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Huron Regional Medical Center Inc
Huron, SD 57350
| Bed count | 25 | Medicare provider number | 431335 | Member of the Council of Teaching Hospitals | YES | Children's hospital | NO |
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of total functional expenses)
Community Benefit Expenditures: 2021
All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Operating expenses $ 50,070,464 Total amount spent on community benefits as % of operating expenses$ 4,243,611 8.48 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 114,862 0.23 %Medicaid as % of operating expenses$ 0 0 %Costs of other means-tested government programs as % of operating expenses$ 8,111 0.02 %Health professions education as % of operating expenses$ 97,000 0.19 %Subsidized health services as % of operating expenses$ 3,598,237 7.19 %Research as % of operating expenses$ 0 0 %Community health improvement services and community benefit operations*
as % of operating expensesNote: these two community benefit categories are reported together on the Schedule H, part I, line 7e.$ 327,125 0.65 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 98,276 0.20 %Community building*
as % of operating expenses$ 233,299 0.47 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? YES Number of activities or programs (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Persons served (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Community building expense
as % of operating expenses$ 233,299 0.47 %Physical improvements and housing as % of community building expenses$ 0 0 %Economic development as % of community building expenses$ 0 0 %Community support as % of community building expenses$ 5,000 2.14 %Environmental improvements as % of community building expenses$ 0 0 %Leadership development and training for community members as % of community building expenses$ 83,500 35.79 %Coalition building as % of community building expenses$ 0 0 %Community health improvement advocacy as % of community building expenses$ 0 0 %Workforce development as % of community building expenses$ 144,799 62.07 %Other as % of community building expenses$ 0 0 %Direct offsetting revenue $ 0 Physical improvements and housing $ 0 Economic development $ 0 Community support $ 0 Environmental improvements $ 0 Leadership development and training for community members $ 0 Coalition building $ 0 Community health improvement advocacy $ 0 Workforce development $ 0 Other $ 0
Other Useful Tax-exempt Hospital Information: 2021
In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.
Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
as % of operating expenses$ 4,482,522 8.95 %Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program? NO - Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2022 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.
Does the organization have a written financial assistance (charity care) policy? YES Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients? YES Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
as % of operating expenses$ 1,120,631 25.00 %- Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Reported to credit agency Not available Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid? NO The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines? YES In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.
Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute? NO
Community Health Needs Assessment Activities: 2021
The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.
Did the tax-exempt hospital report that they had conducted a CHNA? YES Did the CHNA define the community served by the tax-exempt hospital? YES Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital? YES Did the tax-exempt hospital make the CHNA widely available (i.e. post online)? YES Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA? YES
Supplemental Information: 2021
- Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4A (Expenses $ 50070464 including grants of $ 0) (Revenue $ 47909983) PROVIDED MEDICAL SERVICES AS FOLLOWS: INPATIENT ADMISSIONS 947 OUTPATIENT VISITS 88,789 SWING BED ADMISSIONS 72 HURON REGIONAL MEDICAL CENTER, INC. PROVIDED COMMUNITY BENEFIT IN THE AMOUNT OF 13,297,988 FOR 2021-2022 10,902,069 FOR 2020-2021.
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Facility Information
FACILITY 1, HURON REGIONAL MEDICAL CENTER - PART V, LINE 5 A CHNA SURVEY WAS DEPLOYED TO THE HOSPITAL'S LOCAL EXPERT ADVISORS AND OFFERED TO THE COMMUNITY TO GAIN INPUT ON LOCAL HEALTH NEEDS AND THE NEEDS OF PRIORITY POPULATIONS. LOCAL EXPERT ADVISORS WERE LOCAL INDIVIDUALS SELECTED ACCORDING TO CRITERIA REQUIRED BY THE FEDERAL GUIDELINES AND REGULATIONS AND THE HOSPITAL'S DESIRE TO REPRESENT THE REGION'S GEOGRAPHICALLY DIVERSE POPULATION. COMMUNITY INPUT FROM 35 IDENTIFIED LOCAL EXPERT ADVISORS AND 76 COMMUNITY MEMBERS WERE RECIEVED. SURVEY RESPONSES STARTED IN JANUARY 2022 AND ENDED IN APRILL 2022.
