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 460360899 REGIONAL HEALTH NETWORK 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 83347651 false X www.regionalhealth.com X 2005 SD To provide and support health care excellence in partnership with the communities we serve. 13 9 1173 247 2714684 -57245 179284 193289 84076396 82965196 135235 118209 58161 37852 84449076 83314546 0 0 0 0 43963341 43461740 0 0 0 33971752 30405327 77935093 73867067 6513983 9447479 49482747 52913755 35120295 29103824 14362452 23809931 X TO PROVIDE AND SUPPORT HEALTH CARE EXCELLENCE IN PARTNERSHIP WITH THE COMMUNITIES WE SERVE. false false 4594106 19705498 SPEARFISH REGIONAL HOSPITAL SURGICAL SERVICES 4396352 4369309 CUSTER REGIONAL HOSPITAL LONG TERM CARE SKILLED NURSING 2314428 1780439 CUSTER REGIONAL HOSPITAL REGIONAL MEDICAL CLINIC PRIMARY CARE 40084904 51389790 51389790 true true false true false false false false false true true false false false true true false true false false false false false false true 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 154 0 true 1173 true true true false false false false false false false false false X 13 9 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 BILLS LAVERN 0.8 X CAPPA PETER 0.4 X X DAHLSTROM JONATHAN 0.7 X ESTES DOYLE 0.8 X GRABER MD TERRY 40.0 X X 0 411582 61623 GROEGER MD THOMAS 40.0 X X 0 178191 49654 JOHNSON MD JORGE 1.4 X LAMPHERE ROSS 1.4 X LARSON JUDITH 1.4 X X PINSKE DUSTY 0.9 X SABERS KEN 0.9 X SUGHRUE TIMOTHY H 55.0 X X 0 584238 39360 THOM DAVID 0.9 X TYSDAL RICHARD 1.3 X SLUKA JR JOSEPH C 55.0 X 0 449352 43698 THOMPSON MARK A 55.0 X 0 327989 49153 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 DEGROOT SHAWN Y 55.0 X 0 194297 32231 BRODIN MARK F 55.0 X 0 168624 34446 HORTON JENNIFER D 55.0 X 0 164849 31605 golliher md Warren 1.2 X 0 4400 0 VEITZ LARRY W 55.0 X 229216 0 52325 BRYANT GLENN E 55.0 X 227129 0 28804 HYDE VAN 55.0 X 155743 0 19153 FROMM MD CHRISTOPHER K 40.0 X 247974 0 40092 BAILEY MD LEE B 40.0 X 237962 0 42268 BALT DO DAVID A 40.0 X 218615 0 32321 REID THOMAS 40.0 X 214877 0 20642 POTTS MD DONALD M 40.0 X 214528 0 30836 1746044 4143787 825113 27 false true false GE MED SYTM ULTRA SOUND PRIMARY 75 REMITTANCE DR StE 1080 CHICAGO IL 606751080 EQUIP ACQUISITION 303207 DMS HEALTH TECHNOLOGIES INC 26273 NETWORK PLACE CHICAGO IL 606731262 MRI DIAGNOSTIC SRVS 279542 GARY BIEGANSKI 706 BORDEAUX ROAD CHADRON NE 693379399 INTERIM CEO - WESTON 192500 SENTRA DATA SYSTEMS INC 600 FAIRWAY DR STE 201 DEERFIELD BEACH FL 33441 CLAIMS PROCESSING 169463 MAYO COLLABORATIVE SERVICES INC PO BOX 9146 MINNEAPOLIS MN 554809146 PT. DIAG. LAB TESTS 117835 7 40918 83597 68774 193289 ACUTE CARE HOSPITAL IN AND OUT PATIENTS 623000 59172000 59172000 LONG TERM CARE FACILITIES 623000 9218000 9218000 ASSISTED LIVING FACILITIES 623000 2201000 2201000 HOME CARE SERVICES 621610 1754000 1754000 PHYSICIAN CLINICS 621110 2218000 2218000 8402196 5687512 2714684 82965196 118209 118209 0 0 0 70957 40918 33105 37852 37852 0 0 0 83314546 