2013-05-15T15:53:24-05:00 2012-06-30 ERNST & YOUNG US LLP 155 NORTH WACKER DR CHICAGO IL 60606 990 2011-07-01 460372454 Regional Health Physicians Inc % Mark Thompson REGI 6057559130 2925 Regional Way Rapid City SD 57701 Mark Thompson 2013-05-15 3128792000 2011 2016-02-24 21:20:13Z X Charles Hart MD MS 2925 regional way Rapid City SD 57701 49540409 false X www.regionalhealth.com X 2003 SD To provide and support health care excellence in partnership with the communities we serve. 12 8 574 10 0 409575 1900 41910469 49490160 15924 48349 0 0 42335968 49540409 0 0 0 0 40360992 47206594 0 0 0 19136372 22211294 59497364 69417888 -17161396 -19877479 8584969 9855989 98311306 119459805 -89726337 -109603816 X TO PROVIDE AND SUPPORT HEALTH CARE EXCELLENCE IN PARTNERSHIP WITH THE communities we serve. false false 5183238 7258854 REGIONAL HEALTH PHYSICIANS SPEARFISH SURGERY CENTER SPECIALTY HOSPITAL - PROVIDE AMBULATORY SURGERY SERVICES 5050498 3847909 REGIONAL HEALTH PHYSICIANS SPEARFISH QUEEN CITY REGIONAL MEDICAL CLINIC PRIMARY CARE - PROVIDE CLINIC SERVICES TO PATIENTS 3864703 3121756 REGIONAL HEALTH PHYSICIANS ASPEN REGIONAL MEDICAL CLINIC PRIMARY CARE - PROVIDE CLINIC SERVICES TO PATIENTS 34882441 48980880 48980880 true false false true false false false false false false true false false false true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true 185 0 true 574 true false false false false false false false false false false X 12 8 false false false false true true true true true false false true true true true true true false true false X Mark Thompson 6057559127 2925 REGIONAL WAY Rapid City SD 57701 X HART MD CHARLES E 60.0 X X 0 845576 48425 ALTSTIEL MD TERRY 40.0 X 336410 0 36295 BARLOW MD JOHN 2.1 X CAPPA PETER 2.4 X X DAHLSTROM JONATHAN 1.9 X FINLEY MD ROBERT 40.0 X X 0 324668 49183 GREEN LIA 1.6 X MORRISON TOM 2.4 X 828 0 PETERSON HOWARD 0.9 X X ROMKEMA PRISCILLA 1.4 X STATZ MD MIKE 1.1 X TOBIAS RICHARD 1.4 X YELICK EDWARD until 52012 3.3 X X 832 SLUKA JR JOSEPH C 55.0 X 0 449352 43698 BRODIN MARK F 55.0 X 0 168624 34446 DEGROOT SHAWN Y 55.0 X 0 194297 32231 HORTON JENNIFER D 55.0 X 0 164849 31605 LATUCHIE RICHARD S 55.0 X 0 281210 43058 MASTEN MARY E 55.0 X 0 276960 54693 MCGLONE ROBERT O 55.0 X 0 256519 70726 THOMPSON MARK A 55.0 X 0 327989 49153 KEEGAN MD JAMES M 55.0 X 0 451086 20073 BULMAN KAREN 1.17 X SLINGSBY MD GEOFFREY 0.98 X ROMKEMA FRED 0.33 X PIERCE JOHN Y 55.0 X 160084 0 35184 DUNN MD GARRY K 40.0 X 754115 0 63835 EASTWOOD DO BART L 40.0 X 734300 0 70185 LITTLE MD RICHARD M 40.0 X 564443 0 76725 SIGMOND MD ERIC R 40.0 X 580360 0 24232 SUFFICOOL DO WESLEY L 40.0 X 638283 0 81649 3767995 3742790 865396 86 false true false ATHENA HEALTH INC 311 ARSENAL ST WATERTOWN MA 02472 SOFTWARE SERVICES 2379996 APPLICATION TECHNOLOGY INC 3025 1ST AVE SUITE 2 SPEARFISH