FACILITY 1, HURON REGIONAL MEDICAL CENTER - PART V, LINE 6B OTHER ORGANIZATIONS WITH WHICH THE HOSPITAL FACILITY CONDUCTED ITS CHNA: QUORUM HEALTH RESOURCES (QHR) - HOSPITAL FACILITY MANAGEMENT COMPANY FACILITATED CHNA. JAMES VALLEY COMMUNITY HEALTH CLINIC AND COMMUNITY COUNSELING SERVICES, CARR CHIROPRACTIC CLINIC AND VARIOUS LARGE EMPLOYERS WITH NON ENGLISH SPEAKING EMPLOYEES PARTICIPATED IN CONFIRMING SIGNIFICANT NEEDS AND DEVELOPING IMPLEMENTATION STRATEGY. PART V, SECTION B, LINE 11 FACILITY 1 - HRMC SEE ATTACHED FACILITY 1 - HRMC - HRMC COMMUNITY HEALTH NEEDS ASSESSMENT GRID PART V, SECTION B, LINE 20(D) HRMC IN PROCESS OF OBTAINING AND MEETING PRESUMPTIVE ELIGIBILITY REQUIREMENTS OF STATE OF SOUTH DAKOTA.
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Supplemental Information
SCHEDULE H, PART I, LINE 7G COSTS ATTRIBUTABLE TO PHYSICIAN CLINIC AS SUBSIDIZED HEALTH SERVICES ORTHOPEDIC CLINIC 386,082, OB/GYN CLINIC 1,775,691, FAMILY MEDICINE CLINIC 2,123,758, SURGICAL CLINIC 776,697, UROLOGY CLINIC 434,079 AND IM CLINIC 5,443,190 FOR A TOTAL OF 8,939,697. BAD DEBT EXPENSE NOT REPORTED ON LINE 7G WAS 0.
SCHEDULE H, PART I, LINE 7 WORKSHEET 2 WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN THE TABLES ALONG WITH COST REPORT AMOUNTS WHEN APPLICABLE.
SCHEDULE H, PART II SEE ATTACHED
SCHEDULE H, PART III, LINE 2 ACCOUNTS RECEIVABLE FROM PATIENTS CONSIST OF THE FOLLOWING: ACCOUNTS RECEIVABLE AS OF JUNE 30, 2021 AND 2022 WERE 11,908,899 AND 13,711,269. ALLOWANCE FOR DOUBTFUL ACCOUNTS AS OF JUNE 30, 2021 AND 2022 WERE (3,369,156) AND (3,569,545). ACCOUNTS RECEIVABLE, NET AS OF JUNE 30, 2021 AND 2022 WERE 8,539,743 AND 10,142,324. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED ON AN ESTIMATE USING PAST COLLECTION EXPERIENCE,FINANCIAL CLASS, AND AGE FOR THE PATIENT ACCOUNT. ESTIMATED BAD DEBTS EXPENSE REFLECTS THIS PROVISION FOR ACTUAL OR EXPECTED DOUBTFUL ACCOUNTS. DISCOUNTS AND PAYMENTS ON ACCOUNTS REDUCES ACCOUNTS RECEIVABLE BALANCES THEREFORE REDUCING BAD DEBTS EXPENSE. A STUDY OF FINANCIAL ASSISTANCE APPLICATIONS AND EXPERIENCE OF FINANCIAL ASSISTANCE STAFF WAS USED TO REASONABLY ESTIMATE THE PERCENTAGE OF BAD DEBT FOR PATIENTS WHO WHOULD HAVE QUALIFIED FOR ASSISTANCE IF THEY APPLIED. SEE FOOTNOTE 1 PATIENT ACCOUNTS RECEIVABLES SECTION AND FOOTNOTE 4 OF AUDITED FINANCIAL STATEMENTS.
SCHEDULE H, PART VI, LINE 2 SEE ATTACHED 2
SCHEDULE H, PART VI, LINE 3 SEE ATTACHED 3
SCHEDULE H, PART VI, LINE 4 SEE ATTACHED 4
SCHEDULE H, PART VI, LINE 5 SEE ATTACHED 5
SCHEDULE H, PART VI SEE ATTACHED 1 FAMILY/BUSINESS RELATIONSHIP FOUR HOSPITAL BOARD TRUSTEES ARE DIRECTORS ON GREATER HURON DEVELOPMENT BOARD ONE HOSPITAL BOARD TRUSTEE IS THE SISTER TO A HOSPITAL EMPLOYEE ONE HOSPITAL BOARD TRUSTEE SERVES ON THE BEADLE COUNTY COMMISSION ONE HOSPITAL BOARD TRUSTEE HAS A BUSINESS RELATIONSHIP WITH THE HOSPITAL - NOT INDEPENDENT ONE HOSPITAL BOARD TRUSTEE, HIS SPOUSE AND DAUGHTER ARE EMPLOYED BY THE HOSPTIAL - NOT INDEPENDENT. TWO BOARD TRUSTEES ARE EMPLYOED BY THE HOSPITAL - NOT INDEPENDENT.