80250512 2714684 156061 0 0 0 0 1418298 1418298 0 33313478 28329515 4983963 795036 795036 5678036 4218105 1459931 2256892 1834793 422099 0 46567 46567 6000 6000 14168 14168 0 0 2140605 1402601 738004 93662 33265 60397 299390 195276 104114 400002 294408 105594 0 1948664 938724 1009940 190567 141696 48871 0 166911 137953 28958 42502 18 42484 0 3802631 2100510 1702121 298287 298287 INTERCOMPANY SUPPLIES & SERV 10043027 2073576 7969451 MEDICAL SUPPLIES 6422914 6428479 -5565 MAINT-EQUIP-CONTR 1000433 963197 37236 OTHER DEPT. SUPPLIES 745820 110149 635671 2743177 2187525 555652 73867067 51389790 22477277 0 811909 932042 0 0 0 0 9322696 10940177 0 0 0 0 0 0 1222731 1366936 445456 515440 82595543 44719859 36581169 37875684 0 0 0 0 123020 255087 0 0 975766 1028389 49482747 52913755 4920267 4483286 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30200028 24620538 35120295 29103824 X 13403231 22741766 859221 968165 100000 100000 14362452 23809931 49482747 52913755 9447479 X X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 14168 14168 false Lobbying portion of membership dues SCHEDULE C, PART II-B, LINE 1i ANNUAL DUES ARE PAID TO THE SOUTH DAKOTA ASSOCIATION OF HEALTHCARE ORGANIZATIONS AND THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THESE DUES ARE APPLICABLE TO LOBBYING ACTIVITIES. FOR FISCAL YEAR 2012, DUES IN THE AMOUNT OF $77,531 Were PAID TO THE SOUTH DAKOTA ASSOCIATION OF HEALTHCARE ORGANIZATIONS, 4.57% OF WHICH, ($3,543) WERE USED FOR LOBBYING PURPOSES; AND DUES IN THE AMOUNT OF $43,190 Were PAID TO THE AMERICAN HOSPITAL ASSOCIATION, 24.60% OF WHICH, ($10,625) WERE USED FOR LOBBYING PURPOSES. 100000 100000 100000 100000 100000 100000 100000 100000 1.00000 false false 8868079 8868079 40416309 20175522 20240787 30468203 23120685 7347518 2842952 1423652 1419300 37875684 0 DUE TO RELATED PARTIES-INVESTMENT 24620538 24620538 ENDOWMENT FUNDS Schedule D, Part V, Line 4 ENDOWED FUNDS ARE PERMANENTLY RESTRICTED FROM USE AND ARE HELD IN AN INTEREST BEARING ACCOUNT. THE INTEREST EARNED MAY BE USED BY THE ORGANIZATION AT ITS DESCRETION. Footnote TO FINANCIAL STATEMENTS FOR UNCERTAIN TAX POSITIONS UNDER ASC 740 SCHEDULE D, PART X, LINE 2 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. HOSPICE BALL 54086 2475 51611 14347 2700 3293 GOLF TOURN. 24071 4725 19346 8834 970 2 33718 33718 2961 111875 40918 70957 23181 2700 7224 33105 37852 true true X false false true true true false true true 3146963 0 3146963 0.04260 9310112 8433578 876534 0.01190 0 0 0 0.00000 12457075 8433578 4023497 0.05450 28 2776 24592 9940 14652 0.00020 6 26 39612 0 39612 0.00050 0 0 0 0.00000 0 0 0 0.00000 5 123 16534 0 16534 0.00020 39 2925 80738 9940 70798 0.00090 39 2925 12537813 8443518 4094295 0.05540 1 1363 0 1363 0.00000 1 1541 0 1541 0.00000 9 1047 3945 0 3945 0.00010 0 0 0 0 0.00000 3 1296 0 1296 0.00000 5 15 10063 0 10063 0.00010 2 371 0 371 0.00000 0 0 0 0 0.00000 21 1062 18579 0 18579 0.00020 true 1541168 225949 21773544 22194928 -421384 X true true 4 1 Custer Regional Hospital

