MONUMENT HEALTH PHYSICIANS INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- MONUMENT HEALTH PHYSICIANS INC (EIN 46-0372454)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-13
- IRS object ID
- 201111339349305261
- Schema version
- 2009v1.7
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-13T16:31:57-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 190 CARONDELET PLAZA SUITE 1300 | AddressLine1 |
| City | CLAYTON | City |
| State | MO | State |
| ZIP Code | 63105 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 460372454 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Regional Health Physicians Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | REGI | NameControl |
| Phone | 6057198106 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 353 Fairmont Blvd | AddressLine1 |
| City | Rapid City | City |
| State | SD | State |
| ZIP Code | 57701 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Mark A Thompson | Name |
| Title | CFO | Title |
| Date Signed | 2011-05-12 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3142901000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Charles Hart MD MS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 353 Fairmont Blvd | AddressLine1 |
| City | Rapid City | City |
| State | SD | State |
| ZIP Code | 57701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 41631574 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.regionalhealth.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2005 | YearFormation |
| State Legal Domicile | SD | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE AND SUPPORT HEALTHCARE EXCELLENCE IN PARTNERSHIP WITH THE COMMUNITIES WE SERVE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 591 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 467385 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 707812 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 47355000 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 40907928 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 18364 | InvestmentIncomePriorYear |
| Investment Income Current Year | 15834 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 47840749 | TotalRevenuePriorYear |
| Total Revenue Current Year | 41631574 | 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 | 46032641 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 40160077 | 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 | 20745783 | OtherExpensePriorYear |
| Other Expenses Current Year | 17311903 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 66778424 | TotalExpensesPriorYear |
| Total Expenses Current Year | 57471980 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -18937675 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -15840406 | RevenuesLessExpensesCY |
| Total Assets BOY | 13206532 | TotalAssetsBOY |
| Total Assets EOY | 10196449 | TotalAssetsEOY |
| Total Liabilities BOY | 68858007 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 82707180 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -55651475 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -72510731 | NetAssetsOrFundBalancesEOY |
| Mission Description | To provide and support health care excellence in partnership with the with the communities we serve. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 4728121 | Expense |
| Revenue | 10096414 | Revenue |
| Description | SPEARFISH REGIONAL SURGERY CENTER - PROVIDE AMBULATORY SURGERY SERVICES. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 4127094 | Expense |
| Revenue | 5398536 | Revenue |
| Description | Queen city Regional Medical Clinic - Provide clinic services to patients. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2623953 | Expense |
| Revenue | 3581282 | Revenue |
| Description | Rapid City Regional Medical Clinic - Aspen - Provide clinic services to patients. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 30534109 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 21831696 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 42013277 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 591 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Mark Thompson | NamePerson |
| Telephone Number | 6057198106 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 353 Fairmont Blvd | AddressLine1 |
| City | Rapid City | City |
| State | SD | State |
| ZIP Code | 57701 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| HART MDCHARLES E | ||||||||
| President and CEO | 60.0 | X | X | 0 | 579452 | 41006 | ||
| BARLOW JOHN F MD | ||||||||
| CHAIRMAN, TRUSTEE | 2.2 | X | X | 0 | 0 | 0 | ||
| SLINGSBY J GEOFFREY MD | ||||||||
| VICE CHAIRMAN, TRUSTEE | 1.02 | X | X | 0 | 0 | 0 | ||
| DIEDRICH MICHAEL G | ||||||||
| SECRETARY, TRUSTEE | 1.88 | X | X | 0 | 0 | 0 | ||
| ROMKEMA FRED | ||||||||
| TREASURER, TRUSTEE | 1.05 | X | X | 0 | 0 | 0 | ||
| BULMAN KAREN | ||||||||
| PAST CHAIRMAN, TRUSTEE | 1.25 | X | 0 | 0 | 0 | |||
| DAHLSTROM JONATHAN H | ||||||||
| TRUSTEE | 1.28 | X | 0 | 0 | 0 | |||
| FINLEY ROBERT C MD | ||||||||