SD 57783 PC SUPPORT 549454 ALLIANCE RECRUITING RESOURCES INC PO BOX 4356 DEPT 611 HOUSTON TX 772104356 staffing service 525585 sanford medical center PO BOX 5056 SIOUX FALLS SD 571175056 laboratory services 198715 MAYO COLLABORATIVE SERVICES INC PO BOX 9146 MINNEAPOLIS MN 554809146 laboratory services 196884 5 1900 1900 MEDICAL CLINICS 621110 38696935 38696935 SPECIALTY HOSPITAL 623000 7258854 7258854 INTERCOMPANY 900099 322812 322812 RENTAL INCOME 900002 32915 32915 OUTSIDE SALES 900099 531404 531404 2647240 2647240 49490160 48349 48349 0 0 0 0 0 0 0 49540409 49490160 48349 0 0 0 0 528674 528674 0 38599665 33003255 5596410 869806 869806 5140720 3826434 1314286 2067729 1675476 392253 0 3308 3308 0 765 765 0 0 4854627 1594218 3260409 180561 99233 81328 234129 60235 173894 144864 74949 69915 0 1753863 334518 1419345 175281 112352 62929 0 351167 283857 67310 0 0 1472642 917260 555382 600830 3248 597582 INTERCOMPANY SUPPLIES & SERV. 5995708 2481006 3514702 MEDICAL SUPPLIES 3549772 3349631 200141 MAINT-EQUIP-CONTR 887991 349546 538445 MINOR EQUIPMENT 600032 192894 407138 1405754 622768 782986 69417888 48980880 20437008 0 192099 401684 0 0 0 0 4240170 4717788 0 0 0 0 91375 73209 0 0 99500 113185 8326176 3919836 3713856 4406340 0 0 0 0 0 0 0 0 247969 143783 8584969 9855989 3763248 3425958 -181798 77 0 0 0 0 0 0 0 0 0 0 0 0 94729856 116033770 98311306 119459805 X -89726337 -109603816 0 0 0 0 -89726337 -109603816 8584969 9855989 -19877479 X X false true false X true true X false false false false false false true 765 765 false Lobbying portion of membership dues SCHEDULE C PART II-B, LINE 1i ANNUAL DUES ARE PAID TO THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THESE DUES ARE APPLICABLE TO LOBBYING ACTIVITIES. FOR FISCAL YEAR 2012, DUES IN THE AMOUNT OF $3,110 Were PAID TO THE AMERICAN HOSPITAL ASSOCIATION, 24.60% OF WHICH, ($765) WERE USED FOR LOBBYING PURPOSES. 1450571 427492 1023079 6875605 3492344 3383261 4406340 0 INTERCOMPANY PAYABLE 116033770 116033770 Footnote to financial statements for uncertain tax positions under ASC 740 SCHEDULE D, PART X REGIONAL HEALTH BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. REGIONAL HEALTH WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. REGIONAL HEALTH'S FEDERAL FORM 990T FILINGS ARE NO LONGER SUBJECT TO FEDERAL TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2009. true true X false false true true true false true true 1687492 0 1687492 0.02430 5413728 2216047 3197681 0.04610 7101220 2216047 4885173 0.07040 15 1562 32344 0 32344 0.00050 18328350 14026124 4302226 0.06200 6 2775 106034 0 106034 0.00150 21 4337 18466728 14026124 4440604 0.06400 21 4337 25567948 16242171 9325777 0.13440 1 1 661 661 0.00000 1 1 661 661 0.00000 true 625555 9815388 20111519 -10296131 X true true 1 1 Spearfish Regional Surgery Center