1039 Montgomery Street Custer SD 57730

X X X X 2 Lead-Deadwood Regional Hospital

61 charles Street Deadwood SD 57732

X X X X 3 Spearfish Regional Hospital

1440 N Main Street Spearfish SD 57783

X X X 4 Sturgis Regional Hospital

949 Harmon Street Sturgis SD 57785

X X X X Custer Regional Hospital 1 true false false true X X true true X X X X X X true false X X X true X false true Lead-Deadwood Regional Hospital 2 true false false true X X true true X X X X X X true false X X X true X false true Spearfish Regional Hospital 3 true false false true X X true true X X X X X X true false X X X true X false true Sturgis Regional Hospital 4 true false false true X X true true X X X X X X true false X X X true X false true 2 CUSTER REGIONAL SENIOR CARE

1065 MONTGOMERY STREET CUSTER SD 57730

SKILLED LONG TERM NURSING HOME FACILITY STURGIS REGIONAL SENIOR CARE

949 HARMON STREET STURGIS SD 57785

SKILLED LONG TERM NURSING HOME FACILITY SUPPLEMENTAL SCHEDULE H 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 IS 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 THE CALCULATION OF COST OF SERVICES PROVIDED. Part II Regional Health provides numerous community benefit 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 AS ARRIVED AT THROUGH THE MEDICARE COST REPORT. THE RESULT IS A SHORTFALL WITH COSTS EXCEEDING THE REIMBUREMENT. 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, Lines 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. THIS CNA WAS 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 INTEREST 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 AND 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 and 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 UNRELATED ENTITY) 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 REGIONAL HEALTH 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 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 GRABER MD TERRY 0 411582 0 0 0 0 0 57842 0 3781 0 473205 0 0 GROEGER MD THOMAS 0 178191 0 0 0 0 0 43194 0 6460 0 227845 0 0 SUGHRUE TIMOTHY H 0 516816 0 67422 0 0 0 34246 0 5114 0 623598 0 0 SLUKA JR JOSEPH C 0 395458 0 53894 0 0 0 38475 0 5223 0 493050 0 0 THOMPSON MARK A 0 286998 0 40991 0 0 0 43114 0 6039 0 377142 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 DEGROOT SHAWN Y 0 176376 0 17921 0 0 0 28296 0 3935 0 226528 0 0 BRODIN MARK F 0 144638 0 23986 0 0 0 29398 0 5048 0 203070 0 0 HORTON JENNIFER D 0 149330 0 15519 0 0 0 24766 0 6839 0 196454 0 0 VEITZ LARRY W 210242 0 18974 0 0 0 47990 0 4335 0 281541 0 0 0 BRYANT GLENN E 207165 0 19964 0 0 0 23607 0 5197 0 255933 0 0 0 HYDE VAN 142137 0 13606 0 0 0 14039 0 5114 0 174896 0 0 0 FROMM MD CHRISTOPHER K 247974 0 0 0 0 0 36051 0 4041 0 288066 0 0 0 BAILEY MD LEE B 237962 0 0 0 0 0 38487 0 3781 0 280230 0 0 0 BALT DO DAVID A 218615 0 0 0 0 0 27839 0 4482 0 250936 0 0 0 REID THOMAS 214627 0 250 0 0 0 14049 0 6593 0 235519 0 0 0 POTTS MD DONALD M 214528 0 0 0 0 0 27696 0 3140 0 245364 0 0 0 Supplemental Compensation