MONUMENT HEALTH NETWORK INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: MONUMENT HEALTH NETWORK INC (EIN 46-0360899)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-14
IRS object ID: 201941349349302774
Schema version: 2017v2.3
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
Form 990
Schedule A
Schedule C
Schedule D
Schedule H
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-14T09:52:37-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	450250958	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	EIDE BAILLY LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	800 NICOLLET MALL STE 1300	AddressLine1Txt
City	MINNEAPOLIS	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	554027033	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	460360899	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	REGIONAL HEALTH NETWORK INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	REGI	BusinessNameControlTxt
Phone	6057559130	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 6000	AddressLine1Txt
City	RAPID CITY	CityNm
State Abbreviation	SD	StateAbbreviationCd
ZIP	577096000	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MARK THOMPSON	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	6057559130	PhoneNum
Signature	2019-05-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KIM HUNWARDSEN CPA	PreparerPersonNm
PTIN	P00484560	PTIN
Phone	6122536500	PhoneNum
Preparation	2019-05-09	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	8.39.233.203	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-05-14	IPDt
IP Tm	09:42:34	IPTm
IP Timezone	CD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	B602D594AFD2B0B327E07A06F36CA6A7E42546D0	AtSubmissionCreationDeviceId
At Submission Filing Device Id	3650BCA763D4039ED1D1A7C737D64363E3F0370A	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	Yes (X)	AddressChangeInd
Principal Officer	PAULETTE DAVIDSON	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 6000	AddressLine1Txt
City	RAPID CITY	CityNm
State Abbreviation	SD	StateAbbreviationCd
ZIP	577096000	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$156,080,241	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.REGIONALHEALTH.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1981	FormationYr
Legal Domicile State	SD	LegalDomicileStateCd
Activity Or Mission	HELPING PATIENTS AND COMMUNITIES LIVE WELL	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	1405	TotalEmployeeCnt
Total Volunteers	186	TotalVolunteersCnt
Total Gross UBI	$993,945	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$404,317	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$914,625	PYContributionsGrantsAmt
CY Contributions Grants	$526,521	CYContributionsGrantsAmt
PY Program Service Revenue	$154,546,086	PYProgramServiceRevenueAmt
CY Program Service Revenue	$155,509,558	CYProgramServiceRevenueAmt
PY Investment Income	$102,685	PYInvestmentIncomeAmt
CY Investment Income	-$79,226	CYInvestmentIncomeAmt
PY Other Revenue	$19,877	PYOtherRevenueAmt
CY Other Revenue	$32,943	CYOtherRevenueAmt
PY Total Revenue	$155,583,273	PYTotalRevenueAmt
CY Total Revenue	$155,989,796	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$85,551,812	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$87,306,692	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$74,394,900	PYOtherExpensesAmt
CY Other Expenses	$78,645,007	CYOtherExpensesAmt
PY Total Expenses	$159,946,712	PYTotalExpensesAmt
CY Total Expenses	$165,951,699	CYTotalExpensesAmt
PY Revenues Less Expenses	-$4,363,439	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$9,961,903	CYRevenuesLessExpensesAmt
Total Assets BOY	$81,174,246	TotalAssetsBOYAmt
Total Assets EOY	$120,880,142	TotalAssetsEOYAmt
Total Liabilities BOY	$14,247,152	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$62,164,847	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$66,927,094	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$58,715,295	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	VISION: IT STARTS WITH HEART. OUR VISION AT REGIONAL HEALTH IS TO BE ONE TEAM, TO LISTEN, TO BE INCLUSIVE, AND TO SHOW WE CARE. TO DO THE RIGHT THING. EVERY TIME.VALUES: TRUST, RESPECT, COMPASSION, COMMUNITY, EXCELLENCEPRIORITIES: DELIVER HIGH-QUALITY CARE. PROVIDE A CARING EXPERIENCE. BE A GREAT PLACE TO WORK. IMPACT OUR COMMUNITIES. BE HERE FOR GENERATIONS TO COME.MISSION: MAKE A DIFFERENCE. EVERY DAY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$98,998,694	ExpenseAmt
Revenue	$110,246,079	RevenueAmt
Desc	REGIONAL HEALTH NETWORK OWNS THE FOLLOWING ACUTE CARE HOSPITALS (INCLUDING PHYSICIAN CLINICS) AND SENIOR CARE FACILITIES; CUSTER REGIONAL HOSPITAL (CAH)/ CUSTER REGIONAL SENIOR CARE, LEAD-DEADWOOD REGIONAL HOSPITAL (CAH), SPEARFISH REGIONAL HOSPITAL (PPS SCH) AND STURGIS REGIONAL HOSPITAL (CAH) / STURGIS REGIONAL SENIOR CARE. THE HEALTH NETWORK ALSO OWNS, LEASES AND OPERATES PROVIDER BASED PHYSICIAN CLINICS IN BELLE FOURCHE, SPEARFISH, LEAD, STURGIS & CUSTER. IN ADDITION, THE NETWORK OPERATES THE FOLLOWING FREE STANDING CLINICS IN HOT SPRINGS, BUFFALO, AND NEWCASTLE & UPTON, WYOMING. TOGETHER, THESE FACILITIES PROVIDE COMMON ACCESS TO COMPASSIONATE, QUALITY, ADVANCED HEALTH CARE THROUGH ITS NUMEROUS HEALING ENVIRONMENTS TO THE GREATER BLACK HILLS REGION.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$8,140,196	ExpenseAmt
Revenue	$31,876,400	RevenueAmt
Desc	SPEARFISH REGIONAL HOSPITAL'S SURGERY DEPARTMENT OFFERS THE FOLLOWING SURGICAL SPECIALTIES: ORTHOPEDICS, OB/GYN, GENERAL SURGERY, ENT, PODIATRY, DERMATOLOGY AND OPHTHALMOLOGY (EYES). IN FY18, A TOTAL OF 2,026 SURGERIES WERE COMPLETED AT THE MAIN CAMPUS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$6,655,601	ExpenseAmt
Revenue	$7,336,323	RevenueAmt
Desc	SPEARFISH REGIONAL HOSPITAL'S QUEEN CITY MEDICAL CLINIC IS A HOSPITAL OUTPATIENT DEPARTMENT PROVIDING PRIMARY CARE. IT HAS A TOTAL OF 42.60 FULL TIME EQUIVALENTS THAT INCLUDES PHYSICIANS (9.93) AND ADVANCED PRACTICE PROVIDERS (4.00). THIS HOSPITAL OUTPATIENT DEPARTMENT HAD 31,709 ENCOUNTERS THROUGHOUT THE YEAR.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$5,275,804	ExpenseAmt
Revenue	$5,056,811	RevenueAmt
Desc	SPEARFISH REGIONAL HOSPITAL'S ORTHOPEDIC CLINIC IS A HOSPITAL OUTPATIENT DEPARTMENT PROVIDING ORTHOPEDIC CARE. IT HAS A TOTAL OF 16.48 FULL TIME EQUIVALENTS THAT INCLUDES ORTHOPEDIC SURGEONS (3.00) AND ADVANCED PRACTICE PROVIDERS (4.82). THIS HOSPITAL OUTPATIENT DEPARTMENT EXPERIENCED 12,432 ENCOUNTERS DURING THE YEAR.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$5,275,804	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$5,056,811	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$119,070,295	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	0	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	1405	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MARK THOMPSON	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6057559127	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 6000	AddressLine1Txt
City	RAPID CITY	CityNm
State Abbreviation	SD	StateAbbreviationCd
ZIP	577096000	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
RICHARD TYSDAL
CHAIRMAN	1.48	0.03	Yes (X)	Yes (X)	$0	$0	$0
DAVID THOM
VICE CHAIRMAN	0.49	0.00	Yes (X)	Yes (X)	$0	$0	$0
DUSTY PINSKE
BOARD MEMBER	1.19	0.02	Yes (X)		$0	$0	$0
ROBERT HAIVALA
BOARD MEMBER	0.53	0.00	Yes (X)		$0	$0	$0
LEE B BAILEY MD
BOARD MEMBER / EMPLOYED PHYSICIAN	40.53	0.00	Yes (X)		$397,685	$0	$60,221
PAUL BISSON
BOARD MEMBER	0.77	0.00	Yes (X)		$0	$0	$0
CHRISTOPHER GASBARRE DO
BOARD MEMBER / EMPLOYED PHYSICIAN	41.04	0.27	Yes (X)		$242,138	$334,317	$77,510
ROSS LAMPHERE
BOARD MEMBER	0.63	0.00	Yes (X)		$0	$0	$0
PAT WALKER
BOARD MEMBER	0.69	0.00	Yes (X)		$0	$0	$0
BRENT PHILLIPS
PRESIDENT AND CEO	11.37	48.63	Yes (X)	Yes (X)	$0	$1,448,075	$197,188
MARK A THOMPSON
CFO/TREASURER	10.42	44.58		Yes (X)	$0	$536,474	$101,169
TERESA BURROFF
GENERAL COUNSEL, SECRETARY	10.42	44.58		Yes (X)	$0	$440,874	$59,154
MARY MASTEN
GENERAL COUNSEL, EMERITUS	10.42	44.58			$0	$337,833	$52,994	Yes (X)
PAULETTE DAVIDSON
CHIEF OPERATING OFFICER	10.42	44.58			$0	$555,940	$99,695	Yes (X)
TRESHA MORELAND
VP HUMAN RESOURCES	10.42	44.58			$0	$262,689	$38,373	Yes (X)
RICHARD S LATUCHIE
VP INFO TECHNOLOGY/CIO RETIRED 02/18	10.42	44.58			$0	$427,314	$35,168	Yes (X)
STEPHANIE LAHR
VP INFO TECHNOLOGY CIO	10.42	44.58			$0	$373,121	$71,740	Yes (X)
LAURA WIGHTMAN
CHIEF NURSING OFFICER	10.42	44.58			$0	$311,717	$53,302	Yes (X)
KYLE RICHARDS
PRESIDENT - HILLS MKT	55.00	0.00			$170,153	$0	$22,045	Yes (X)
MARK SCHMIDT
PRESIDENT LEAD-DEADWOOD	55.00	0.00			$245,971	$0	$54,781	Yes (X)
VERONICA SCHMIDT
PRESIDENT - CUSTER	55.00	0.00			$209,374	$0	$19,236	Yes (X)
MARK SCHULTE
PRESIDENT - STURGIS	55.00	0.00			$221,369	$0	$51,830	Yes (X)
LARRY VEITZ
PRESIDENT - SPEARFISH	55.00	0.00			$314,685	$0	$55,335	Yes (X)
CHRISTOPHER FROMMMD
PHYSICIAN - EMERGENCY SERV	40.00	0.00			$342,206	$0	$62,252		Yes (X)
MATTHEW FINKEMD
PHYSICIAN - EMERGENCY SERV	40.00	0.00			$330,089	$0	$65,398		Yes (X)
KIPP GOULD MD
PHYSICIAN - ORTHOPEDIC SURGERY	39.74	0.26			$403,011	$455,487	$94,723		Yes (X)
RAY JENSEN MD
PHYSICIAN - ORTHOPEDIC SURGERY	39.74	0.26			$706,310	$418,863	$80,128		Yes (X)
RICHARD LITTLE MD
PHYSICIAN - ORTHOPEDIC SURGERY	39.74	0.26			$340,333	$448,276	$89,066		Yes (X)
MAUREEN HENSON
VP HUMAN RESOURCES RETIRED 04/17	10.42	44.58			$0	$106,769	$708			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,923,324	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,457,749	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,442,016	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	82	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
SCULL CONSTRUCTION SERVICE INC
803 INDUSTRIAL AVE	RAPID CITY	SD	57702	CONSTRUCTION SERVICES	$7,328,041
JOURNEY GROUP COMPANIES
345 INDUSTRIAL DR	SPEARFISH	SD	57783	CONSTRUCTION SERVICES	$3,698,700
MEDEFIS
10826 OLD MILL RD 101	OMAHA	NE	68105	TEMPORARY MEDICAL STAFF COVERAGE	$2,095,007
ATHENA HEALTH INC
311 ARSENAL ST	WATERTOWN	MA	02472	COMPUTER SOFTWARE-PRACTICE MANAGEMENT BI	$2,002,052
ZIMMER US INC
2700 MINNEHAHA AVE	MINNEAPOLIS	MN	55406	MEDICAL SUPPLIES	$671,760

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	40	CntrctRcvdGreaterThan100KCnt
Government Grants	$152,414	GovernmentGrantsAmt
All Other Contributions	$374,107	AllOtherContributionsAmt
Total Contributions	$526,521	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ACUTE CARE HOSPITAL IP AND OP	623000	$92,003,864	$92,003,864
PHYSICIAN CLINICS	621110	$44,592,379	$44,592,379
LONG TERM CARE FACILITIES	623000	$9,409,350	$9,409,350
ASSISTED LIVING FACILITIES	623000	$529,168	$529,168

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,974,797	TotalRevenueColumnAmt
Related Or Exempt Func Income	$7,980,852	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$993,945	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$155,509,558	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$375	TotalRevenueColumnAmt
Exclusion	-$375	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$44,537	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$11,594	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$32,943	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$32,943	TotalRevenueColumnAmt
Exclusion	$32,943	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$78,851	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$78,851	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$78,851	TotalRevenueColumnAmt
Exclusion	-$78,851	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$155,989,796	TotalRevenueColumnAmt
Related Or Exempt Func Income	$154,515,613	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$993,945	UnrelatedBusinessRevenueAmt
Exclusion	-$46,283	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,259,731	TotalAmt
Program Services	$393,660	ProgramServicesAmt
Management And General	$866,071	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$11,711	TotalAmt
Program Services	$11,711	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$68,751,142	TotalAmt
Program Services	$60,025,264	ProgramServicesAmt
Management And General	$8,725,878	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,332,923	TotalAmt
Program Services	$1,150,334	ProgramServicesAmt
Management And General	$182,589	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$11,470,482	TotalAmt
Program Services	$8,779,665	ProgramServicesAmt
Management And General	$2,690,817	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,480,703	TotalAmt
Program Services	$3,859,580	ProgramServicesAmt