1316 N 10th street Spearfish SD 57783

X specialty hospital Spearfish Regional Surgery Center 1 true false false true X X true true X X X X X X true false X X X false X X false true 15 REGIONAL MEDICAL CLINICS - ASPEN CENTRE

640 FLORMANN STREET RAPID CITY SD 57701

CLINIC SPEARFISH REGIONAL MEDICAL CLINIC

1445 NORTH AVENUE SPEARFISH SD 57783

CLINIC QUEEN CITY REGIONAL MEDICAL CLINIC

1420 N 10th STREET SPEARFISH SD 57783

CLINIC REGIONAL MEDICAL CLINIC-WESTERN HILLS

2805 5th STREET RAPID CITY SD 57701

CLINIC MASSA BERRY REGIONAL MEDICAL CLINIC

890 LAZELLE STREET STURGIS SD 57785

CLINIC LEAD-DEADWOOD REGIONAL MEDICAL CLINIC

71 CHARLES STREET DEADWOOD SD 57732

CLINIC BELLE FOURCHE REGIONAL MEDICAL CLINIC

2200 13th AVENUE BELLE FOURCHE SD 57717

CLINIC REGIONAL URGENT CARE

2201 JACKSON BLVD RAPID CITY SD 57702

CLINIC REGIONAL ORTHOPEDICS

2479 E COLORADO BLVD SPEARFISH SD 57783

CLINIC SPEARFISH REGIONAL MEDICAL CLINIC-DERMA

550 E COLORADO SPEARFISH SD 57783

CLINIC NEWELL REGIONAL MEDICAL CLINIC

101 E THIRD STREET NEWELL SD 57760

CLINIC FOOTHILLS REGIONAL MEDICAL CLINIC

8075 STOP STAGE ROAD SUMMERSET SD 57718

CLINIC HOT SPRINGS REGIONAL MEDICAL CLINIC

1501 E HWY 18 BYPASS HOT SPRINGS SD 57747

CLINIC PINE RIDGE REGIONAL MEDICAL CLINIC

EAST HIGHWAY 18 PINE RIDGE SD 57770

CLINIC BUFFALO REGIONAL MEDICAL CLINIC

209 RAMSLAND STREET BUFFALO SD 57720

CLINIC Schedule H Supplemental Information References to "Regional Health" apply to all entities controlled or leased by Regional Health, Inc. This includes the reporting entity. Part I, Line 3C REGIONAL HEALTH USES LOW INCOME HOUSING GUIDELINES FROM HOUSING AND URBAN DEVELOPMENT FOR DETERMINING FINANCIAL ASSISTANCE ELIGIBILITY. THE INCOME GUIDELINES, ALONG WITH THE NUMBER OF DEPENDENTS WITHIN THE HOUSEHOLD ARE USED IN A MATRIX TO DETERMINE THE PERCENT DISCOUNT APPLIED TO THE OUTSTANDING BALANCE. DISCOUNTS RANGE FROM 100% TO 10% OF THE BALANCE. THE FINANCIAL ASSISTANCE POLICY (I.E. CHARITY POLICY) ALSO HAS A Catastrophic PROVISION WHICH LIMITS A PATIENT/GUARANTOR'S EXPOSURE TO THE LESSER OF THE FINANCIAL ASSISTANCE REDUCTIONS OR 20% OF THE FAMILY'S ANNUAL GROSS INCOME. Part I, Line 6A A COMMUNITY NEEDS ASSESSMENT WAS COMPLETED BY REGIONAL HEALTH, THE PARENT ORGANIZATION, FOR ALL RELATED ORGANIZATIONS AND MADE AVAILABLE TO THE PUBLIC ON ITS WEBSITE. Part I, Line 7 Medicare cost report cost to charge ratio is used for calculation of cost of services provided. Part II REGIONAL HEALTH PROVIDES NUMEROUS COMMUNITY HEALTH EVENTS AND SCREENINGS THROUGHOUT THE BLACK HILLS REGION. REGIONAL HEALTH ALSO PROVIDES FINANCIAL SUPPORT TO OTHER NONPROFIT ORGANIZATIONS TO HELP SUPPORT COMMUNITY HEALTH OUTREACH. ADDITIONALLY, REGIONAL HEALTH PROVIDES IN-KIND SUPPORT AND EMPLOYEE VOLUNTEERS TO HELP SUPPORT COMMUNITY HEALTH EVENTS AND ACTIVITIES. Part III, Line 4 THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE AND OTHER THIRD-PARTY PAYORS, REGIONAL HEALTH FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES. Part III, Line 8 