Information 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 IN THE REGIONAL HEALTH SYSTEM. SUPPLEMENTAL INFORMATION SCHEDULE J, PART I, 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. Other Program Services FORM 990, PART III, Line 4D The REGIONAL HEALTH NETWORK, INC. IS A NETWORK OF SMALL HOSPITALS, NURSING HOMES AND ASSISTED LIVING FACILITIES IN WESTERN SOUTH DAKOTA. THESE HOSPITALS AND LONG TERM CARE FACILITIES ARE LOCATED IN SMALL RURAL TOWNS AND PROVIDE A VERY NECESSARY RURAL HEALTHCARE SAFETY NET. Bond Issues Form 990, 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 Network, Inc. REGIONAL HEALTH, INC. HAS FINAL AUTHORITY OVER CERTAIN DECISIONS PERTAINING TO REGIONAL HEALTH NETWORK, 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 CEO OF THE ORGANIZATION 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 RETAINS AN INDEPENDENT CONSULTANT, SULLIVAN AND COTTER, TO PROVIDE SURVEY / COMPARABILITY DATA FOR BOTH BASE SALARY AND TOTAL COMPENSATION AT LEAST EVERY THREE YEARS. 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 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 8.12 51.88 GRABER MD, TERRY SECRETARY BOARD OF DIRECTORS MEMBER 20.62 19.38 GROEGER MD, THOMAS VICE CHAIRMAN, BOARD OF DIRECTORS MEMBER 20.62 19.38 SUGHRUE, TIMOTHY H. CEO RCRH, RHN & COO RH 8.52 46.48 GOLLIHER MD, WARREN BOARD OF DIRECTORS MEMBER 0.62 0.58 SLUKA JR., JOSEPH C. EXECUTIVE VP & CAO 7.44 47.56 THOMPSON, MARK A. CFO & VP FINANCE 7.44 47.56 LATUCHIE, RICHARD S. VP INFO TECHNOLOGY & CIO 7.44 47.56 MASTEN, MARY E. VP LEGAL SERVICES 7.44 47.56 MCGLONE, ROBERT O. VP HUMAN RESOURCES 7.44 47.56 DEGROOT, SHAWN Y. VP CORP RESPONSIBILITY 7.44 47.56 BRODIN, MARK R. VP DECISION SUPPORT 7.44 47.56 HORTON, JENNIFER D. VP PR MARKETING 7.44 47.56 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 353 FAIRMONT BLVD RAPID CITY SD 57701 201487506 HEALTHCARE SD 501(c)(3) 11-TYPE III NA false RAPID CITY REGIONAL HOSPITAL INC 460319070 HEALTHCARE SD 501(c)(3) 3 rhi true REGIONAL HEALTH PHYSICIANS INC 460372454 HEALTHCARE SD 501(c)(3) 3 rhi true BLACK HILLS MED bldg 411992146 677 CATHEDRAL DRIVE RAPID CITY SD 57701 MED OFFICE BLDG. SD NA N/A MED dental bldg 2805 s 5th st rapid city sd RAPID CITY SD 57701 460339629 MED OFFICE BLDG. SD NA N/A THE Imaging Center LLC PO Box 8130 Rapid City SD Rapid City SD 57701 300357026 medical imaging SD na n/a THE MRI CENTER LLC 300357077 equipment SD NA N/A SAME DAY SURGERY Ctr 411889892 411889892 HEALTHCARE SD NA N/A N PLAINS PREMIER COL 900701417 900701417 PURCHASING SD NA N/A Western Providers Inc 677 Cathedral Dr Ste 309 Rapid City SD 57701 411889163 Medical Service SD NA C Corp 0.50000 false false false false false false false false true false true true false false false true false false REGIONAL HEALTH PHYSICIANS INC i 351864 COST REGIONAL HEALTH PHYSICIANS INC k 2435537 COST RAPID CITY REGIONAL HOSPITAL INC k 689546 Cost RAPID CITY REGIONAL HOSPITAL INC l 7907025 Cost RAPID CITY REGIONAL HOSPITAL INC p 1711361 Cost