Management And General	$621,123	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$86,043	TotalAmt
Program Services	$217	ProgramServicesAmt
Management And General	$85,826	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$60,330	TotalAmt
Management And General	$60,330	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$16,263	TotalAmt
Management And General	$16,263	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$6,991,594	TotalAmt
Program Services	$5,655,943	ProgramServicesAmt
Management And General	$1,335,651	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$77,112	TotalAmt
Program Services	$1,098	ProgramServicesAmt
Management And General	$76,014	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,013,173	TotalAmt
Program Services	$1,527,559	ProgramServicesAmt
Management And General	$1,485,614	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,770,978	TotalAmt
Program Services	$1,135,827	ProgramServicesAmt
Management And General	$635,151	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,526,612	TotalAmt
Program Services	$2,035,326	ProgramServicesAmt
Management And General	$2,491,286	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$411,638	TotalAmt
Program Services	$355,540	ProgramServicesAmt
Management And General	$56,098	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$5,848	TotalAmt
Program Services	$4,066	ProgramServicesAmt
Management And General	$1,782	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$511	TotalAmt
Program Services	$503	ProgramServicesAmt
Management And General	$8	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$5,595,738	TotalAmt
Program Services	$2,824,351	ProgramServicesAmt
Management And General	$2,771,387	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$653,853	TotalAmt
Program Services	$391,610	ProgramServicesAmt
Management And General	$262,243	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
INTERCOMPANY CHARGES	$29,821,461	$5,420,993	$24,400,468
MEDICAL SUPPLIES	$13,788,379	$13,723,106	$65,273
BAD DEBT EXPENSE	$10,001,890	$10,001,890
MISCELLANEOUS	$1,823,584	$1,772,052	$51,532

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$165,951,699	TotalAmt
Program Services	$119,070,295	ProgramServicesAmt
Management And General	$46,881,404	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$312,969	BOYAmt
EOY	$18,797,335	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$19,534,170	BOYAmt
EOY	$24,400,546	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,049,191	BOYAmt
EOY	$2,336,717	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$546,365	BOYAmt
EOY	$609,029	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$120,568,906	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$48,006,286	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$55,968,850	BOYAmt
EOY	$72,562,620	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$309,284	BOYAmt
EOY	$314,571	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$54,656	BOYAmt
EOY	$54,656	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,398,761	BOYAmt
EOY	$1,804,668	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$81,174,246	BOYAmt
EOY	$120,880,142	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$6,077,435	BOYAmt
EOY	$11,215,073	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$8,169,717	BOYAmt
EOY	$50,949,774	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$14,247,152	BOYAmt
EOY	$62,164,847	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$65,080,538	BOYAmt
EOY	$58,281,753	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,746,556	BOYAmt
EOY	$333,542	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$100,000	BOYAmt
EOY	$100,000	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$66,927,094	BOYAmt
EOY	$58,715,295	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$81,174,246	BOYAmt
EOY	$120,880,142	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$9,961,903	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$3,114	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$1,753,218	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$16,263	OtherActivitiesAmt
Total Lobbying Expenditures	$16,263	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	ANNUAL DUES ARE PAID TO THE SOUTH DAKOTA ASSOCIATION OF HEALTHCARE ORGANIZATIONS. A PORTION OF THE DUES ARE APPLICABLE TO LOBBYING ACTIVITIES. FOR CALENDAR YEAR 2018 DUES, WHICH WERE PAID IN FISCAL YEAR 2018, IN THE AMOUNT OF $64,733, 10.30% WAS USED FOR LOBBYING PURPOSES. IN ADDITION, ANNUAL DUES WERE PAID TO THE AMERICAN HOSPITAL ASSOCIATION, A PORTION OF WHICH IS APPLICABLE TO LOBBYING ACTIVITIES. FOR CALENDAR YEAR 2018 DUES, WHICH WERE PAID IN FISCAL YEAR 2018, IN THE AMOUNT OF $41,755, 22.98% WAS USED FOR LOBBYING PURPOSES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$146,585	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$3,114	InvestmentEarningsOrLossesAmt
End Year Balance	$143,471	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$121,703	BeginningYearBalanceAmt
Investment Earnings Or Losses	$24,882	InvestmentEarningsOrLossesAmt
End Year Balance	$146,585	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$120,509	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,194	InvestmentEarningsOrLossesAmt
End Year Balance	$121,703	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$116,730	BeginningYearBalanceAmt
Investment Earnings Or Losses	$3,779	InvestmentEarningsOrLossesAmt
End Year Balance	$120,509	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$100,000	BeginningYearBalanceAmt
Investment Earnings Or Losses	$16,730	InvestmentEarningsOrLossesAmt
End Year Balance	$116,730	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.69700	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.30300	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	0	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,331,968	OtherCostOrOtherBasisAmt
Book Value	$9,331,968	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$76,030,090	OtherCostOrOtherBasisAmt
Depreciation	$25,892,655	DepreciationAmt
Book Value	$50,137,435	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,145,168	OtherCostOrOtherBasisAmt
Depreciation	$747,593	DepreciationAmt
Book Value	$397,575	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$33,174,996	OtherCostOrOtherBasisAmt
Depreciation	$21,366,038	DepreciationAmt
Book Value	$11,808,958	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$886,684	OtherCostOrOtherBasisAmt
Book Value	$886,684	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$72,562,620	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	DUE TO RELATED PARTIES	Desc
Amt	$50,949,774	Amt

Field	Value	IRS element (for citing)
Total Liability	$50,949,774	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4:

ENDOWED FUNDS ARE PERMANENTLY RESTRICTED FROM USE AND ARE HELD IN AN INTEREST BEARING ACCOUNT. THE INTEREST EARNED MAY BE USED BY THE ORGANIZATION AT ITS DISCRETION.

PART X, LINE 2:

REFERENCES TO "REGIONAL HEALTH" APPLY TO ALL ENTITIES CONTROLLED BY REGIONAL HEALTH, INC. AND ITS SUBSIDIARIES. THIS INCLUDES THE REPORTING ENTITY. REGIONAL HEALTH IS ORGANIZED AS A GROUP OF NONPROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AND EACH IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. EACH REGIONAL HEALTH ENTITY IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, EACH REGIONAL HEALTH ENTITY IS SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE (FORM 990T). REGIONAL HEALTH BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. REGIONAL HEALTH WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent250	Yes (X)	Percent250Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,518,188	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,518,188	NetCommunityBenefitExpnsAmt
Total Expense	0.02260	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,225,866	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,843,882	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,381,984	NetCommunityBenefitExpnsAmt
Total Expense	0.02810	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,744,054	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,843,882	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,900,172	NetCommunityBenefitExpnsAmt
Total Expense	0.05070	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	10	ActivitiesOrProgramsCnt
Persons Served	1382	PersonsServedCnt
Total Community Benefit Expns	$2,304,156	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,304,156	NetCommunityBenefitExpnsAmt
Total Expense	0.01480	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,445,890	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,012,703	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,433,187	NetCommunityBenefitExpnsAmt
Total Expense	0.00920	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	750	PersonsServedCnt
Total Community Benefit Expns	$6,813	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,813	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	11	ActivitiesOrProgramsCnt
Persons Served	2132	PersonsServedCnt
Total Community Benefit Expns	$7,756,859	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,012,703	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,744,156	NetCommunityBenefitExpnsAmt
Total Expense	0.02400	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	11	ActivitiesOrProgramsCnt
Persons Served	2132	PersonsServedCnt
Total Community Benefit Expns	$26,500,913	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,856,585	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,644,328	NetCommunityBenefitExpnsAmt
Total Expense	0.07470	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$856	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$856	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	270	PersonsServedCnt
Total Community Benefit Expns	$1,319	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,319	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	270	PersonsServedCnt
Total Community Benefit Expns	$2,175	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,175	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$10,001,890	BadDebtExpenseAmt
Bad Debt Expense Attributable	$37,928	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$41,124,878	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$42,905,328	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,780,450	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	4	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (4 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	OtherOtherDesc	Facility Reporting GroupFacilityReportingGroupCd	Critical Access HospitalCriticalAccessHospitalInd
SPEARFISH REGIONAL HOSPITAL
1	1440 N MAIN STREET	SPEARFISH	SD	57783	WWW.REGIONALHEALTH.COM	10566	Yes (X)	Yes (X)	Yes (X)	6 PROVIDER-BASED CLINICS	A
CUSTER REGIONAL HOSPITAL
2	1220 MONTGOMERY STREET	CUSTER	SD	57730	WWW.REGIONALHEALTH.COM	47660	Yes (X)	Yes (X)	Yes (X)	2 PROVIDER-BASED CLINICS	A	Yes (X)
STURGIS REGIONAL HOSPITAL
3	2140 JUNCTION AVENUE	STURGIS	SD	57785	WWW.REGIONALHEALTH.COM	10567	Yes (X)	Yes (X)	Yes (X)	1 PROVIDER-BASED CLINIC	A	Yes (X)
LEAD-DEADWOOD REGIONAL HOSPITAL
4	61 CHARLES STREET	DEADWOOD	SD	57732	WWW.REGIONALHEALTH.COM	10535	Yes (X)	Yes (X)	Yes (X)	1 PROVIDER-BASED CLINIC	A	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	FACILITY REPORTING GROUP - A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SECTION C, LINE 7D	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE SECTION C, LINE 7D	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	250.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE SECTION C, LINE 16A-C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SECTION C, LINE 16A-C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SECTION C, LINE 16A-C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (31 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: SPEARFISH REGIONAL HOSPITAL, - FACILITY 2: CUSTER REGIONAL HOSPITAL, - FACILITY 3: STURGIS REGIONAL HOSPITAL, - FACILITY 4: LEAD-DEADWOOD REGIONAL HOSPITAL
GROUP A-FACILITY 1 -- SPEARFISH REGIONAL HOSPITAL PART V, SECTION B, LINE 5:	AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, AN ONLINE KEY INFORMANT SURVEY WAS CONDUCTED THAT SOLICITED INPUT FROM INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY. PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL.KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. A TOTAL OF 294 COMMUNITY STAKEHOLDERS COMPRISED OF PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS COMPLETED THE KEY INFORMANT SURVEY FOR THE REGIONAL HEALTH SERVICE AREA.