THE MEDICARE SHORTFALL IS DERIVED FROM THE ACTUAL PAYMENTS RECEIVED FROM THE MEDICARE PROGRAM FOR SERVICES PROVIDED TO PATIENTS WITH MEDICARE COVERAGE. THE PAYMENTS ARE COMPARED TO THE ACTUAL COST OF PROVIDING THE SERVICE. THE RESULT IS A SHORTFALL WITH COSTS EXCEEDING THE REIMBURSEMENT. Part III, Line 9B THE COLLECTION POLICY REQUIRES INVOKING OF THE FINANCIAL ASSISTANCE POLICY ANY TIME A PATIENT EXPRESSED FINANCIAL DIFFICULTY IN MEETING THEIR DEBT OBLIGATION. Part V, Section B, Line 9 & 10 HOUSING AND URBAN DEVELOPMENT (HUD) INCOME LIMITS AS DESIGNATED FOR THE STATE OF SOUTH DAKOTA ARE USED TO DETERMINE ELiGIBILITY FOR PROVIDING FREE OR DISCOUNTED CARE. Part V, Section B, Line 11h Means Testing of net assets in excess of 200% of household income will be considered income for the purpose of the Financial Assistance Program. PART V, SECTION B, LINE 13G A summary of the hospitals Financial Assistance Policy is posted for all patients at various points of entry with the policy in its entirety available upon request. Part V, Section B, Line 19d All patients are charged an amount equal to gross charges, discounts may be applied based upon the patients eligibility for financial assistance. Part V, Section B, Line 21 ALL PATIENTS ARE CHARGED THE STANDARD GROSS AMOUNT REGARDLESS OF THIRD PARTY COVERAGE OR ABILITY TO PAY. DISCOUNTS AND ALLOWANCES ARE APPLIED TO THE GROSS CHARGES. Needs Assessment REGIONAL HEALTH WORKED IN PARTNERSHIP WITH SEVERAL COMMUNITY NOT-FOR-PROFIT ORGANIZATIONS TO CONDUCT A FULL COMMUNITY NEEDS ASSESSMENT (CNA) FOR THE BLACK HILLS REGION FOR FY2012. THE FIRST PHASE OF OUR DATA COLLECTION, AND WAS COMPLETED IN APRIL 2011. THE NEXT PHASE OF THE PROCESS WAS MEETINGS, INTERVIEWS AND SURVEYS WITH PEOPLE REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING PHYSICIANS, COMMUNITY HEALTH LEADERS AND ORGANIZATIONAL LEADERSHIP. IN ADDITION TO THIS, THE ORGANIZATION EVALUATED QUANTITATIVE DATA ON HEALTH ISSUES FOR THE REGION FROM VARIOUS STATE, NATIONAL AND INTERNAL SOURCES. THIS PHASE OF OUR PROJECT WAS COMPLETED IN SEPTEMBER 2011. THE ORGANIZATION EVALUATED ALL THE INFORMATION GATHERED IN THE CNA AND THROUGH OUR OWN RESEARCH DEVELOPED OUR COMMUNITY HEALTH TARGETS. THE ORGANIZATION IS NOW IN THE PROCESS OF DEVELOPING OUR IMPLEMENTATION PLAN. MORE THAN 30,000 SURVEYS WERE MAILED TO THE PEOPLE IN THE BLACK HILLS REGION DURING THE WINTER OF 2010/2011. Patient Education of Eligibility for Assistance WE PROVIDE INFORMATION ON ALL STATEMENTS, ON OUR WEBSITE, WE HAVE INFORMATION AVAILABLE AT ALL ADMISSION AREAS, WE CONTRACT WITH MIDLAND MEDICAL GROUP (AN OUTSOURCED PARTNER) TO MEET WITH ALL UNINSURED PATIENTS TO ASSIST THEM WITH FINDING A FUNDING SOURCE OR APPLYING FOR FINANCIAL ASSISTANCE, AND OUR SELF PAY OUTSOURCE PARTNER ALSO COMMUNICATES ANY FUNDING AND FINANCIAL ASSISTANCE OPPORTUNITIES WITH OUR PATIENTS. Community Information REGIONAL HEALTH SERVES THE PEOPLE OF THE BLACK HILLS REGION. THE AREA IS MOSTLY RURAL IN NATURE WITH ONLY ONE CITY OF OVER 50,000 PEOPLE. REGIONAL