| TRUSTEE | 0.98 | X | 0 | 0 | 0 | |||
| MORRISON TOM | ||||||||
| TRUSTEE | 1.28 | X | 0 | 0 | 0 | |||
| NESBIT DENNIS E MD | ||||||||
| TRUSTEE | 0.66 | X | 0 | 0 | 0 | |||
| PETERSON HOWARD | ||||||||
| TRUSTEE | 1.21 | X | 0 | 0 | 0 | |||
| TOBIAS RICHARD K | ||||||||
| TRUSTEE | 2.19 | X | 0 | 0 | 0 | |||
| YELICK H EDWARD | ||||||||
| TRUSTEE | 2.1 | X | 0 | 0 | 0 | |||
| SLUKA JRJOSEPH C | ||||||||
| Chief Administrative Officer | 55.0 | X | 0 | 250710 | 54619 | |||
| THOMPSONMARK A | ||||||||
| CFO/Vice President of Finance | 55.0 | X | 0 | 208640 | 50870 | |||
| KEEGAN MDJAMES M | ||||||||
| CMO RH/CEO RHP | 55.0 | X | 0 | 325682 | 53680 | |||
| MCGLONEROBERT O | ||||||||
| VP Human Resources | 55.0 | 0 | 246580 | 39586 | X | |||
| MASTENMARY E | ||||||||
| VP Legal Services | 55.0 | 0 | 215626 | 60871 | X | |||
| LATUCHIERICHARD S | ||||||||
| VP Info Technology CIO | 55.0 | 0 | 212684 | 47860 | X | |||
| DEGROOTSHAWN Y | ||||||||
| VP Corp Responsibility | 55.0 | 0 | 186384 | 37653 | X | |||
| REYNO MDJORGE R | ||||||||
| CMO Research | 55.0 | 269643 | 0 | 53392 | X | |||
| SCHINDLER MDJAY J | ||||||||
| Physician | 40.0 | 2845331 | 0 | 163721 | X | |||
| ZINELDINE MDAMADELDIN M | ||||||||
| Physician | 40.0 | 1205951 | 0 | 75003 | X | |||
| NABWANGU MDJAMES F | ||||||||
| Physician | 40.0 | 814775 | 0 | 25854 | X | |||
| VANDERGON MDDIRK D | ||||||||
| Physician | 40.0 | 801292 | 0 | 70432 | X | |||
| GIUSEFFI MDSTEVEN ARTHUR | ||||||||
| Physician | 40.0 | 699432 | 0 | 77977 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 6636424 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2225758 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 852524 | TotalOtherCompensation |
| Number Individuals GT100 K | 80 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| US Transcription Inc | |||||
| 2728 Asbury Road Suite 650 | DUBUQUE | IA | 52001 | Transcriptions svcs | 514718 |
| Athena Health Inc | |||||
| 311 Arsenal St | WATERTOWN | MA | 02472 | SOFTWARE SERVICES | 288976 |
| Mayo Collaborative Services Inc | |||||
| P O Box 9146 | MINNEAPOLIS | MN | 554809146 | Laboratory services | 177082 |
| Sanford Medical Center | |||||
| P O Box 5056 | SIOUX FALLS | SD | 571175056 | Laboratory services | 152419 |
| Vista Staffing Solutions | |||||
| File 50834 | LOS ANGELES | CA | 900740834 | Locum tenens | 116009 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
| Government Grants | 706409 | GovernmentGrants |
| All Other Contributions | 1403 | AllOtherContributions |
| Total Contributions | 707812 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Medical clinics | 621110 | 32909391 | 32909391 |
| Specialty hospital | 623000 | 5917408 | 5917408 |
| INTERCOMPANY REVENUE | 900099 | 517638 | 517638 |
| PROGRAM SERVICE RENT | 900002 | -3422 | -3422 |
| All other program service revenue | 900099 | 1566913 | 1566913 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 40907928 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 15834 | TotalRevenueColumn |
| Exclusion | $15,834 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 41631574 | TotalRevenueColumn |
| Related Or Exempt Function Income | 40907928 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $15,834 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 274306 | Total |
| Management And General | 274306 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33382084 | Total |
| Program Services | 28184716 | ProgramServices |
| Management And General | 5197368 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 745234 | Total |
| Management And General | 745234 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4021576 | Total |
| Program Services | 2816947 | ProgramServices |
| Management And General | 1204629 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1736877 | Total |
| Program Services | 1398801 | ProgramServices |
| Management And General | 338076 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25005 | Total |
| Management And General | 25005 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2324582 | Total |
| Program Services | 1488349 | ProgramServices |
| Management And General | 836233 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 136690 | Total |
| Program Services | 63075 | ProgramServices |
| Management And General | 73615 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 303741 | Total |
| Program Services | 62017 | ProgramServices |
| Management And General | 241724 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 246254 | Total |
| Program Services | 132585 | ProgramServices |
| Management And General | 113669 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1899800 | Total |
| Program Services | 258844 | ProgramServices |
| Management And General | 1640956 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 237811 | Total |
| Program Services | 186315 | ProgramServices |
| Management And General | 51496 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 211837 | Total |
| Program Services | 185911 | ProgramServices |