GROUP A-FACILITY 1 -- SPEARFISH REGIONAL HOSPITAL PART V, SECTION B, LINE 6A:	THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS UNDERTAKEN BY REGIONAL HEALTH, INCLUDING: RAPID CITY REGIONAL HOSPITAL, SAME DAY SURGERY CENTER, REGIONAL HEALTH NETWORK (SPEARFISH REGIONAL HOSPITAL, STURGIS REGIONAL HOSPITAL, LEAD-DEADWOOD REGIONAL HOSPITAL, AND CUSTER REGIONAL HOSPITAL). UNDER A MANAGEMENT CONTRACT WITH REGIONAL HEALTH, HANS P. PETERSON MEMORIAL HOSPITAL IN PHILIP, SD, ALSO COLLABORATED ON THE PROJECT. HANS P. PETERSON MEMORIAL HOSPITAL PROVIDED FUNDING FOR THEIR PORTION OF THE ASSESSMENT.
GROUP A-FACILITY 1 -- SPEARFISH REGIONAL HOSPITAL PART V, SECTION B, LINE 7D:	HTTP://REGIONALHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
GROUP A-FACILITY 1 -- SPEARFISH REGIONAL HOSPITAL PART V, SECTION B, LINE 11:	IN REVIEW OF THE NEEDS IDENTIFIED IN THE 2015 CHNA, SPEARFISH REGIONAL HOSPITAL (SPRH), THE AREAS BELOW WILL NOT BE ADDRESSED DUE TO PRIORITIZATION OF HEALTH NEEDS:1)CANCER: THIS ISSUE WILL NOT BE ADDRESSED AS A PRIMARY NEED, BUT WILL BE IMPACTED THROUGH THE ACCESS TO HEALTHCARE SERVICES PRIORITY. AWARENESS ACTIVITIES THROUGH THE AMERICAN CANCER SOCIETY ALSO CURRENTLY EXIST IN THE COMMUNITY AND SURROUNDING AREA. 2)DEMENTIA: INCLUDING ALZHEIMER'S DISEASE: THIS ISSUE WILL NOT BE ADDRESSED AS A PRIMARY NEED, BUT WILL BE IMPACTED THROUGH THE MENTAL HEALTH PRIORITY. IN ADDITION, THERE ARE LOCAL LICENSED SKILLED NURSING FACILITIES PROVIDING SERVICES TO THE ELDERLY OF THE COMMUNITY. 3)DIABETES: THIS ISSUE WILL NOT BE ADDRESSED AS A PRIMARY NEED, BUT WILL BE IMPACTED THROUGH THE NUTRITION, PHYSICAL ACTIVITY AND WEIGHT PRIORITY.4)HEART DISEASE & STROKE: THIS ISSUE WILL NOT BE ADDRESSED AS A PRIMARY NEED, BUT WILL BE IMPACTED THROUGH THE NUTRITION, PHYSICAL ACTIVITY AND WEIGHT PRIORITY.5)INFANT HEALTH AND FAMILY PLANNING: DATA FROM THE CHNA REVEALED THAT INFANT MORTALITY AND TEEN BIRTHS WERE OF GREATEST CONCERN IN THIS AREA IN THE COMMUNITY. HOWEVER, LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION. 6)INJURY & VIOLENCE: LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION.7)ORAL HEALTH: LIMITED RESOURCES, SERVICES AND EXPERTISE AVAILABLE TO ADDRESS ORAL HEALTH AND ACCESS TO ORAL HEALTH INSURANCE RESULTED IN EXCLUDING THIS AS AN AREA CHOSEN FOR ACTION. OTHER COMMUNITY ORGANIZATIONS HAVE INFRASTRUCTURE AND PROGRAMS IN PLACE TO BETTER MEET THIS NEED. 8)RESPIRATORY DISEASE: THIS PRIORITY AREA FALLS MORE WITHIN THE PURVIEW OF OTHER COMMUNITY RESOURCES, INCLUDING OUTPATIENT CLINICAL SETTINGS.9)SEXUALLY TRANSMITTED DISEASES: THIS ISSUE WILL NOT BE ADDRESSED AS A PRIMARY NEED, BUT WILL BE IMPACTED THROUGH THE ACCESS TO HEALTHCARE SERVICES PRIORITY. 10)SUBSTANCE ABUSE: THIS ISSUE WILL NOT BE ADDRESSED AS A PRIMARY NEED, BUT WILL BE IMPACTED THROUGH THE MENTAL HEALTH PRIORITY.DURING FY18, REGIONAL HEALTH HOSPITALS FOCUSED ON THE FOLLOWING THREE PRIORITY AREAS IDENTIFIED THROUGH THE MOST RECENT CHNA: ACCESS TO HEALTHCARE SERVICES, MENTAL HEALTH, AND WELLNESS (PHYSICAL ACTIVITY, NUTRITION, AND WEIGHT). TEAMS COMPRISED OF REPRESENTATIVES FROM RAPID CITY REGIONAL HOSPITAL, SAME DAY SURGERY CENTER, REGIONAL HEALTH NETWORK, AND THE COMMUNITY WORKED ON OBJECTIVES FOR EACH PRIORITY AREA OF THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). ACCESS TO HEALTHCARE SERVICESDIRECT SCHEDULING BECAME AVAILABLE FOR ORTHOPEDICS AND GENERAL SURGERY. THIS ALLOWS PATIENTS TO LEAVE ONE LOCATION WITH AN ALREADY SCHEDULED APPOINTMENT AT A DIFFERENT LOCATION WITHOUT HAVING TO TAKE ANY ADDITIONAL STEPS. THE TEAM IS CURRENTLY WORKING ON EXPANDING THIS PROJECT TO OTHER SPECIALTIES.WORK BEGAN ON A POPULATION HEALTH INITIATIVE FOR DIABETES WITH A GOAL TO SYSTEMIZE DIABETES CARE, INCLUDING PROCESSES AND EDUCATION, ACROSS ALL REGIONAL HEALTH LOCATIONS. DEVELOPMENT CONTINUED FOR COMMUNITY CASE MANAGEMENT IN THE OUTPATIENT CLINICS. THE SYSTEM NOW HAS FIVE PATIENT CARE COORDINATORS SERVING THE COMMUNITIES OF RAPID CITY, SPEARFISH, LEAD, DEADWOOD, STURGIS, CUSTER, HOT SPRINGS, AND HILL CITY. PART OF THE ROLE OF THE PATIENT CARE COORDINATOR IS TO CONNECT PATIENTS WITH NEEDED COMMUNITY RESOURCES. A NEW PATIENT PORTAL, MYCHART, WENT LIVE IN JANUARY, 2018. THE PORTAL ALLOWS PATIENTS TO BETTER ACCESS THEIR HEALTH INFORMATION INCLUDING TEST RESULTS AND APPOINTMENT INFORMATION. PATIENTS CAN ALSO USE MYCHART TO DIRECTLY COMMUNICATE WITH THEIR PHYSICIANS AND OTHER PROVIDERS. THE ACCESS WORKGROUP WORKED TO DEVELOP A PROCESS FOR IDENTIFYING AND REACHING OUT TO PATIENTS THAT WOULD QUALIFY FOR THE ALL WOMEN COUNT PROGRAM. A PROCESS WAS CREATED TO MAIL AN OUTREACH LETTER TO QUALIFYING INDIVIDUALS TO ENCOURAGE THEM TO SIGN-UP FOR THE ALL WOMEN COUNT PROGRAM. THE GOOD SHEPHERD CLINIC HAS BEEN ADDRESSING THE NORTHERN HILLS (SPEARFISH, LEAD, DEADWOOD AND STURGIS) NEED OF PROVIDING QUALITY MEDICAL CARE TO FINANCIALLY QUALIFIED AREA RESIDENTS (AGES 19-64) WITHOUT HEALTH INSURANCE DUE TO VARIOUS ECONOMIC AND TECHNICAL REASONS SINCE 2009. IN FY18, REGIONAL HEALTH CONTINUED TO PROVIDE BOTH IN-KIND AND VOLUNTEER SUPPORT FOR THE GOOD SHEPHERD CLINIC. THERE ARE APPROXIMATELY 16 PHYSICIANS, PHYSICIAN ASSISTANTS, CNAS AND LICENSED NURSE PRACTITIONERS PLUS 140 ROTATING SCHEDULED VOLUNTEERS TRAINED IN VARIOUS CAPACITIES TO MEET THE CLINICAL OPERATIONS AND ADMINISTRATIVE NEEDS OF THE CLINIC.MENTAL HEALTHREGIONAL HEALTH PROVIDED IN-KIND PRINTING OF 2,000 HELPING HAND RESOURCE GUIDES FOR DISTRIBUTION IN THE COMMUNITY. IN FY18, REGIONAL HEALTH CONTRIBUTED $2,500 TO 211 HELPLINE CENTER IN SUPPORT OF OPERATIONS. FROM 2016 TO 2017, 211 HELPLINE CENTER CALLS FOR MENTAL HEALTH AND ADDICTION NEEDS ROSE FROM 9.29% TO 11.5% AND THE NUMBER OF SUICIDE-RELATED CONTACTS INCREASED BY 28%.IN MAY 2018, REGIONAL HEALTH HOSTED A MEETING THAT WAS ATTENDED BY 25 COMMUNITY ORGANIZATIONS TO DISCUSS THE ISSUE OF SUICIDE PREVENTION FOR THE BLACK HILLS REGION. A SECOND MEETING IS PLANNED TO TAKE PLACE IN FY19 TO FURTHER DEVELOP A COMMUNITY-WIDE APPROACH FOR SUICIDE PREVENTION.WELLNESS (PHYSICAL ACTIVITY, NUTRITION, AND WEIGHT)REGIONAL HEALTH RECEIVED A GRANT FROM THE SOUTH DAKOTA DEPARTMENT OF HEALTH (SDDOH) TO CONDUCT A PREDIABETES MARKETING AND OUTREACH CAMPAIGN. FUNDS WERE USED TO RAISE AWARENESS OF PREDIABETES AND ENCOURAGE PEOPLE AT RISK TO ENROLL IN THE NATIONAL DIABETES PREVENTION PROGRAM (NDPP). THE CAMPAIGN INCLUDED DIGITAL BILLBOARDS, RADIO ADS, AND PRINT ADS THAT TOTALED AN ESTIMATED REACH OF MORE THAN 400,000 IMPRESSIONS. REGIONAL HEALTH DIABETES EDUCATORS ALSO WENT OUT TO SIX LOCAL EVENTS AS PART OF THE CAMPAIGN. AT THESE EVENTS, 161 PEOPLE COMPLETED THE PREDIABETES RISK TEST AND THE 61 WHO WERE FOUND TO BE HIGH-RISK WERE PROVIDED ADDITIONAL INFORMATION/EDUCATION ON DPP AND OTHER DIABETES RESOURCES.
GROUP A-FACILITY 1 -- SPEARFISH REGIONAL HOSPITAL PART V, SECTION B, LINE 13H:	MUST RESIDE WITHIN 200 MILE RADIUS OF THE LOCATION WHERE THE SERVICE WAS RECEIVED.PRESUMPTIVE ELIGIBILITY MAY BE USED.
GROUP A-FACILITY 1 -- SPEARFISH REGIONAL HOSPITAL PART V, SECTION B, LINE 16J:	A SUMMARY OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS POSTED FOR ALL PATIENTS AT VARIOUS POINTS OF ENTRY, ON THE FACILITY WEBSITE, IN WAITING ROOMS, AND IN THE ADMISSIONS OFFICE. THE POLICY IN ITS ENTIRETY IS ALSO AVAILABLE UPON REQUEST.THE FAP APPLICATION FORM WAS TRANSLATED INTO THE PRIMARY LANGUAGE SPOKEN BY LEP POPULATIONS. THIS IS POSTED ON THE WEBSITE LISTED FOR LINE 16A.