HEALTH IS THE PRIMARY MEDICAL SERVICES PROVIDER FOR THE REGION. Promotion of Community Health REGIONAL HEALTH PROVIDES NUMEROUS COMMUNITY HEALTH EDUCATION EVENTS AND SCREENINGS THROUGHOUT THE BLACK HILLS REGION. REGIONAL HEALTH ALSO PROVIDES FINANCIAL SUPPORT TO OTHER NONPROFIT ORGANIZATIONS TO HELP SUPPORT COMMUNITY HEALTH OUTREACH. ADDITIONALLY, REGIONAL HEALTH PROVIDES IN-KIND SUPPORT AND EMPLOYEE VOLUNTEERS TO HELP SUPPORT COMMUNITY HEALTH EVENTS AND ACTIVITIES. Other Information REGIONAL HEALTH IS GOVERNED BY A COMMUNITY BOARD THAT PROVIDES LEADERSHIP TO THE ORGANIZATION TO MEET THE COMMUNITY NEEDS. REGIONAL HEALTH PARTNERS WITH EDUCATIONAL INSTITUTIONS TO PROVIDE NUMEROUS CLINICAL TRAINING PROGRAMS; PROVIDES MEDICAL SERVICES THAT IF THEY WERE NOT PROVIDED BY US, WOULD NOT EXIST IN OUR REGION; AND OFFERS HEALTH SCREENINGS AND EVENTS TO THE PEOPLE OF THE REGION. Affiliated health care system REGIONAL HEALTH IS COMMITTED TO PARTNERING WITH THE COMMUNITIES IT SERVES TO MEET THE NEEDS OF EACH RESPECTIVE COMMUNITY. REGIONAL HEALTH, INC. IS THE PARENT ORGANIZATION OF RAPID CITY REGIONAL HOSPITAL, INC. REGIONAL HEALTH NETWORK, INC. AND REGIONAL HEALTH PHYSICIANS, INC. THESE CORPORATIONS WORK TOGETHER TO MEET THE HEALTH CARE NEEDS OF THE REGION. state filing of community needs assessment REGIONAL HEALTH'S COMMUNITY NEEDS ASSESSMENT IS AVAILABLE ON ITS WEBSITE TO ALL WHO ARE INTERESTED. ALL THE FACILITIES OWNED OR CONTROLLED BY REGIONAL HEALTH ARE LOCATED IN SOUTH DAKOTA. false true false false false false false false false HART MD CHARLES E 0 696692 0 148195 0 689 0 43410 0 5015 0 894001 0 0 ALTSTIEL MD TERRY 336410 0 0 0 0 0 32143 0 4152 0 372705 0 0 0 FINLEY MD ROBERT 0 323602 0 0 1066 0 43507 0 5676 0 373851 0 0 SLUKA JR JOSEPH C 0 395458 0 53894 0 0 0 38475 0 5223 0 493050 0 0 BRODIN MARK F 0 144638 0 23986 0 0 0 29398 0 5048 0 203070 0 0 DEGROOT SHAWN Y 0 176376 0 17921 0 0 0 28296 0 3935 0 226528 0 0 HORTON JENNIFER D 0 149330 0 15519 0 0 0 24766 0 6839 0 196454 0 0 LATUCHIE RICHARD S 0 257906 0 23304 0 0 0 39347 0 3711 0 324268 0 0 MASTEN MARY E 0 251793 0 25167 0 0 0 49585 0 5108 0 331653 0 0 MCGLONE ROBERT O 0 234107 0 22412 0 0 0 66122 0 4604 0 327245 0 0 THOMPSON MARK A 0 286998 0 40991 0 0 0 43114 0 6039 0 377142 0 0 KEEGAN MD JAMES M 0 400995 0 50091 0 0 0 16292 0 3781 0 471159 0 0 PIERCE JOHN Y 145092 0 14992 0 0 0 29115 0 6069 0 195268 0 0 0 DUNN MD GARRY K 754115 0 0 0 0 0 55673 0 8162 0 817950 0 0 0 EASTWOOD DO BART L 734300 0 0 0 0 0 63273 0 6912 0 804485 0 0 0 LITTLE MD RICHARD M 564443 0 0 0 0 0 72573 0 4152 0 641168 0 0 0 SIGMOND MD ERIC R 580360 0 0 0 0 0 15643 0 8589 0 604592 0 0 0 SUFFICOOL DO WESLEY L 638283 0 0 0 0 0 75846 0 5803 0 719932 0 0 0 Supplemental Compensation Information Schedule J, Part I, Line 3 THE COMPLIANCE AND AUDIT COMMITTEE, WHICH IS A COMMITTEE OF THE REGIONAL HEALTH (PARENT) BOARD, REVIEWS AND APPROVES BASE SALARY AND TOTAL COMPENSATION RANGES FOR ALL EXECUTIVES WITH THE REGIONAL HEALTH SYSTEM. Please see Form 990, Part VI, Lines 