiro
RN	142526	0	0	0	34	0	10041	0	23488	0	176089	0	0
Susan P Ferguson
RN	134412	0	0	0	2274	0	9566	0	14531	0	160783	0	0	0
Virginia Mondragon
Registered Nurse	125370	0	0	0	1945	0	8910	0	23488	0	159713	0	0	0
Walter Weeks
RN	78519	0	17950	0	1616	0	6626	0	23488	0	128199	0	0	0
Mathew Landers
RN	113459	0	0	0	0	0	8042	0	8075	0	129576	0	0	0
Richard Hawkes
RN	62241	0	0	0	0	0	3110	0	2692	0	68043	0	0
Richard Pedrick
RN	24380	0	0	0	0	0	413	0	0	0	24793	0	0	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
F990_P06_S0B_L11b	Form 990, Part VI, Section B, Line 11b	The 990 form was prepared by the organization and reviewed by an independent CPA. Upon completion of 2012 form 990, the return was provided to the Executive Committee, for their review and approval prior to its filing. The Executive Committee comprises members of the Board. The approved form 990 was provided to all hospital Board members, voting and nonvoting, prior to filing with the IRS.
F990_P06_S0B_L12c	Form 990, Part VI, Section B, Line 12c	Regional Hospital has a Conflict of Interest policy which is updated from time to time in order to be current with its requirements. The Board undergoes training in a variety of topics each year including governance and governance best practices. Each year, a Conflict of Interest form is completed by all officers, directors and others, in a position to exercise substantial influence over its decisions and affairs. When matters are discussed at the Board or subcommittee level, any conflicted person excuses themselves from the discussion and the vote with respect to the matter under consideration. Officers and directors are encouraged to bring any new conflicts to the Board during the year. The Board follows up on any new conflicts of interest that may come to its attention during the year.
F990_P06_S0B_L15	Form 990, Part VI, Section B, Line 15	Compensation for Regional's leadership team and contracts with Board members and other medical staff are the responsibility of Regional's Executive Committee. The Executive Committee comprises certain members of Regional's Board who are independent with respect to such responsibilities. Compensation is determined by a review of the performance of the individuals as well as by reference to comparable market data as well as other Form 990s for comparable hospitals.
F990_P06_S0C_L19	Form 990, Part VI, Section C, Line 19	Regional Hospital makes its Form 990 and Form 1023 available to the public in accordance with the public disclosure requirements of the Internal Revenue Code. At present the organization does not make its conflict of interest policy and financial statements available to the public.