GROUP A-FACILITY 1 -- SPEARFISH REGIONAL HOSPITAL PART V, SECTION B, LINE 24:	THE HOSPITAL FINANCIAL ASSISTANCE POLICY DOES NOT COVER ELECTIVE PROCEDURES. THE HOSPITAL MAY HAVE CHARGED FAP ELIGIBLE PATIENTS GROSS CHARGES FOR SERVICES THAT ARE NOT COVERED UNDER THE FINANCIAL ASSISTANCE POLICY.
GROUP A-FACILITY 2 -- CUSTER REGIONAL HOSPITAL PART V, SECTION B, LINE 5:	AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, AN ONLINE KEY INFORMANT SURVEY WAS CONDUCTED THAT SOLICITED INPUT FROM INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY. PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL.KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. A TOTAL OF 294 COMMUNITY STAKEHOLDERS COMPRISED OF PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS COMPLETED THE KEY INFORMANT SURVEY FOR THE REGIONAL HEALTH SERVICE AREA.
GROUP A-FACILITY 2 -- CUSTER REGIONAL HOSPITAL PART V, SECTION B, LINE 6A:	THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS UNDERTAKEN BY REGIONAL HEALTH, INCLUDING: RAPID CITY REGIONAL HOSPITAL, SAME DAY SURGERY CENTER, REGIONAL HEALTH NETWORK (SPEARFISH REGIONAL HOSPITAL, STURGIS REGIONAL HOSPITAL, LEAD-DEADWOOD REGIONAL HOSPITAL, AND CUSTER REGIONAL HOSPITAL). UNDER A MANAGEMENT CONTRACT WITH REGIONAL HEALTH, HANS P. PETERSON MEMORIAL HOSPITAL IN PHILIP, SD, ALSO COLLABORATED ON THE PROJECT. HANS P. PETERSON MEMORIAL HOSPITAL PROVIDED FUNDING FOR THEIR PORTION OF THE ASSESSMENT.
GROUP A-FACILITY 2 -- CUSTER REGIONAL HOSPITAL PART V, SECTION B, LINE 7D:	HTTP://REGIONALHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
GROUP A-FACILITY 2 -- CUSTER REGIONAL HOSPITAL PART V, SECTION B, LINE 11:	IN REVIEW OF THE NEEDS IDENTIFIED IN THE 2015 CHNA, CUSTER REGIONAL HOSPITAL (CRH), THE AREAS BELOW WILL NOT BE ADDRESSED DUE TO PRIORITIZATION OF HEALTH NEEDS:1)CANCER: THIS ISSUE WILL NOT BE ADDRESSED AS A PRIMARY NEED, BUT WILL BE IMPACTED THROUGH THE ACCESS TO HEALTHCARE SERVICES PRIORITY. AWARENESS ACTIVITIES THROUGH THE AMERICAN CANCER SOCIETY ALSO CURRENTLY EXIST IN THE COMMUNITY AND SURROUNDING AREA. 2)DEMENTIA: INCLUDING ALZHEIMER'S DISEASE: THIS ISSUE WILL NOT BE ADDRESSED AS A PRIMARY NEED, BUT WILL BE IMPACTED THROUGH THE MENTAL HEALTH PRIORITY. IN ADDITION, THERE ARE LOCAL LICENSED SKILLED NURSING FACILITIES PROVIDING SERVICES TO THE ELDERLY OF THE COMMUNITY. 3)DIABETES: THIS ISSUE WILL NOT BE ADDRESSED AS A PRIMARY NEED, BUT WILL BE IMPACTED THROUGH THE NUTRITION, PHYSICAL ACTIVITY AND WEIGHT PRIORITY.4)HEART DISEASE & STROKE: THIS ISSUE WILL NOT BE ADDRESSED AS A PRIMARY NEED, BUT WILL BE IMPACTED THROUGH THE NUTRITION, PHYSICAL ACTIVITY AND WEIGHT PRIORITY.5)INFANT HEALTH AND FAMILY PLANNING: DATA FROM THE CHNA REVEALED THAT INFANT MORTALITY AND TEEN BIRTHS WERE OF GREATEST CONCERN IN THIS AREA IN THE COMMUNITY. HOWEVER, LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION. 6)INJURY & VIOLENCE: LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION.7)ORAL HEALTH: LIMITED RESOURCES, SERVICES AND EXPERTISE AVAILABLE TO ADDRESS ORAL HEALTH AND ACCESS TO ORAL HEALTH INSURANCE RESULTED IN EXCLUDING THIS AS AN AREA CHOSEN FOR ACTION. OTHER COMMUNITY ORGANIZATIONS HAVE INFRASTRUCTURE AND PROGRAMS IN PLACE TO BETTER MEET THIS NEED. 8)RESPIRATORY DISEASE: THIS PRIORITY AREA FALLS MORE WITHIN THE PURVIEW OF OTHER COMMUNITY RESOURCES, INCLUDING OUTPATIENT CLINICAL SETTINGS.9)SEXUALLY TRANSMITTED DISEASES: THIS ISSUE WILL NOT BE ADDRESSED AS A PRIMARY NEED, BUT WILL BE IMPACTED THROUGH THE ACCESS TO HEALTHCARE SERVICES PRIORITY. 10)SUBSTANCE ABUSE: THIS ISSUE WILL NOT BE ADDRESSED AS A PRIMARY NEED, BUT WILL BE IMPACTED THROUGH THE MENTAL HEALTH PRIORITY.11)POTENTIALLY DISABLING CONDITIONS: THIS ISSUE WILL NOT BE ADDRESSED AS A PRIMARY NEED, BUT COULD BE IMPACTED THROUGH THE NUTRITION, PHYSICAL ACTIVITY AND WEIGHT AND ACCESS TO HEALTH CARE SERVICES PRIORITIES.12)HEARING & VISION: LIMITED RESOURCES EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION. OTHER COMMUNITY ORGANIZATIONS HAVE INFRASTRUCTURE AND PROGRAMS IN PLACE TO BETTER MEET THIS NEED.DURING FY18, REGIONAL HEALTH HOSPITALS FOCUSED ON THE FOLLOWING THREE PRIORITY AREAS IDENTIFIED THROUGH THE MOST RECENT CHNA: ACCESS TO HEALTHCARE SERVICES, MENTAL HEALTH, AND WELLNESS (PHYSICAL ACTIVITY, NUTRITION, AND WEIGHT). TEAMS COMPRISED OF REPRESENTATIVES FROM RAPID CITY REGIONAL HOSPITAL, SAME DAY SURGERY CENTER, REGIONAL HEALTH NETWORK, AND THE COMMUNITY WORKED ON OBJECTIVES FOR EACH PRIORITY AREA OF THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP).ACCESS TO HEALTHCARE SERVICES WORK BEGAN ON A POPULATION HEALTH INITIATIVE FOR DIABETES WITH A GOAL TO SYSTEMIZE DIABETES CARE, INCLUDING PROCESSES AND EDUCATION, ACROSS ALL REGIONAL HEALTH LOCATIONS. DEVELOPMENT CONTINUED FOR COMMUNITY CASE MANAGEMENT IN THE OUTPATIENT CLINICS. THE SYSTEM NOW HAS FIVE PATIENT CARE COORDINATORS SERVING THE COMMUNITIES OF RAPID CITY, SPEARFISH, LEAD, DEADWOOD, STURGIS, CUSTER, HOT SPRINGS, AND HILL CITY. PART OF THE ROLE OF THE PATIENT CARE COORDINATOR IS TO CONNECT PATIENTS WITH NEEDED COMMUNITY RESOURCES. A NEW PATIENT PORTAL, MYCHART, WENT LIVE IN JANUARY, 2018. THE PORTAL ALLOWS PATIENTS TO BETTER ACCESS THEIR HEALTH INFORMATION INCLUDING TEST RESULTS AND APPOINTMENT INFORMATION. PATIENTS CAN ALSO USE MYCHART TO DIRECTLY COMMUNICATE WITH THEIR PHYSICIANS AND OTHER PROVIDERS. THE ACCESS WORKGROUP WORKED TO DEVELOP A PROCESS FOR IDENTIFYING AND REACHING OUT TO PATIENTS THAT WOULD QUALIFY FOR THE ALL WOMEN COUNT PROGRAM. A PROCESS WAS CREATED TO MAIL AN OUTREACH LETTER TO QUALIFYING INDIVIDUALS TO ENCOURAGE THEM TO SIGN-UP FOR THE ALL WOMEN COUNT PROGRAM. MENTAL HEALTHREGIONAL HEALTH PROVIDED IN-KIND PRINTING OF 2,000 HELPING HAND RESOURCE GUIDES FOR DISTRIBUTION IN THE COMMUNITY. IN FY18, REGIONAL HEALTH CONTRIBUTED $2,500 TO 211 HELPLINE CENTER IN SUPPORT OF OPERATIONS. FROM 2016 TO 2017, 211 HELPLINE CENTER CALLS FOR MENTAL HEALTH AND ADDICTION NEEDS ROSE FROM 9.29% TO 11.5% AND THE NUMBER OF SUICIDE-RELATED CONTACTS INCREASED BY 28%.IN MAY 2018, REGIONAL HEALTH HOSTED A MEETING THAT WAS ATTENDED BY 25 COMMUNITY ORGANIZATIONS TO DISCUSS THE ISSUE OF SUICIDE PREVENTION FOR THE BLACK HILLS REGION. A SECOND MEETING IS PLANNED TO TAKE PLACE IN FY19 TO FURTHER DEVELOP A COMMUNITY-WIDE APPROACH FOR SUICIDE PREVENTION.WELLNESS (PHYSICAL ACTIVITY, NUTRITION, AND WEIGHT)REGIONAL HEALTH RECEIVED A GRANT FROM THE SOUTH DAKOTA DEPARTMENT OF HEALTH (SDDOH) TO CONDUCT A PREDIABETES MARKETING AND OUTREACH CAMPAIGN. FUNDS WERE USED TO RAISE AWARENESS OF PREDIABETES AND ENCOURAGE PEOPLE AT RISK TO ENROLL IN THE NATIONAL DIABETES PREVENTION PROGRAM (NDPP). THE CAMPAIGN INCLUDED DIGITAL BILLBOARDS, RADIO ADS, AND PRINT ADS THAT TOTALED AN ESTIMATED REACH OF MORE THAN 400,000 IMPRESSIONS. REGIONAL HEALTH DIABETES EDUCATORS ALSO WENT OUT TO SIX LOCAL EVENTS AS PART OF THE CAMPAIGN. AT THESE EVENTS, 161 PEOPLE COMPLETED THE PREDIABETES RISK TEST AND THE 61 WHO WERE FOUND TO BE HIGH-RISK WERE PROVIDED ADDITIONAL INFORMATION/EDUCATION ON DPP AND OTHER DIABETES RESOURCES.
GROUP A-FACILITY 2 -- CUSTER REGIONAL HOSPITAL PART V, SECTION B, LINE 13H:	MUST RESIDE WITHIN 200 MILE RADIUS OF THE LOCATION WHERE THE SERVICE WAS RECEIVED.PRESUMPTIVE ELIGIBILITY MAY BE USED.
GROUP A-FACILITY 2 -- CUSTER REGIONAL HOSPITAL PART V, SECTION B, LINE 16J:	A SUMMARY OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS POSTED FOR ALL PATIENTS AT VARIOUS POINTS OF ENTRY, ON THE FACILITY WEBSITE, IN WAITING ROOMS, AND IN THE ADMISSIONS OFFICE. THE POLICY IN ITS ENTIRETY IS ALSO AVAILABLE UPON REQUEST.THE FAP APPLICATION FORM WAS TRANSLATED INTO THE PRIMARY LANGUAGE SPOKEN BY LEP POPULATIONS. THIS IS POSTED ON THE WEBSITE LISTED FOR LINE 16A.