15A & 15B disclosure on schedule O. SUPPLEMENTAL INFORMATION SCHEDULE J, PART 1, LINE 4B REGIONAL HEALTH PROVIDES A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND A FLEXIBLE BENEFIT PLAN THAT CAN INCLUDE DEFERRED COMPENSATION FOR ITS EXECUTIVES. SEE COLUMN 'C' ON SCHEDULE J FOR THOSE PERSONS LISTED IN FORM 990, PART VII, SECTION A, LINE 1A THAT PARTICIPATED IN OR RECEIVED PAYMENT FROM THOSE TWO PLANS. Description of Other Program Services FORM 990, PART III, Line 4d REGIONAL HEALTH MAINTAINS CLINICS IN SURROUNDING COMMUNITIES TO PROVIDE GENERAL AND SPECIALIZED MEDICAL SERVICES TO PEOPLE WITHIN THE BLACK HILLS REGION. BOND ISSUES PART IV, LINE 24a ALL RELATED CORPORATIONS ARE EQUALLY LIABLE FOR THE REPAYMENT OF THE bonds reported on the Rapid City Regional Hospital Form 990. Description of Classes of Members or stockholders Form 990, Part VI, Question 6, 7A and 7B REGIONAL HEALTH, INC. IS THE SOLE MEMBER OF REGIONAL HEALTH PHYSICIANS, INC. Regional Health, Inc. has authority over certain decisions pertaining to regional health physicians, inc. Describe the Process used by Management &/or Governing Body to Review 990 Form 990, Part VI, Question 11b THE 990 IS PREPARED AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. IT IS THEN REVIEWED INTERNALLY BY FINANCE AND LEGAL MANAGEMENT. THE FORM 990 IS FURTHER REVIEWED, PRIOR TO FILING, BY THE ORGANIZATION'S BOARD OF DIRECTORS THROUGH A PORTAL TO THE ORGANIZATION'S INTERNAL INFORMATION SYSTEM, TO WHICH EACH BOARD MEMBER HAS ACcESS. EDUCATIONAL SESSIONS HAVE BEEN PROVIDED TO EACH BOARD MEMBER ON HOW TO ACCESS THE PORTAL. Description of Process to Monitor Transactions for Conflicts of Interest Form 990, Part VI, Question 12c AS A PART OF THE ANNUAL DISCLOSURE OF POTENTIAL CONFLICTS PROCESS, ALL BOARD MEMBERS, OFFICERS, MANAGEMENT RECEIVE A COPY OF THE CONFLICT OF INTEREST POLICY AND SIGN AN ACKNOWLEDGEMENT THEY HAVE READ AND UNDERSTAND IT. ADDITIONALLY, THEY ARE EACH REQUIRED TO COMPLETE A DISCLOSURE STATEMENT. ANNUALLY, A SUMMARY LIST OF ALL CONFLICTS DISCLOSED BY BOARD MEMBERS IS PREPARED AND PROVIDED TO THE FULL BOARD SO BOARD MEMBERS ARE AWARE OF THE CONFLICTS / INTERESTS OF OTHER BOARD MEMBERS AND ARE ABLE TO POINT OUT CONFLICTS IF AN INDIVIDUAL MEMBER WITH A CONFLICT FORGETS. ADDITIONALLY, THE AGENDA FOR EACH BOARD MEETING AND EACH BOARD COMMITTEE MEETING INCLUDES AN INITIAL AGENDA ITEM "CONFLICTS OF INTEREST" WHERE BOARD MEMBERS ARE ASKED IF THEY HAVE ANY CONFLICTS RELATED TO THE OTHER ITEMS ON THE AGENDA. ALL EMPLOYEES ARE COVERED BY THE CONFLICT OF INTEREST POLICY BUT COMPLETION OF THE ANNUAL DISCLOSURE STATEMENT IS LIMITED TO BOARD AND BOARD COMMITTEE MEMBERS, MANAGEMENT, AND CERTAIN PHYSICIANS. IF, WHERE A PROPOSED TRANSACTION INVOLVES A BOARD MEMBER, THE TRANSACTION IS REVIEWED BY THE COMPLIANCE AND AUDIT COMMITTEE OF THE BOARD WITH ONLY NON-CONFLICTED MEMBERS OF THE COMMITTEE PRESENT. AT MEETINGS, BOARD MEMBERS WHO HAVE A CONFLICT OF INTEREST MAY BE INVITED TO SPEAK ON THE MATTER BY THE CHAIRMAN, BUT ARE NOT