2011-05-13T16:31:57-05:00 2010-06-30 ERNST & YOUNG US LLP 190 CARONDELET PLAZA SUITE 1300 CLAYTON MO 63105 990 2009-07-01 460372454 Regional Health Physicians Inc REGI 6057198106 353 Fairmont Blvd Rapid City SD 57701 Mark A Thompson 2011-05-12 3142901000 2009 2016-02-24 21:20:13Z Charles Hart MD MS 353 Fairmont Blvd Rapid City SD 57701 41631574 false X www.regionalhealth.com X 2005 SD TO PROVIDE AND SUPPORT HEALTHCARE EXCELLENCE IN PARTNERSHIP WITH THE COMMUNITIES WE SERVE. 13 9 591 0 0 0 467385 707812 47355000 40907928 18364 15834 0 0 47840749 41631574 0 0 0 0 46032641 40160077 0 0 0 20745783 17311903 66778424 57471980 -18937675 -15840406 13206532 10196449 68858007 82707180 -55651475 -72510731 To provide and support health care excellence in partnership with the with the communities we serve. false false 4728121 10096414 SPEARFISH REGIONAL SURGERY CENTER - PROVIDE AMBULATORY SURGERY SERVICES. 4127094 5398536 Queen city Regional Medical Clinic - Provide clinic services to patients. 2623953 3581282 Rapid City Regional Medical Clinic - Aspen - Provide clinic services to patients. 30534109 21831696 42013277 true true false false false false false false false true false true false false false false false false false false true false false true false false false false false false false false false false false false false true true false false true 0 0 591 true false false false false false false false false false 13 9 false false false false true true true true true false false true true true true true true true true false X Mark Thompson 6057198106 353 Fairmont Blvd Rapid City SD 57701 HART MDCHARLES E 60.0 X X 0 579452 41006 BARLOW JOHN F MD 2.2 X X 0 0 0 SLINGSBY J GEOFFREY MD 1.02 X X 0 0 0 DIEDRICH MICHAEL G 1.88 X X 0 0 0 ROMKEMA FRED 1.05 X X 0 0 0 BULMAN KAREN 1.25 X 0 0 0 DAHLSTROM JONATHAN H 1.28 X 0 0 0 FINLEY ROBERT C MD 0.98 X 0 0 0 MORRISON TOM 1.28 X 0 0 0 NESBIT DENNIS E MD 0.66 X 0 0 0 PETERSON HOWARD 1.21 X 0 0 0 TOBIAS RICHARD K 2.19 X 0 0 0 YELICK H EDWARD 2.1 X 0 0 0 SLUKA JRJOSEPH C 55.0 X 0 250710 54619 THOMPSONMARK A 55.0 X 0 208640 50870 KEEGAN MDJAMES M 55.0 X 0 325682 53680 MCGLONEROBERT O 55.0 X 0 246580 39586 MASTENMARY E 55.0 X 0 215626 60871 LATUCHIERICHARD S 55.0 X 0 212684 47860 DEGROOTSHAWN Y 55.0 X 0 186384 37653 REYNO MDJORGE R 55.0 X 269643 0 53392 SCHINDLER MDJAY J 40.0 X 2845331 0 163721 ZINELDINE MDAMADELDIN M 40.0 X 1205951 0 75003 NABWANGU MDJAMES F 40.0 X 814775 0 25854 VANDERGON MDDIRK D 40.0 X 801292 0 70432 GIUSEFFI MDSTEVEN ARTHUR 40.0 X 699432 0 77977 6636424 2225758 852524 80 false true false 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 2 706409 1403 707812 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 40907928 15834 15834 0 0 0 0 0 0 0 41631574 40907928 0 15834 0 0 0 0 274306 274306 0 33382084 28184716 5197368 745234 745234 4021576 2816947 1204629 1736877 1398801 338076 0 25005 25005 0 0 0 0 2324582 1488349 836233 136690 63075 73615 303741 62017 241724 246254 132585 113669 0 1899800 258844 1640956 237811 186315 51496 0 211837 185911 25926 23 23 0 1713216 1452278 260938 670273 2319 667954 Medical supplies 2315850 2104927 210923 INTERCOMPANY SUPPLIES 4376772 1621104 2755668 Miscellaneous 1634969 839986 794983 Bad Debts 1215080 1215080 57471980 42013277 15458703 0 2798811 1190360 6418023 5231725 78500 0 197424 194790 5056093 1779432 2854665 3276661 859109 302913 13206532 10196449 2790644 3640778 0 166469 66067363 78899933 68858007 82707180 X -56670329 -72510731 1018854 0 -55651475 -72510731 13206532 10196449 X false true true X true true X 707812 707812 0 0 0 0 707812 707812 707812 97245 97245 0 0 0 0 40916156 0.87920 707812 707812 0 0 0 0 0 0 0 0 707812 707812 0 0 0 0 0 0 707812 97245 97245 0 0 97245 97245 0 0 0 0 0 805057 0.87920 0.12080 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 1106207 259457 846750 0 0 0 0 0 3949886 1519975 2429911 0 0 0 0 3276661 0 INTERCOMPANY PAYABLE 78899933 78899933 true true X false false true true true false true true 219524 219524 0.00380 169975 169975 0.00300 389499 389499 0.00680 57322 4480 52842 0.00090 6201 6201 0.00010 0 0 0 0.00000 63523 4480 59043 0.00100 453022 4480 448542 0.00780 2 583 583 1 600 1334 1334 1 275 275 1 47 191 191 5 647 2383 2383 true 72260 0 963299 941686 21613 X true true Spearfish Regional Surgery Center X SPECIALTY HOSPITAL 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. 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. Medicare Cost Report cost to charge ratio is used for calculation of cost of services provided. N/A 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. 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. The collection policy requires invoking of the charity policy any time a patient expresses financial difficulty in meeting their debt obligation. 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. References to "Regional Health" apply to all entities controlled or leased by Regional Health, Inc. This includes the reporting entity. 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. 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. 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. 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. 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. 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. SD false true false false false false false false false 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 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. 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. 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 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 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 false false false false false false false false true true false false false true true false false false 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