GROUP A-FACILITY 2 -- CUSTER REGIONAL HOSPITAL PART V, SECTION B, LINE 24:	THE HOSPITAL FINANCIAL ASSISTANCE POLICY DOES NOT COVER ELECTIVE PROCEDURES. THE HOSPITAL MAY HAVE CHARGED FAP ELIGIBLE PATIENTS GROSS CHARGES FOR SERVICES THAT ARE NOT COVERED UNDER THE FINANCIAL ASSISTANCE POLICY.
GROUP A-FACILITY 3 -- STURGIS REGIONAL HOSPITAL PART V, SECTION B, LINE 5:	AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, AN ONLINE KEY INFORMANT SURVEY WAS CONDUCTED THAT SOLICITED INPUT FROM INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY. PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL.KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. A TOTAL OF 294 COMMUNITY STAKEHOLDERS COMPRISED OF PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS COMPLETED THE KEY INFORMANT SURVEY FOR THE REGIONAL HEALTH SERVICE AREA.
GROUP A-FACILITY 3 -- STURGIS REGIONAL HOSPITAL PART V, SECTION B, LINE 6A:	THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS UNDERTAKEN BY REGIONAL HEALTH, INCLUDING: RAPID CITY REGIONAL HOSPITAL, SAME DAY SURGERY CENTER, REGIONAL HEALTH NETWORK (SPEARFISH REGIONAL HOSPITAL, STURGIS REGIONAL HOSPITAL, LEAD-DEADWOOD REGIONAL HOSPITAL, AND CUSTER REGIONAL HOSPITAL). UNDER A MANAGEMENT CONTRACT WITH REGIONAL HEALTH, HANS P. PETERSON MEMORIAL HOSPITAL IN PHILIP, SD, ALSO COLLABORATED ON THE PROJECT. HANS P. PETERSON MEMORIAL HOSPITAL PROVIDED FUNDING FOR THEIR PORTION OF THE ASSESSMENT.
GROUP A-FACILITY 3 -- STURGIS REGIONAL HOSPITAL PART V, SECTION B, LINE 7D:	HTTP://REGIONALHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
GROUP A-FACILITY 3 -- STURGIS REGIONAL HOSPITAL PART V, SECTION B, LINE 11:	IN REVIEW OF THE NEEDS IDENTIFIED IN THE 2015 CHNA, STURGIS REGIONAL HOSPITAL (STRH), THE AREAS BELOW WILL NOT BE ADDRESSED DUE TO PRIORITIZATION OF HEALTH NEEDS:1)CANCER: THIS ISSUE WILL NOT BE ADDRESSED AS A PRIMARY NEED, BUT WILL BE IMPACTED THROUGH THE ACCESS TO HEALTHCARE SERVICES PRIORITY. AWARENESS ACTIVITIES THROUGH THE AMERICAN CANCER SOCIETY ALSO CURRENTLY EXIST IN THE COMMUNITY AND SURROUNDING AREA. 2)DEMENTIA: INCLUDING ALZHEIMER'S DISEASE: THIS ISSUE WILL NOT BE ADDRESSED AS A PRIMARY NEED, BUT WILL BE IMPACTED THROUGH THE MENTAL HEALTH PRIORITY. IN ADDITION, THERE ARE LOCAL LICENSED SKILLED NURSING FACILITIES PROVIDING SERVICES TO THE ELDERLY OF THE COMMUNITY. 3)DIABETES: THIS ISSUE WILL NOT BE ADDRESSED AS A PRIMARY NEED, BUT WILL BE IMPACTED THROUGH THE NUTRITION, PHYSICAL ACTIVITY AND WEIGHT PRIORITY.4)HEART DISEASE & STROKE: THIS ISSUE WILL NOT BE ADDRESSED AS A PRIMARY NEED, BUT WILL BE IMPACTED THROUGH THE NUTRITION, PHYSICAL ACTIVITY AND WEIGHT PRIORITY.5)INFANT HEALTH AND FAMILY PLANNING: DATA FROM THE CHNA REVEALED THAT INFANT MORTALITY AND TEEN BIRTHS WERE OF GREATEST CONCERN IN THIS AREA IN THE COMMUNITY. HOWEVER, LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION. 6)INJURY & VIOLENCE: LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION.7)ORAL HEALTH: LIMITED RESOURCES, SERVICES AND EXPERTISE AVAILABLE TO ADDRESS ORAL HEALTH AND ACCESS TO ORAL HEALTH INSURANCE RESULTED IN EXCLUDING THIS AS AN AREA CHOSEN FOR ACTION. OTHER COMMUNITY ORGANIZATIONS HAVE INFRASTRUCTURE AND PROGRAMS IN PLACE TO BETTER MEET THIS NEED. 8)RESPIRATORY DISEASE: THIS PRIORITY AREA FALLS MORE WITHIN THE PURVIEW OF OTHER COMMUNITY RESOURCES, INCLUDING OUTPATIENT CLINICAL SETTINGS.9)SEXUALLY TRANSMITTED DISEASES: THIS ISSUE WILL NOT BE ADDRESSED AS A PRIMARY NEED, BUT WILL BE IMPACTED THROUGH THE ACCESS TO HEALTHCARE SERVICES PRIORITY. 10)SUBSTANCE ABUSE: THIS ISSUE WILL NOT BE ADDRESSED AS A PRIMARY NEED, BUT WILL BE IMPACTED THROUGH THE MENTAL HEALTH PRIORITY.11)TOBACCO USE: LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION. STURGIS REGIONAL HOSPITAL DOES PROVIDE SMOKING/TOBACCO CESSATION INFORMATION TO PATIENTS.DURING FY18, REGIONAL HEALTH HOSPITALS FOCUSED ON THE FOLLOWING THREE PRIORITY AREAS IDENTIFIED THROUGH THE MOST RECENT CHNA: ACCESS TO HEALTHCARE SERVICES, MENTAL HEALTH, AND WELLNESS (PHYSICAL ACTIVITY, NUTRITION, AND WEIGHT). TEAMS COMPRISED OF REPRESENTATIVES FROM RAPID CITY REGIONAL HOSPITAL, SAME DAY SURGERY CENTER, REGIONAL HEALTH NETWORK, AND THE COMMUNITY WORKED ON OBJECTIVES FOR EACH PRIORITY AREA OF THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP).ACCESS TO HEALTHCARE SERVICESDIRECT SCHEDULING BECAME AVAILABLE FOR ORTHOPEDICS AND GENERAL SURGERY. THIS ALLOWS PATIENTS TO LEAVE ONE LOCATION WITH AN ALREADY SCHEDULED APPOINTMENT AT A DIFFERENT LOCATION WITHOUT HAVING TO TAKE ANY ADDITIONAL STEPS. THE TEAM IS CURRENTLY WORKING ON EXPANDING THIS PROJECT TO OTHER SPECIALTIES.WORK BEGAN ON A POPULATION HEALTH INITIATIVE FOR DIABETES WITH A GOAL TO SYSTEMIZE DIABETES CARE, INCLUDING PROCESSES AND EDUCATION, ACROSS ALL REGIONAL HEALTH LOCATIONS. DEVELOPMENT CONTINUED FOR COMMUNITY CASE MANAGEMENT IN THE OUTPATIENT CLINICS. THE SYSTEM NOW HAS FIVE PATIENT CARE COORDINATORS SERVING THE COMMUNITIES OF RAPID CITY, SPEARFISH, LEAD, DEADWOOD, STURGIS, CUSTER, HOT SPRINGS, AND HILL CITY. PART OF THE ROLE OF THE PATIENT CARE COORDINATOR IS TO CONNECT PATIENTS WITH NEEDED COMMUNITY RESOURCES. A NEW PATIENT PORTAL, MYCHART, WENT LIVE IN JANUARY, 2018. THE PORTAL ALLOWS PATIENTS TO BETTER ACCESS THEIR HEALTH INFORMATION INCLUDING TEST RESULTS AND APPOINTMENT INFORMATION. PATIENTS CAN ALSO USE MYCHART TO DIRECTLY COMMUNICATE WITH THEIR PHYSICIANS AND OTHER PROVIDERS. THE ACCESS WORKGROUP WORKED TO DEVELOP A PROCESS FOR IDENTIFYING AND REACHING OUT TO PATIENTS THAT WOULD QUALIFY FOR THE ALL WOMEN COUNT PROGRAM. A PROCESS WAS CREATED TO MAIL AN OUTREACH LETTER TO QUALIFYING INDIVIDUALS TO ENCOURAGE THEM TO SIGN-UP FOR THE ALL WOMEN COUNT PROGRAM. MENTAL HEALTHREGIONAL HEALTH PROVIDED IN-KIND PRINTING OF 2,000 HELPING HAND RESOURCE GUIDES FOR DISTRIBUTION IN THE COMMUNITY. IN FY18, REGIONAL HEALTH CONTRIBUTED $2,500 TO 211 HELPLINE CENTER IN SUPPORT OF OPERATIONS. FROM 2016 TO 2017, 211 HELPLINE CENTER CALLS FOR MENTAL HEALTH AND ADDICTION NEEDS ROSE FROM 9.29% TO 11.5% AND THE NUMBER OF SUICIDE-RELATED CONTACTS INCREASED BY 28%.IN MAY 2018, REGIONAL HEALTH HOSTED A MEETING THAT WAS ATTENDED BY 25 COMMUNITY ORGANIZATIONS TO DISCUSS THE ISSUE OF SUICIDE PREVENTION FOR THE BLACK HILLS REGION. A SECOND MEETING IS PLANNED TO TAKE PLACE IN FY19 TO FURTHER DEVELOP A COMMUNITY-WIDE APPROACH FOR SUICIDE PREVENTION.WELLNESS (PHYSICAL ACTIVITY, NUTRITION, AND WEIGHT)REGIONAL HEALTH RECEIVED A GRANT FROM THE SOUTH DAKOTA DEPARTMENT OF HEALTH (SDDOH) TO CONDUCT A PREDIABETES MARKETING AND OUTREACH CAMPAIGN. FUNDS WERE USED TO RAISE AWARENESS OF PREDIABETES AND ENCOURAGE PEOPLE AT RISK TO ENROLL IN THE NATIONAL DIABETES PREVENTION PROGRAM (NDPP). THE CAMPAIGN INCLUDED DIGITAL BILLBOARDS, RADIO ADS, AND PRINT ADS THAT TOTALED AN ESTIMATED REACH OF MORE THAN 400,000 IMPRESSIONS. REGIONAL HEALTH DIABETES EDUCATORS ALSO WENT OUT TO SIX LOCAL EVENTS AS PART OF THE CAMPAIGN. AT THESE EVENTS, 161 PEOPLE COMPLETED THE PREDIABETES RISK TEST AND THE 61 WHO WERE FOUND TO BE HIGH-RISK WERE PROVIDED ADDITIONAL INFORMATION/EDUCATION ON DPP AND OTHER DIABETES RESOURCES.
GROUP A-FACILITY 3 -- STURGIS REGIONAL HOSPITAL PART V, SECTION B, LINE 13H:	MUST RESIDE WITHIN 200 MILE RADIUS OF THE LOCATION WHERE THE SERVICE WAS RECEIVED.PRESUMPTIVE ELIGIBILITY MAY BE USED.
GROUP A-FACILITY 3 -- STURGIS REGIONAL HOSPITAL PART V, SECTION B, LINE 16J:	A SUMMARY OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS POSTED FOR ALL PATIENTS AT VARIOUS POINTS OF ENTRY, ON THE FACILITY WEBSITE, IN WAITING ROOMS, AND IN THE ADMISSIONS OFFICE. THE POLICY IN ITS ENTIRETY IS ALSO AVAILABLE UPON REQUEST.THE FAP APPLICATION FORM WAS TRANSLATED INTO THE PRIMARY LANGUAGE SPOKEN BY LEP POPULATIONS. THIS IS POSTED ON THE WEBSITE LISTED FOR LINE 16A.