PERMITED TO VOTE ON THE MATTER AND ARE REQUIRED TO LEAVE THE MEETING DURING DISCUSSION, AFTER THEY HAVE MADE ANY COMMENTS INVITED BY THE CHAIR. FAILURE TO COMPLY WITH THIS POLICY CONSTITUTES GROUNDS FOR REMOVAL FROM OFFICE OR MEMBERSHIP AND, IN THE CASES OF ALL EMPLOYEES, TERMINATION OF EMPLOYMENT. Offices & Positions for Which Process was Used, & Year Process was Begun Form 990, Part VI, Question 15a & 15b THE COMPLIANCE AND AUDIT COMMITTEE OF THE SOLE MEMBER'S BOARD, A COMMITTEE THAT INCLUDES ONLY BOARD MEMBERS DEEMED "INDEPENDENT", DETERMINES THE APPROPRIATE BASE SALARY RANGE OF THE REGIONAL HEALTH SYSTEM CEO AND ITS OTHER EXECUTIVE STAFF. THE CEO OF THE MEMBER OR HIS DESIGNEE THEN DETERMINES THE ACTUAL BASE SALARY OF THE OTHER EXECUTIVES WITHIN THE COMMITTEE - APPROVED RANGES BASED ON A PERFORMANCE EVALUATION CONDUCTED BY THE CEO OR DESIGNEE. FOR DETERMINATION OF THE BASE SALARY RANGES, AS WELL AS INCENTIVE COMPENSATION, BENEFIT PLANS AND PERQUISITES (TOTAL COMPENSATION), THE COMPLIANCE AND AUDIT COMMITTEE RETANS AN INDEPENDENT CONSULTANT, SULLIVAN AND COTTER, TO PROVIDE SURVEY / COMPARABILITY DATA FOR BOTH BASE SALARY AND TOTAL COMPENSATION AT LEAST EVERY THREE YEARS. EMPLOYED PHYSICIAN COMPENSATION IS DETERMINED BY EITHER OF TWO METHODS. 1) WHEN PHYSICIANS BECOME EMPLOYED AS A RESULT OF A PRACTICE ACQUISITION, AN INDEPENDENT COMPANY EVALUATES THE VALUE OF THE PRACTICE ALONG WITH THE PHYSICIAN COMPENSATION. THIS VALUATION IS REVIEWED AND APPROVED BY THE COMPLIANCE AND AUDIT COMMITTEE. 2) FOR PHYSICIANS WHO HAVE BEEN RECRUITED OR OTHERWISE HIRED, THE COMPLIANCE AND AUDIT COMMITTEE HAS APPROVED THE METHODOLOGY TO APPLY TO INDIVIDUAL PHYSICIANS' COMPENSATION. THAT METHODOLOGY IS A COMBINATION OF BASE SALARY PLUS INCENTIVE PAY BASED ON WORKED RELATIVE VALUE UNITS (RVU) TIMES A CONVERSION RATE. THE RVU VALUES ARE THOSE DEVELOPED BY CMS WHILE THE CONVERSION RATE IS BASED ON MGMA SURVEY DATA. RVU VALUES, AND CONVERSION RATES ARE REVIEWED BY AN INDEPENDENT CONSULTANT. Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public Form 990, Part VI, Question 19 THE ARTICLES OF INCORPORATION OF THE ORGANIZATION ARE FILED IN THE OFFICE OF THE SECRETARY OF STATE OF SOUTH DAKOTA AND ARE AVAILABLE TO THE PUBLIC. OTHER DOCUMENTS (BYLAWS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS) ARE NOT POSTED FOR THE PUBLIC BUT ARE AVAILABLE OR DESCRIBED IN OTHER PUBLIC DOCUMENTS OR SITES SUCH AS OFFERING STATEMENTS IN BOND ISSUES OR MUNICIPAL SECURITIES RULEMAKING BOARD'S ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) DATA PORT. compensation of officers directors trustees FORM 990, PART VII, HOURS DEVOTED TO FILING AND RELATED ORGANIZATIONS THE HOURS DEVOTED TO THE POSITIONS REPORTED ON PART VII FOR THE FOLLOWING REFLECT THE THE AGGREGATE TOTAL HOURS THESE INDIVIDUALS DEVOTE TO THEIR POSITIONS FOR REGIONAL HEALTH, INC.; RAPID CITY REGIONAL HOSPITAL, INC.; REGIONAL HEALTH NETWORK, INC.; AND/OR REGIONAL HEALTH PHYSICIANS, INC. Avg Hours/Week Devoted to Name & Title Filing Org Related Orgs ____________ __________ ____________ HART MD, CHARLES E. PRESIDENT AND CEO 7.63 52.37 ALTSTIEL MD, TERRY BOARD OF TRUSTEES MEMBER 39.30 0.70 FINLEY MD, ROBERT VICE CHAIRMAN, BOARD OF TRUSTEES 5.88 34.12 MORRISON, TOM BOARD OF TRUSTEES MEMBER 0.35 2.05 YELICK, ED CHAIRMAN, BOARD OF TRUSTEES 0.49 2.81 KEEGAN MD, JAMES M. CMO RH & CEO RHP 8.08 46.92 SLUKA JR., JOSEPH C. EXECUTIVE VP & CAO 6.99 48.01 THOMPSON, MARK A. CFO & VP FINANCE 6.99 48.01 LATUCHIE, RICHARD S. VP INFO TECHNOLOGY & CIO 6.99 48.01 MASTEN, MARY E. VP LEGAL SERVICES 6.99 48.01 MCGLONE, ROBERT O. VP HUMAN RESOURCES 6.99 48.01 DEGROOT, SHAWN Y. VP CORP RESPONSIBILITY 6.99 48.01 BRODIN, MARK R. VP DECISION SUPPORT 6.99 48.01 HORTON, JENNIFER D. VP PR MARKETING 6.99 48.01 GRABER MD, TERRY RHN BOARD OF TRUSTEES MEMBER 19.38 20.62 GROEGER MD, THOMAS RHN BOARD OF TRUSTEES MEMBER 19.38 20.62 GOLLIHER MD, WARREN RHN BOARD OF TRUSTEES MEMBER 0.58 0.62 Independent Board Members Form 990, Part VII REGIONAL HEALTH CONSIDERS SOME MEMBERS OF THE BOARD TO NOT BE INDEPENDENT BECAUSE THEY ARE ACTIVELY PRACTICING PHYSICIANS ON ONE OF ITS HOSPITALS' MEDICAL STAFFS OR ARE EMPLOYEES OF A SUPPORTED ORGANIZATION. oversight or selection process form 990, part xii, question 2c INDEPENDENT AUDITORS ARE ENGAGED BY THE COMPLIANCE AND AUDIT COMMITTEE OF THE REGIONAL HEALTH, INC. BOARD OF TRUSTEES. FINAL AUDIT RESULTS, ON A CONSOLIDATED BASIS, ARE REPORTED BY THE INDEPENDENT AUDITORS DIRECTLY TO THE COMPLIANCE AND AUDIT COMMITTEE. REGIONAL HEALTH INC (RHI) 353 FAIRMONT BLVD RAPID CITY SD 57701 201487506 HEALTHCARE SD 501(c)(3) 11-Type III NA false RAPID CITY REGIONAL HOSPITAL INC 353 FAIRMONT BLVD RAPID CITY SD 57701 460319070 HEALTHCARE SD 501(c)(3) 3 RHI true REGIONAL HEALTH NETWORK INC 353 FAIRMONT BLVD RAPID CITY SD 57701 460360899 HEALTHCARE SD 501(c)(3) 3 RHI true SAME DAY SURGERY CTR 411889892 651 CATHEDRAL DR rapid city sd RAPID CITY SD 57701 411889892 HEALTHCARE SD NA N/A BLACK HILLS MED Bldg 411992146 677 CATHEDRAL DR Rapid City SD RAPID CITY SD 57701 411992146 MED OFFICE BLDG SD NA N/A MEDICAL DENTAL Bldg 460339629 2805 S 5th ST rapid city sd RAPID CITY SD 57701 460339629 MED OFFICE BLDG SD NA N/A THE IMAGING CTR LLC PO BOX 8130 rapid city sd RAPID CITY SD 57709 300357026 MEDICAL IMAGING SD NA N/A THE MRI CENTER LLC 300357077 PO BOX 8130 rapid city sd RAPID CITY SD 57709 300357077 EQUIPMENT SD NA N/A N PLAINS PREMIER COL 900701417 3900 W AVERA DR sioux falls sd SIOUX FALLS SD 57108 900701417 purchasing SD NA N/A WESTERN PROVIDERS INC 677 CATHEDRAL DR SUITE 309 RAPID CITY SD 57701 411889163 MEDICAL SERVICE SD NA C corp false false false false false false false false true true false true false true false true false false RAPID CITY REGIONAL HOSPITAL INC i 8634 cost RAPID CITY REGIONAL HOSPITAL INC j 920524 cost REGIONAL HEALTH NETWORK INC j 351864 cost REGIONAL HEALTH NETWORK INC l 2435537 cost RAPID CITY REGIONAL HOSPITAL INC l 614562 cost RAPID CITY REGIONAL HOSPITAL INC n 298800 cost RAPID CITY REGIONAL HOSPITAL INC p 1487835 cost