HRMC is a private, not-for-profit organization. When the ownership of Huron's hospital passed from the Fransciscan Sisters to a locally-owned, private corporation (Huron Regional Medical Center, Inc.) in 1978, those involved in the purchase wanted to ensure Huron's community hospital would be governed by a board of directors reflecting a broad-base of the community. The volunteer board consists of three members recommended by the medical staff, one recommended by the City of Huron and one recommended by the Beadle County Commission. The other board members are elected at-large. Each board member is elected for a three-year term and can serve up to three consecutive terms. The property, funds, affairs and business of HRMC are managed by the board of directors, which is vested with the powers and authority conferred by the laws of South Dakota.