| Management And General | 25926 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23 | Total |
| Program Services | 23 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1713216 | Total |
| Program Services | 1452278 | ProgramServices |
| Management And General | 260938 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 670273 | Total |
| Program Services | 2319 | ProgramServices |
| Management And General | 667954 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Medical supplies | 2315850 | 2104927 | 210923 |
| INTERCOMPANY SUPPLIES | 4376772 | 1621104 | 2755668 |
| Miscellaneous | 1634969 | 839986 | 794983 |
| Bad Debts | 1215080 | 1215080 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 57471980 | Total |
| Program Services | 42013277 | ProgramServices |
| Management And General | 15458703 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2798811 | BOY |
| EOY | 1190360 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6418023 | BOY |
| EOY | 5231725 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 78500 | BOY |
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 197424 | BOY |
| EOY | 194790 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 5056093 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1779432 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2854665 | BOY |
| EOY | 3276661 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 859109 | BOY |
| EOY | 302913 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13206532 | BOY |
| EOY | 10196449 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2790644 | BOY |
| EOY | 3640778 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 166469 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66067363 | BOY |
| EOY | 78899933 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 68858007 | BOY |
| EOY | 82707180 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -56670329 | BOY |
| EOY | -72510731 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1018854 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -55651475 | BOY |
| EOY | -72510731 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13206532 | BOY |
| EOY | 10196449 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 707812 | CurrentTaxYear |
| Total | 707812 | Total |
Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 0 | Total |
Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 0 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 707812 | CurrentTaxYear |
| Total | 707812 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 707812 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 97245 | CurrentTaxYear |
| Total | 97245 | Total |
Net UBI NetUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 0 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts From Admissions Etc | 40916156 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.87920 | PublicSupportPertcentage170 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 707812 | CurrentTaxYear |
| Total | 707812 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 0 | Total |
Gross Receipts From Non UBI GrossReceiptsFromNonUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 0 | Total |
Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 0 | Total |
Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 0 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 707812 | CurrentTaxYear |
| Total | 707812 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 707812 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 97245 | CurrentTaxYear |
| Total | 97245 | Total |
Post1975 UBTI Post1975UBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 0 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 97245 | CurrentTaxYear |
| Total | 97245 | Total |
Net Income From Other UBI NetIncomeFromOtherUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 0 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 0 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 805057 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.87920 | PublicSupportPercentage509 |
| Investment Income Percentage | 0.12080 | InvestmentIncomePercentage |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
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 | 1106207 | OtherCostOrOtherBasis |
| Depreciation | 259457 | Depreciation |
| Book Value | 846750 | BookValue |
Leasehold Improvements LeaseholdImprovements
| 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 |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 3949886 | OtherCostOrOtherBasis |
| Depreciation | 1519975 | Depreciation |
| Book Value | 2429911 | 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 | 3276661 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | INTERCOMPANY PAYABLE | Description |
| Amount | $78,899,933 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 78899933 | TotalOfAmounts |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | false | FPGReferenceFreeCare |