GROUP A-FACILITY 3 -- STURGIS REGIONAL HOSPITAL PART V, SECTION B, LINE 24:	THE HOSPITAL FINANCIAL ASSISTANCE POLICY DOES NOT COVER ELECTIVE PROCEDURES. THE HOSPITAL MAY HAVE CHARGED FAP ELIGIBLE PATIENTS GROSS CHARGES FOR SERVICES THAT ARE NOT COVERED UNDER THE FINANCIAL ASSISTANCE POLICY.
GROUP A-FACILITY 4 -- LEAD-DEADWOOD REGIONAL HOSPITAL PART V, SECTION B, LINE 5:	AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, AN ONLINE KEY INFORMANT SURVEY WAS CONDUCTED THAT SOLICITED INPUT FROM INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY. PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL.KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. A TOTAL OF 294 COMMUNITY STAKEHOLDERS COMPRISED OF PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS COMPLETED THE KEY INFORMANT SURVEY FOR THE REGIONAL HEALTH SERVICE AREA.
GROUP A-FACILITY 4 -- LEAD-DEADWOOD REGIONAL HOSPITAL PART V, SECTION B, LINE 6A:	THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS UNDERTAKEN BY REGIONAL HEALTH, INCLUDING: RAPID CITY REGIONAL HOSPITAL, SAME DAY SURGERY CENTER, REGIONAL HEALTH NETWORK (SPEARFISH REGIONAL HOSPITAL, STURGIS REGIONAL HOSPITAL, LEAD-DEADWOOD REGIONAL HOSPITAL, AND CUSTER REGIONAL HOSPITAL). UNDER A MANAGEMENT CONTRACT WITH REGIONAL HEALTH, HANS P. PETERSON MEMORIAL HOSPITAL IN PHILIP, SD, ALSO COLLABORATED ON THE PROJECT. HANS P. PETERSON MEMORIAL HOSPITAL PROVIDED FUNDING FOR THEIR PORTION OF THE ASSESSMENT.
GROUP A-FACILITY 4 -- LEAD-DEADWOOD REGIONAL HOSPITAL PART V, SECTION B, LINE 7D:	HTTP://REGIONALHEALTH.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
GROUP A-FACILITY 4 -- LEAD-DEADWOOD REGIONAL HOSPITAL PART V, SECTION B, LINE 11:	IN REVIEW OF THE NEEDS IDENTIFIED IN THE 2015 CHNA, LEAD/DEADWOOD REGIONAL HOSPITAL (LDRH), THE AREAS BELOW WILL NOT BE ADDRESSED DUE TO PRIORITIZATION OF HEALTH NEEDS:1)CANCER: THIS ISSUE WILL NOT BE ADDRESSED AS A PRIMARY NEED, BUT WILL BE IMPACTED THROUGH THE ACCESS TO HEALTHCARE SERVICES PRIORITY. AWARENESS ACTIVITIES THROUGH THE AMERICAN CANCER SOCIETY ALSO CURRENTLY EXIST IN THE COMMUNITY AND SURROUNDING AREA. 2)DEMENTIA: INCLUDING ALZHEIMER'S DISEASE: THIS ISSUE WILL NOT BE ADDRESSED AS A PRIMARY NEED, BUT WILL BE IMPACTED THROUGH THE MENTAL HEALTH PRIORITY. IN ADDITION, THERE ARE LOCAL LICENSED SKILLED NURSING FACILITIES PROVIDING SERVICES TO THE ELDERLY OF THE COMMUNITY. 3)DIABETES: THIS ISSUE WILL NOT BE ADDRESSED AS A PRIMARY NEED, BUT WILL BE IMPACTED THROUGH THE NUTRITION, PHYSICAL ACTIVITY AND WEIGHT PRIORITY.4)HEART DISEASE & STROKE: THIS ISSUE WILL NOT BE ADDRESSED AS A PRIMARY NEED, BUT WILL BE IMPACTED THROUGH THE NUTRITION, PHYSICAL ACTIVITY AND WEIGHT PRIORITY.5)INFANT HEALTH AND FAMILY PLANNING: DATA FROM THE CHNA REVEALED THAT INFANT MORTALITY AND TEEN BIRTHS WERE OF GREATEST CONCERN IN THIS AREA IN THE COMMUNITY. HOWEVER, LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION. 6)INJURY & VIOLENCE: LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION.7)ORAL HEALTH: LIMITED RESOURCES, SERVICES AND EXPERTISE AVAILABLE TO ADDRESS ORAL HEALTH AND ACCESS TO ORAL HEALTH INSURANCE RESULTED IN EXCLUDING THIS AS AN AREA CHOSEN FOR ACTION. OTHER COMMUNITY ORGANIZATIONS HAVE INFRASTRUCTURE AND PROGRAMS IN PLACE TO BETTER MEET THIS NEED. 8)RESPIRATORY DISEASE: THIS PRIORITY AREA FALLS MORE WITHIN THE PURVIEW OF OTHER COMMUNITY RESOURCES, INCLUDING OUTPATIENT CLINICAL SETTINGS.9)SEXUALLY TRANSMITTED DISEASES: THIS ISSUE WILL NOT BE ADDRESSED AS A PRIMARY NEED, BUT WILL BE IMPACTED THROUGH THE ACCESS TO HEALTHCARE SERVICES PRIORITY. 10)SUBSTANCE ABUSE: THIS ISSUE WILL NOT BE ADDRESSED AS A PRIMARY NEED, BUT WILL BE IMPACTED THROUGH THE MENTAL HEALTH PRIORITY.DURING FY18, REGIONAL HEALTH HOSPITALS FOCUSED ON THE FOLLOWING THREE PRIORITY AREAS IDENTIFIED THROUGH THE MOST RECENT CHNA: ACCESS TO HEALTHCARE SERVICES, MENTAL HEALTH, AND WELLNESS (PHYSICAL ACTIVITY, NUTRITION, AND WEIGHT). TEAMS COMPRISED OF REPRESENTATIVES FROM RAPID CITY REGIONAL HOSPITAL, SAME DAY SURGERY CENTER, REGIONAL HEALTH NETWORK, AND THE COMMUNITY WORKED ON OBJECTIVES FOR EACH PRIORITY AREA OF THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP).ACCESS TO HEALTHCARE SERVICESWORK BEGAN ON A POPULATION HEALTH INITIATIVE FOR DIABETES WITH A GOAL TO SYSTEMIZE DIABETES CARE, INCLUDING PROCESSES AND EDUCATION, ACROSS ALL REGIONAL HEALTH LOCATIONS. DEVELOPMENT CONTINUED FOR COMMUNITY CASE MANAGEMENT IN THE OUTPATIENT CLINICS. THE SYSTEM NOW HAS FIVE PATIENT CARE COORDINATORS SERVING THE COMMUNITIES OF RAPID CITY, SPEARFISH, LEAD, DEADWOOD, STURGIS, CUSTER, HOT SPRINGS, AND HILL CITY. PART OF THE ROLE OF THE PATIENT CARE COORDINATOR IS TO CONNECT PATIENTS WITH NEEDED COMMUNITY RESOURCES. A NEW PATIENT PORTAL, MYCHART, WENT LIVE IN JANUARY, 2018. THE PORTAL ALLOWS PATIENTS TO BETTER ACCESS THEIR HEALTH INFORMATION INCLUDING TEST RESULTS AND APPOINTMENT INFORMATION. PATIENTS CAN ALSO USE MYCHART TO DIRECTLY COMMUNICATE WITH THEIR PHYSICIANS AND OTHER PROVIDERS. THE ACCESS WORKGROUP WORKED TO DEVELOP A PROCESS FOR IDENTIFYING AND REACHING OUT TO PATIENTS THAT WOULD QUALIFY FOR THE ALL WOMEN COUNT PROGRAM. A PROCESS WAS CREATED TO MAIL AN OUTREACH LETTER TO QUALIFYING INDIVIDUALS TO ENCOURAGE THEM TO SIGN-UP FOR THE ALL WOMEN COUNT PROGRAM. MENTAL HEALTHREGIONAL HEALTH PROVIDED IN-KIND PRINTING OF 2,000 HELPING HAND RESOURCE GUIDES FOR DISTRIBUTION IN THE COMMUNITY. IN FY18, REGIONAL HEALTH CONTRIBUTED $2,500 TO 211 HELPLINE CENTER IN SUPPORT OF OPERATIONS. FROM 2016 TO 2017, 211 HELPLINE CENTER CALLS FOR MENTAL HEALTH AND ADDICTION NEEDS ROSE FROM 9.29% TO 11.5% AND THE NUMBER OF SUICIDE-RELATED CONTACTS INCREASED BY 28%.IN MAY 2018, REGIONAL HEALTH HOSTED A MEETING THAT WAS ATTENDED BY 25 COMMUNITY ORGANIZATIONS TO DISCUSS THE ISSUE OF SUICIDE PREVENTION FOR THE BLACK HILLS REGION. A SECOND MEETING IS PLANNED TO TAKE PLACE IN FY19 TO FURTHER DEVELOP A COMMUNITY-WIDE APPROACH FOR SUICIDE PREVENTION.WELLNESS (PHYSICAL ACTIVITY, NUTRITION, AND WEIGHT)REGIONAL HEALTH RECEIVED A GRANT FROM THE SOUTH DAKOTA DEPARTMENT OF HEALTH (SDDOH) TO CONDUCT A PREDIABETES MARKETING AND OUTREACH CAMPAIGN. FUNDS WERE USED TO RAISE AWARENESS OF PREDIABETES AND ENCOURAGE PEOPLE AT RISK TO ENROLL IN THE NATIONAL DIABETES PREVENTION PROGRAM (NDPP). THE CAMPAIGN INCLUDED DIGITAL BILLBOARDS, RADIO ADS, AND PRINT ADS THAT TOTALED AN ESTIMATED REACH OF MORE THAN 400,000 IMPRESSIONS. REGIONAL HEALTH DIABETES EDUCATORS ALSO WENT OUT TO SIX LOCAL EVENTS AS PART OF THE CAMPAIGN. AT THESE EVENTS, 161 PEOPLE COMPLETED THE PREDIABETES RISK TEST AND THE 61 WHO WERE FOUND TO BE HIGH-RISK WERE PROVIDED ADDITIONAL INFORMATION/EDUCATION ON DPP AND OTHER DIABETES RESOURCES.
GROUP A-FACILITY 4 -- LEAD-DEADWOOD REGIONAL HOSPITAL PART V, SECTION B, LINE 13H:	MUST RESIDE WITHIN 200 MILE RADIUS OF THE LOCATION WHERE THE SERVICE WAS RECEIVED.PRESUMPTIVE ELIGIBILITY MAY BE USED.
GROUP A-FACILITY 4 -- LEAD-DEADWOOD REGIONAL HOSPITAL PART V, SECTION B, LINE 16J:	A SUMMARY OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS POSTED FOR ALL PATIENTS AT VARIOUS POINTS OF ENTRY, ON THE FACILITY WEBSITE, IN WAITING ROOMS, AND IN THE ADMISSIONS OFFICE. THE POLICY IN ITS ENTIRETY IS ALSO AVAILABLE UPON REQUEST.THE FAP APPLICATION FORM WAS TRANSLATED INTO THE PRIMARY LANGUAGE SPOKEN BY LEP POPULATIONS. THIS IS POSTED ON THE WEBSITE LISTED FOR LINE 16A.
GROUP A-FACILITY 4 -- LEAD-DEADWOOD REGIONAL HOSPITAL PART V, SECTION B, LINE 24:	THE HOSPITAL FINANCIAL ASSISTANCE POLICY DOES NOT COVER ELECTIVE PROCEDURES. THE HOSPITAL MAY HAVE CHARGED FAP ELIGIBLE PATIENTS GROSS CHARGES FOR SERVICES THAT ARE NOT COVERED UNDER THE FINANCIAL ASSISTANCE POLICY.
PART V, LINES 16A-C ALL FACILITIES	THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE AT HTTPS://REGIONALHEALTH.ORG/PATIENTS-AND-FAMILIES

Field	Value	IRS element (for citing)
Facility	8	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - REGIONAL HEALTH CARE CENTER - CUSTER
1065 MONTGOMERY STREET	CUSTER	SD	57730	SKILLED LONG TERM NURSING HOME
2 - REGIONAL HEALTH CARE CENTER - STURGIS
949 HARMON STREET	STURGIS	SD	57785	SKILLED LONG TERM NURSING HOME
3 - REGIONAL HEALTH MEDICAL CLINIC
1121 WASHINGTON BLVD	NEWCASTLE	WY	82701	CLINIC
4 - REGIONAL HEALTH MEDICAL CLINIC
1100 HIGHWAY 71 SOUTH SUITE 101	HOT SPRINGS	SD	57747	CLINIC
5 - REGIONAL HEALTH MEDICAL CLINIC
130 NORTH 15TH ST	HOT SPRINGS	SD	57747	CLINIC
6 - REGIONAL HEALTH ASSISTED LIVING
423 N 10TH STREET	CUSTER	SD	57730	ASSISTED LIVING
7 - REGIONAL HEALTH MEDICAL CLINIC
209 RAMSLAND STREET	BUFFALO	SD	57720	CLINIC
8 - REGIONAL HEALTH MEDICAL CLINIC
717 PINE STREET	UPTON	WY	82730	CLINIC

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	REFERENCES TO "REGIONAL HEALTH" APPLY TO ALL ENTITIES CONTROLLED BY REGIONAL HEALTH, INC. THIS INCLUDES THE REPORTING ENTITY.PART I, LINE 3C: FINANCIAL ASSISTANCE DEBT REDUCTION WRITE-OFFS FOR FREE OR DISCOUNTED CARE ARE BASED ON AN INCOME MATRIX UTILIZING THE CURRENT FEDERAL POVERTY LEVEL (FPL) INCOME GUIDELINES AFTER SATISFYING APPLICABLE CO-PAY REQUIREMENTS. THE INCOME MATRIX IS UPDATED ANNUALLY AS THE FPL INCOME GUIDELINES ARE RELEASED.
PART I, LINE 6A:	REGIONAL HEALTH NETWORK IS INCLUDED IN THE COMMUNITY BENEFIT REPORT PREPARED BY REGIONAL HEALTH. THIS REPORT IS AVAILABLE ON THE REGIONAL HEALTH WEBSITE.
PART I, LINE 7:	RATIO OF PATIENT CARE COST TO CHARGES IS USED FOR THE CALCULATION OF COST OF SERVICES PROVIDED FOR LINES 7A, 7B AND 7G. ACTUAL COSTS ARE USED FOR THE CALCULATION OF COSTS OF SERVICES PROVIDED FOR LINES 7E AND 7I.
PART I, LN 7 COL(F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $10,001,890.
PART II, COMMUNITY BUILDING ACTIVITIES:	REGIONAL HEALTH PROVIDES NUMEROUS COMMUNITY BENEFIT HEALTH EVENTS AND SCREENINGS THROUGHOUT THE BLACK HILLS REGION. REGIONAL HEALTH ALSO PROVIDES FINANCIAL SUPPORT TO OTHER NONPROFIT ORGANIZATIONS TO HELP SUPPORT COMMUNITY HEALTH OUTREACH. ADDITIONALLY, REGIONAL HEALTH PROVIDES IN-KIND SUPPORT AND EMPLOYEE VOLUNTEERS TO HELP SUPPORT COMMUNITY HEATH EVENTS AND ACTIVITIES.
PART III, LINE 2:	THE BAD DEBT REPORTED ON LINE 2 IS AT CHARGES AS REPORTED ON THE FINANCIAL STATEMENTS.
PART III, LINE 3:	THE ESTIMATED AMOUNT OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY IS DETERMINED THROUGH A REVIEW OF THE BAD DEBT RECORDS TO IDENTIFY PATIENT ACCOUNTS THAT WOULD BE ELIGIBLE FOR A DISCOUNT UNDER THE FINANCIAL ASSISTANCE POLICY. THE ORGANIZATION FOLLOWS HFMA STATEMENT 15, HOWEVER THE AMOUNT REPORTED ON PART III, LINE 3 REFLECTS AMOUNTS NOT PREVIOUSLY DETERMINED TO BE CHARITY CARE IN PRIOR YEARS, HOWEVER WERE DETERMINED IN THE CURRENT YEAR TO BE CHARITY CARE AMOUNTS.
PART III, LINE 4:	THE FOOTNOTE TO THE FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE IS LOCATED ON PAGE NINE AND TEN OF THE AUDITED FINANCIALS.
PART III, LINE 8:	THE MEDICARE DEFICIT IS DERIVED FROM THE ACTUAL PAYMENTS RECEIVED FROM THE MEDICARE PROGRAM FOR SERVICES PROVIDED TO PATIENTS WITH MEDICARE COVERAGE. THE PAYMENTS ARE COMPARED TO THE ACTUAL COST OF PROVIDING THE SERVICE AS ARRIVED AT THROUGH THE MEDICARE COST REPORTS. THE RESULT IS A DEFICIT WITH COSTS EXCEEDING THE REIMBURSEMENTS.MEDICAL SERVICES ARE PROVIDED TO PATIENTS WITH MEDICARE COVERAGE REGARDLESS OF WHETHER OR NOT A SURPLUS OR DEFICIT IS REALIZED. PROVIDING MEDICARE SERVICES PROMOTES ACCESS TO HEALTHCARE SERVICES WHICH ARE VITALLY NEEDED BY OUR COMMUNITIES.
PART III, LINE 9B:	THE COLLECTION POLICY REQUIRES INVOKING OF THE FINANCIAL ASSISTANCE POLICY AT ANY TIME A PATIENT EXPRESSES FINANCIAL DIFFICULTY IN MEETING THEIR DEBT OBLIGATION. UPON INVOKING THE FAP, ALL COLLECTION ACTIVITY IS SUSPENDED. IF THE PATIENT IS APPROVED FOR CHARITY, THEN THE ACCOUNT IS CLOSED OUT OF THE COLLECTION PROCESS AND CLASSIFIED AS CHARITY. IF A PATIENT EXPRESSES FINANCIAL CONCERN BUT FAILS TO COMPLETE THE APPLICATION PROCESS, ADDITIONAL NOTIFICATION IS SENT TO THE PATIENT PRIOR TO RE-INSTITUTING COLLECTION ACTIVITY. WE ARE FOLLOWING THE 501(R) FINAL REGULATIONS TIMELINES FOR NOTIFICATIONS AND COLLECTIONS.
PART VI, LINE 2:	WE GATHER ADDITIONAL DATA ON NEEDED SERVICES FROM PATIENT SURVEYS, ADVISORY COUNCILS AND PATIENT AND FAMILY ADVISORY COUNCILS.
PART VI, LINE 3:	FINANCIAL ASSISTANCE PROGRAM BROCHURES EXPLAINING THE POLICY, A COPY OF THE POLICY AND FINANCIAL ASSISTANCE APPLICATIONS ARE AVAILABLE AT EACH POINT OF ENTRY. SIGNS ALERTING PATIENTS TO THE AVAILABILITY OF FINANCIAL ASSISTANCE ARE PROMINENTLY DISPLAYED AND A PLAIN LANGUAGE SUMMARY DESCRIBING THE FINANCIAL ASSISTANCE PROGRAM ACCOMPANIES ONE BILLING STATEMENT FOR HOSPITAL SERVICES SENT TO THE PATIENT. THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY AND FINANCIAL ASSISTANCE APPLICATION ARE PROVIDED FREE UPON REQUEST AND ARE ALSO AVAILABLE ON THE HOSPITAL WEBSITE AT WWW.REGIONALHEALTH.COM. REGIONAL HEALTH CONTRACTS WITH MIDLAND MEDICAL GROUP (AN UNRELATED ENTITY) TO MEET WITH UNINSURED PATIENTS TO ASSIST THEM WITH FINDING A FUNDING SOURCE OR APPLYING FOR FINANCIAL ASSISTANCE; AND OUR SELF-PAY OUTSOURCE PARTNER ALSO COMMUNICATES ANY FUNDING AND FINANCIAL ASSISTANCE OPPORTUNITIES WITH OUR PATIENTS.
PART VI, LINE 4:	REGIONAL HEALTH AND ITS AFFILIATES PROVIDE HEALTH CARE SERVICES TO THE 380,000 PEOPLE WHO LIVE IN THE BLACK HILLS OF SOUTH DAKOTA AND THE SURROUNDING REGION, AS WELL AS THOUSANDS OF VISITORS EACH YEAR. REGIONAL HEALTH SERVES A 38-COUNTY REGION COMPRISED OF WESTERN SOUTH DAKOTA, SOUTHEASTERN MONTANA, NORTHEASTERN WYOMING, SOUTHWESTERN NORTH DAKOTA AND NORTHWESTERN NEBRASKA.
PART VI, LINE 5:	REGIONAL HEALTH COLLABORATES WITH AGENCIES AND COMMUNITY-WIDE COALITIONS TO ADDRESS PRIORITIZED HEALTH NEEDS WITHIN THE COMMUNITIES WE SERVE. REGIONAL HEALTH ADDRESSES ITS COMMUNITY'S HEALTH NEEDS BY: 1) COMMUNITY MEMBERS SERVE ON GOVERNING BOARDS, ADVISORY COUNCILS AND PATIENT AND FAMILY MEMBER COUNCILS; 2) DEVELOPING NEW PROGRAMS AND INITIATIVES TO ADDRESS IDENTIFIED HEALTH NEEDS: AND 3) PROMOTING AN UNDERSTANDING OF THESE HEALTH NEEDS AMONG OTHER COMMUNITY ORGANIZATIONS AND WITHIN THE PUBLIC ITSELF. REGIONAL HEALTH ALSO PROVIDES FINANCIAL SUPPORT TO OTHER NONPROFIT ORGANIZATIONS TO HELP SUPPORT COMMUNITY HEALTH OUTREACH. ADDITIONALLY, REGIONAL HEALTH PROVIDES IN-KIND SUPPORT AND EMPLOYEE VOLUNTEERS TO HELP SUPPORT COMMUNITY HEALTH EVENTS AND ACTIVITIES.