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 219524 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 219524 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00380 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 169975 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 169975 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00300 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 389499 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 389499 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00680 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 57322 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4480 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 52842 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00090 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6201 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 6201 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 63523 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4480 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 59043 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00100 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 453022 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4480 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 448542 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00780 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 583 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 583 | NetCommunityBuildingExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 600 | PersonsServed |
| Total Community Building Expense | 1334 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1334 | NetCommunityBuildingExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 275 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 275 | NetCommunityBuildingExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 47 | PersonsServed |
| Total Community Building Expense | 191 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 191 | NetCommunityBuildingExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 5 | NumberOfActivitiesOrPrograms |
| Persons Served | 647 | PersonsServed |
| Total Community Building Expense | 2383 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2383 | NetCommunityBuildingExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $72,260 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 963299 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 941686 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 21613 | 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 | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Spearfish Regional Surgery Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| Other | SPECIALTY HOSPITAL | Other |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Income Based Criteria | Regional Health uses low income housing guidelines from Housing and Urban Development to determine charity eligibility. The income guidelines, along with the number of dependents within the household are used in a matrix to determine the percent discounts applied to the outstanding balance. Discounts range from 100% to 10% of the balance. The charity policy also has a catastrophic provision which limits a patient/guarantor's exposure to owe no more than 20% of net assets. | IncomeBasedCriteria |
| Annual Community Benefit Expln | A community benefit report is completed by Regional Health, the parent organization, for all related organizations and made available to the public on its website. | AnnualCommunityBenefitExpln |
| Costing Method Used | Medicare Cost Report cost to charge ratio is used for calculation of cost of services provided. | CostingMethodUsed |
| Subsidized Health Services Expln | N/A | SubsidizedHealthServicesExpln |
| Bad Debt Footnote | 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 indictors. 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. Cost is developed per the Medicare cost to charge ratio. The hospital provides care regardless of the patient's ability to pay, except for certain elective procedures. | BadDebtFootnote |
| Shortfall As Community Benefit | Medicare shortfall is determined by applying the cost to charge ratio from the Medicare Cost Report to gross Medicare charges which is then compared to actual reimbursement. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | The collection policy requires invoking of the charity policy any time a patient expresses financial difficulty in meeting their debt obligation. | DebtCollectionPolicy |
| Number Of Facility Type Expln | Regional Health is working in partnership with several community not-for-profit organizations to conduct a full Community Needs Assessment for the Black Hills region. | NumberOfFacilityTypeExpln |
| General Explanation | References to "Regional Health" apply to all entities controlled or leased by Regional Health, Inc. This includes the reporting entity. | GeneralExplanation |
| Needs Assessment | Regional Health is working in partnership with several community not-for-profit organizations to conduct a full Community Health Needs Assessment for the Black Hills region. More than 30,000 surveys were mailed to the people in the Black Hills Region during fall of 2010. Additionally, a web based survey tool was also developed so people who did not get the survey would also have an opportunity to provide feedback. Our means of assessment prior to the above consisted of: 1) Using the community health needs assessment sponsored by the Black Hills area United Way. 2) Requests from other tax-exempt or community organizations to partner with Regional Health to provide programs. 3)Requests from Public agencies or community groups for Regional Health to provide community benefit activities or programs. Hospital personnel have identified needs based on admissions/discharge or other hospital or state agency data. | NeedsAssessment |
| Patient Education Assistance | We provide information on all statements, on our website, and all admission areas. We contract with The Midland Medican Group (an unreleated entity) to meet with all uninsured patients to assist them with finding a funding source or applying for charity, and our self pay outsource partner also communicates any funding and charity opportunities to our patients. | PatientEducationAssistance |
| Community Information | Regional Health serves the people of the Black Hills region. This area is comprised of the geographic area in a 250 miles radius of Rapid City, South Dakota. 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. | CommunityInformation |
| Community Building Activities | 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. | CommunityBuildingActivities |
| Other Information | Regional Health is governed by a community board that provides leadership to the organization to meet the community needs. Regional Health does not turn anyone away for emergency or non-elective care, regardless of ability to pay. Regional Health partners with educational institutions to provide numerous clinical training programs, patient and community education, research, clinical trials medical services that if not provided by us would not exist in our Region and offers health screenings and events to the people of the Region. | OtherInformation |
| 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. | AffiliatedHealthCareSystem |
| Reports Filed With States | SD | ReportsFiledWithStates |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HART MDCHARLES E | |||||||||||||
| 0 | 579452 | 0 | 0 | 0 | 0 | 0 | 25294 | 0 | 15712 | 0 | 620458 | 0 | 0 |
| SLUKA JRJOSEPH C | |||||||||||||
| 0 | 250710 | 0 | 0 | 0 | 0 | 0 | 35204 | 0 | 19415 | 0 | 305329 | 0 | 15789 |
| MCGLONEROBERT O | |||||||||||||
| 0 | 246580 | 0 | 0 | 0 | 0 | 0 | 24608 | 0 | 14978 | 0 | 286166 | 0 | 23186 |
| MASTENMARY E | |||||||||||||
| 0 | 215626 | 0 | 0 | 0 | 0 | 0 | 46570 | 0 | 14301 | 0 | 276497 | 0 | 0 |
| LATUCHIERICHARD S | |||||||||||||
| 0 | 212684 | 0 | 0 | 0 | 0 | 0 | 33789 | 0 | 14071 | 0 | 260544 | 0 | 0 |
| THOMPSONMARK A | |||||||||||||
| 0 | 208640 | 0 | 0 | 0 | 0 | 0 | 32639 | 0 | 18231 | 0 | 259510 | 0 | 0 |
| DEGROOTSHAWN Y | |||||||||||||
| 0 | 186384 | 0 | 0 | 0 | 0 | 0 | 24144 | 0 | 13509 | 0 | 224037 | 0 | 18775 |
| REYNO MDJORGE R | |||||||||||||
| 269643 | 0 | 0 | 0 | 0 | 32574 | 0 | 20818 | 0 | 323035 | 0 | 9026 | 0 | |
| SCHINDLER MDJAY J | |||||||||||||
| 1941293 | 0 | 904038 | 0 | 0 | 0 | 139689 | 0 | 24032 | 0 | 3009052 | 0 | 63594 | 0 |
| ZINELDINE MDAMADELDIN M | |||||||||||||
| 1205951 | 0 | 0 | 0 | 0 | 59511 | 0 | 15492 | 0 | 1280954 | 0 | 680106 | 0 | |
| NABWANGU MDJAMES F | |||||||||||||
| 814775 | 0 | 0 | 0 | 0 | 15547 | 0 | 10307 | 0 | 840629 | 0 | 0 | 0 | |
| VANDERGON MDDIRK D | |||||||||||||
| 801292 | 0 | 0 | 0 | 0 | 54940 | 0 | 15492 | 0 | 871724 | 0 | 203218 | 0 | |
| GIUSEFFI MDSTEVEN ARTHUR | |||||||||||||
| 527750 | 0 | 171682 | 0 | 0 | 0 | 61202 | 0 | 16775 | 0 | 777409 | 0 | 114312 | 0 |
| KEEGAN MDJAMES M | |||||||||||||
| 0 | 325682 | 0 | 0 | 0 | 0 | 0 | 36328 | 0 | 17352 | 0 | 379362 | 0 | 25356 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Supplemental Compensation Information | SCHEDULE J, PART I, LINE 3 | THE AUDIT AND COMPLIANCE COMMITTEE, WHICH IS A COMMITTEE OF THE REGIONAL HEALTH (PARENT) BOARD, REVIEWS AND APPROVES BASE SALARY AND TOTAL COMPENSATION RANGES FOR ALL EXECUTIVES WITH REGIONAL HEALTH SYSTEM. |
| Supplemental Compensation Information | Schedule J, Part I, Line 4b | Regional Health Physicians, Inc. 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 these two plans. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS | FORM 990, PART VI, QUESTION 6 | REGIONAL HEALTH, INC. IS THE SOLE CORPORATE MEMBER OF REGIONAL HEALTH PHYSICIANS, INC. AND HAS AUTHORITY OVER ALL DECISIONS REGARDING REGIONAL HEALTH PHYSICIANS, INC. |
| DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS | FORM 990, PART VI, QUESTION 7A | REGIONAL HEALTH, INC. is THE SOLE CORPORATE MEMBER OF REGIONAL HEALTH PHYSICIANS, INC. |
| DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS | FORM 990, PART VI, QUESTION 7B | Regional Health, Inc., is the sole corporate member of Regional Health Physicians, Inc. and 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 11A | 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, certain physicians, and certain non-management employees involved in purchasing. Where a proposed transaction involves a board member, the transaction is reviewed by the Compliance and Audit committee. Board members who have a conflict of interest may be invited to speak on the matter by the Chairman, but are not permitted to vote on the matter and are required to leave the meeting during discussion, after they have made any comments invited by the Chair. |
| OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN | FORM 990, PART VI, QUESTION 15A & 15B | The governing body's Compliance and Audit Committee, a committee that includes only board members deemed "independent", establishes the compensation of the CEO. It also provides oversight of the compensation of other senior/executive management. Compensation includes base salary, any incentive or bonus compensation, benefit plans and perquisites. For the Ceo, the Committee retains an independent consultant, Sullivan and Cotter, who collects survey/comparability data. The Committee, based on the results of the CEO's performance evaluation completed by the full Board and the information provided by the consultant, then determines compensation. The committee's decisions are documented in the minutes. For the balance of the executive staff, the Committee also retains Sullivan and Cotter to provide comparability data. The Committee, for the other executives, determines the appropriate base salary ranges for each position, but the CEO or his designee then determines the actual base salary within those ranges based on a performance evaluation conducted by the CEO or designee. The independent consultant provides data on the CEO position and other executive positions at least every three years. For the past three years, the consultant has been used annually for the CEO position. |
| 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 | Compensation of Officers, Directors, Trustees The hours devoted to the positions reported on the attachment to Part VII and Schedule J for the following reflect the aggregate total hours these individuals devote to their positions for Rapid City Regional Hospital, Inc., Regional Health, Inc., Regional Health Physicians, Inc. and/or Regional Health Network, Inc. CHARLES E. HART. MD JOHN BARLOW, MD J. GEOFF SLINGSBY, MD MICHAEL G. DIEDRICH FRED ROMKEMA KAREN BULMAN JONATHAN H. DAHLSTROM ROBERT C. FINLEY, MD TOM MORRISON DENNIS E. NESBIT, MD HOWARD PETERSON RICHARD K. TOBIAS H. EDWARD YELICK JAMES M. KEEGAN, MD |
| Independent Board Members | Form 990, Part VII | Regional Health, Inc. considers some members of the Board to not be independent because they are medical professionals. Independent Board members are not compensated by Regional Health, Inc. or any of its affiliates. |
| OVERSIGHT OR SELECTION PROCESS | FORM 990, PART XI, 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. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| Regional Health Inc | |||||||||
| 353 Fairmont Blvd | Rapid City | SD | 57701 | 201487506 | HEALTHCARE | SD | 501 (c)(3) | 11-TYPE III | na |
| Rapid City Regional Hospital Inc | |||||||||
| 353 Fairmont Blvd | Rapid City | SD | 57701 | 460319070 | Healthcare | SD | 501 (c)(3) | 3 | na |
| Regional Health Network Inc | |||||||||
| 353 Fairmont Blvd | Rapid City | SD | 57701 | 460360899 | HEALTHCARE | SD | 501 (c)(3) | 3 | NA |
Form990 Schedule R Part III Form990ScheduleRPartIII (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|
| Same Day Surgery CTR | |||||||
| 651 Cathedral Drive | Rapid City | SD | 57701 | 411889892 | HEALTHCARE | SD | NA |
| Black Hills Medical Building | |||||||
| 353 Fairmont Blvd | Rapid City | SD | 57701 | 411992146 | MED OFFICE BLDG | SD | NA |
| Medical Dental Building | |||||||
| 2805 S Fifth St Suite 210 | Rapid City | SD | 57701 | 460339629 | MED OFFICE BLDG | SD | NA |
| The Sleep Health Center | |||||||
| 2929 5th St Suite 240 | Rapid City | SD | 57701 | 421717215 | Sleep studies | SD | NA |
| The Imaging Center LLC | |||||||
| 300357026 | Healthcare | SD | NA | ||||
| The MRI Center LLC | |||||||
| P O box 8130 | Rapid City | SD | 57709 | 300357077 | Healthcare | SD | NA |
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| Western Health Inc | ||||||||
| 353 Fairmont Blvd | Rapid City | SD | 57701 | 460372456 | third Party Admin | SD | NA | c |
| Western Services HMO | ||||||||
| 353 Fairmont Blvd | Rapid City | SD | 57701 | 411899566 | HEALTH MAINT ORG | SD | NA | c |
| WESTERN PROVIDERs INC | ||||||||
| 529 KANSAS CITY ST200 | RAPID CITY | SD | 57701 | 411889163 | MEDICAL SERVICE | SD | NA | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| Regional Health Network Inc | |
| I | 32436 |
| Regional Health Network Inc | |
| j | 661443 |
| Rapid City Regional Hospital Inc | |
| n | 36646522 |
| Rapid City Regional Hospital Inc | |
| o | 12208171 |
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