PART VI, LINE 6:	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.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
LEE B BAILEY MD
BOARD MEMBER / EMPLOYED PHYSICIAN	$368,709	$0	$0	$0	$28,976	$0	$34,741	$0	$27,386	$0	$459,812	$0	$28,976	$0
CHRISTOPHER GASBARRE DO
BOARD MEMBER / EMPLOYED PHYSICIAN	$234,138	$299,991	$8,000	$0	$0	$34,326	$51,882	$0	$13,092	$12,536	$307,112	$346,853	$0	$34,326
BRENT PHILLIPS
PRESIDENT AND CEO	$0	$867,435	$0	$580,640	$0	$0	$0	$169,630	$0	$27,558	$0	$1,645,263	$0	$0
MARK A THOMPSON
CFO/TREASURER	$0	$399,584	$0	$115,518	$0	$21,372	$0	$80,003	$0	$21,166	$0	$637,643	$0	$21,372
TERESA BURROFF
GENERAL COUNSEL, SECRETARY	$0	$339,972	$0	$100,902	$0	$0	$0	$58,432	$0	$722	$0	$500,028	$0	$0
MARY MASTEN
GENERAL COUNSEL, EMERITUS	$0	$314,005	$0	$23,828	$0	$0	$0	$32,609	$0	$20,385	$0	$390,827	$0	$0
PAULETTE DAVIDSON
CHIEF OPERATING OFFICER	$0	$419,090	$0	$136,850	$0	$0	$0	$72,183	$0	$27,512	$0	$655,635	$0	$0
TRESHA MORELAND
VP HUMAN RESOURCES	$0	$218,956	$0	$43,733	$0	$0	$0	$30,137	$0	$8,236	$0	$301,062	$0	$0
RICHARD S LATUCHIE
VP INFO TECHNOLOGY/CIO RETIRED 02/18	$0	$333,934	$0	$93,380	$0	$0	$0	$15,399	$0	$19,769	$0	$462,482	$0	$0
STEPHANIE LAHR
VP INFO TECHNOLOGY CIO	$0	$301,821	$0	$71,300	$0	$0	$0	$39,325	$0	$32,415	$0	$444,861	$0	$0
LAURA WIGHTMAN
CHIEF NURSING OFFICER	$0	$264,017	$0	$47,700	$0	$0	$0	$34,871	$0	$18,431	$0	$365,019	$0	$0
KYLE RICHARDS
PRESIDENT - HILLS MKT	$170,153	$0	$0	$0	$0	$0	$7,908	$0	$14,137	$0	$192,198	$0	$0	$0
MARK SCHMIDT
PRESIDENT LEAD-DEADWOOD	$218,539	$0	$27,432	$0	$0	$0	$29,739	$0	$25,042	$0	$300,752	$0	$0	$0
VERONICA SCHMIDT
PRESIDENT - CUSTER	$92,830	$0	$0	$0	$116,544	$0	$8,200	$0	$11,036	$0	$228,610	$0	$10,392	$0
MARK SCHULTE
PRESIDENT - STURGIS	$187,513	$0	$33,856	$0	$0	$0	$26,116	$0	$25,714	$0	$273,199	$0	$0	$0
LARRY VEITZ
PRESIDENT - SPEARFISH	$255,447	$0	$46,184	$0	$13,054	$0	$33,129	$0	$22,206	$0	$370,020	$0	$13,054	$0
CHRISTOPHER FROMMMD
PHYSICIAN - EMERGENCY SERV	$322,254	$0	$0	$0	$19,952	$0	$37,080	$0	$25,172	$0	$404,458	$0	$19,952	$0
MATTHEW FINKEMD
PHYSICIAN - EMERGENCY SERV	$310,089	$0	$20,000	$0	$0	$0	$33,421	$0	$31,977	$0	$395,487	$0	$0	$0
KIPP GOULD MD
PHYSICIAN - ORTHOPEDIC SURGERY	$403,011	$425,368	$0	$0	$0	$30,119	$66,999	$0	$15,465	$12,259	$485,475	$467,746	$0	$30,119
RAY JENSEN MD
PHYSICIAN - ORTHOPEDIC SURGERY	$686,310	$418,863	$20,000	$0	$0	$0	$51,500	$0	$15,591	$13,037	$773,401	$431,900	$0	$0
RICHARD LITTLE MD
PHYSICIAN - ORTHOPEDIC SURGERY	$332,333	$411,344	$8,000	$0	$0	$36,932	$60,252	$0	$15,003	$13,811	$415,588	$462,087	$0	$36,932
MAUREEN HENSON
VP HUMAN RESOURCES RETIRED 04/17	$0	$81,029	$0	$0	$0	$25,740	$0	$250	$0	$458	$0	$107,477	$0	$25,740

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3	THE EXECUTIVE COMMITTEE, WHICH IS A COMMITTEE OF THE REGIONAL HEALTH (PARENT) BOARD, REVIEWS AND APPROVES BASE SALARY AND TOTAL COMPENSATION RANGES FOR ALL EXECUTIVES WITHIN THE REGIONAL HEALTH SYSTEM.
PART I, LINES 4A-B	REGIONAL HEALTH PROVIDES A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND A FLEXIBLE BENEFIT PLAN THAT CAN INCLUDE DEFERRED COMPENSATION FOR ITS EXECUTIVES. THE FOLLOWING INDIVIDUALS HAD AMOUNTS DEFERRED INTO THE ACCOUNT AS REPORTED IN COLUMN C ON SCHEDULE J: LEE BAILEY MD 19,733 TERESA BURROFF 50,332 PAULETTE DAVIDSON 63,856 MATTHEW FINKE MD 25,116 CHRISTOPHER FROMM MD 22,718 CHRIS GASBARRE MD 42,354 KIPP GOULD MD 57,716 RAY JENSEN MD 43,400 STEPHANIE LAHR 30,998 RICHARD LITTLE MD 57,888 MARY MASTEN 7,400 TRESHA MORELAND 22,037 BRENT PHILLIPS 161,068 KYLE RICHARDS 7,250 MARK SCHMIDT 21,638 VERONICA SCHMIDT 4,600 MARK SCHULTE 18,553 MARK THOMPSON 60,375 LARRY VEITZ 18,825 LAURA WIGHTMAN 26,544 THE FOLLOWING INDIVIDUALS HAD SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN AMOUNTS INCLUDED IN SCHEDULE J, COLUMN B(III) THAT WERE PREVIOUSLY REPORTED AS DEFERRED COMPENSATION ON FORM 990. THESE AMOUNTS ARE IDENTIFIED IN SCHEDULE J, COLUMN F. LEE BAILEY MD 28,976 CHRISTOPHER GASBARRE DO 34,326 MARK THOMPSON 21,372 VERONICA SCHMIDT 10,392 LARRY VEITZ 13,054 CHRISTOPHER FROMM MD 19,952 KIPP GOULD MD 30,119 RICHARD LITTLE MD 36,932 MAUREEN HENSON 25,740 SEVERANCE PAYMENTS WERE MADE TO THE FOLLOWING INDIVIDUAL: VERONICA SCHMIDT 106,152
PART I, LINE 7	EXECUTIVES AND OTHER EMPLOYEES OF SYSTEM ENTITIES WILL BE ELIGIBLE TO RECEIVE ANNUAL INCENTIVE AWARDS THAT ARE COMPETITIVE WITH THE INCENTIVES OFFERED BY THE ORGANIZATIONS IN THE SYSTEM'S PEER GROUP(S) IN ACCORDANCE WITH THE TERMS OF THE REGIONAL HEALTH, INC. ANNUAL INCENTIVE PLAN FOR SELECTED EXECUTIVES AND OTHER EMPLOYEES (INCENTIVE PLAN). IN ACCORDANCE WITH THIS PLAN, THE PARENT BOARD'S EXECUTIVE COMMITTEE REVIEWS AND APPROVES ALL INCENTIVE COMPENSATION PERFORMANCE MEASURES AND ALL AWARDS, IF ANY. THE COMMITTEE ENSURES THAT THE TOTAL COMPENSATION, INCLUDING INCENTIVE AWARDS, IS REASONABLE.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PATRICIA M YANZICK	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	FAMILY MEMBER OF DIRECTOR ROBERT HAIVALA	RelationshipDescriptionTxt
Transaction	$11,711	TransactionAmt
Transaction	EMPLOYMENT EARNINGS, LPN	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART V, LINE 1A:	ALL 1099'S ARE ISSUED CENTRALLY BY RAPID CITY REGIONAL HOSPITAL, INC., A RELATED ORGANIZATION.
FORM 990, PART V, LINE 2A:	NUMBER OF EMPLOYEES ON W-3: REGIONAL HEALTH NETWORK, INC. HAS ITS OWN EMPLOYEES, HOWEVER, COMPENSATION IS PAID BY RAPID CITY REGIONAL HOSPITAL, THE COMMON PAYROLL AGENT.
FORM 990, PART VI, SECTION A, LINE 1	THE MEMBERSHIP OF THE EXECUTIVE COMMITTEE OF THE CORPORATION SHALL CONSIST OF THE FOLLOWING: CHAIR OF THE BOARD OF DIRECTORS, VICE CHAIR OF THE BOARD OF DIRECTORS, TWO OTHER BOARD MEMBERS APPOINTED BY THE CHAIR, AND THE CORPORATION'S PRESIDENT. THE CHAIR OF THE BOARD OF DIRECTORS SHALL SERVE AS THE CHAIR OF THE EXECUTIVE COMMITTEE. DIRECTORS ON THE EXECUTIVE COMMITTEE SHALL SERVE DURING THE TERM OF OFFICE THEY HOLD WHICH PLACES THEM ON THE EXECUTIVE COMMITTEE, OR, FOR THE TWO CHAIR-APPOINTED MEMBERS, FOR A TERM OF ONE (1) YEAR OR UNTIL THEIR SUCCESSORS ARE APPOINTED. THE EXECUTIVE COMMITTEE, WHEN THE BOARD OF DIRECTORS IS NOT IN SESSION, SHALL HAVE AND MAY EXERCISE ALL OF THE AUTHORITY OF THE BOARD OF DIRECTORS, EXCEPT TO THE EXTENT, IF ANY, THAT SUCH AUTHORITY SHALL BE LIMITED BY A MOTION OR RESOLUTION OF THE BOARD OF DIRECTORS OR THAT IS AUTHORITY RESERVED TO THE MEMBER. IT IS INTENDED THAT THE POWERS OF THE EXECUTIVE COMMITTEE TO ACT FOR THE WHOLE BOARD BE CONFINED TO SUCH URGENT MATTERS AS REASONABLY SHOULD NOT BE DEFERRED UNTIL THE NEXT REGULARLY-SCHEDULED MEETING OF THE FULL BOARD.
FORM 990, PART VI, SECTION A, LINE 2	BRENT PHILLIPS HAS A BUSINESS RELATIONSHIP WITH THE FOLLOWING INDIVIDUALS DUE TO BEING THE CEO OF THE SUPPORTING ORGANIZATION THAT EXERCISES RESERVE POWERS OVER THE SUPPORTED ORGANIZATIONS THAT EMPLOY EACH OF THESE KEY EMPLOYEES: TERESA BURROFF; PAULETTE DAVIDSON; MAUREEN HENSON; STEPHANIE LAHR; RICHARD LATUCHIE; MARY MASTEN; TRESHA MORELAND; MARK THOMPSON; LAURA WIGHTMAN; AND EMPLOYED BOARD MEMBER: CHRIS GASBARRE MD
FORM 990, PART VI, SECTION A, LINE 4	IN AN EFFORT TO PERPETUATE THE CONTINUED RESPONSIVENESS OF THE MEMBER, REGIONAL HEALTH INC., TO THIS CORPORATION, THE BYLAWS OF THIS ORGANIZATION WERE UPDATED TO STATE THAT THE CEO OF THE MEMBER SHALL SERVE AS A VOTING DIRECTOR OF THIS ORGANIZATION. THE CEO OF THE MEMBER ALSO SERVES AS A VOTING DIRECTOR OF REGIONAL HEALTH, INC.'S BOARD. THE FUNCTIONS RELATED TO THE SELECTION OF THE INDEPENDENT AUDITOR AND REVIEW AND ACTION ON THE ANNUAL AUDIT WERE MOVED FROM THE COMPLIANCE, AUDIT AND COMPENSATION COMMITTEE TO THE FINANCE AND INVESTMENT COMMITTEE.
FORM 990, PART VI, SECTION A, LINE 6	REGIONAL HEALTH, INC. IS THE SOLE MEMBER OF REGIONAL HEALTH NETWORK, INC.
FORM 990, PART VI, SECTION A, LINE 7A	REGIONAL HEALTH, INC., BEING THE SOLE MEMBER OF REGIONAL HEALTH NETWORK, INC., HAS THE ABILITY TO APPOINT OR REMOVE ALL MEMBERS OF REGIONAL HEALTH NETWORK, INC.'S BOARD.
FORM 990, PART VI, SECTION A, LINE 7B	REGIONAL HEALTH, INC. PROVIDES COMPLIANCE, GOVERNANCE, FINANCIAL, AND PLANNING SUPPORT TO ITS SUPPORTED ORGANIZATIONS TO BEST ASSURE THE FUNCTIONS AND SERVICES OF THE SUPPORTED ORGANIZATIONS ARE COORDINATED AND SUPPORTED IN A MANNER THAT FURTHERS THE SHARED CHARITABLE MISSION OF THE SUPPORTED ORGANIZATIONS AND RHI, AS A WHOLE (THE SYSTEM). REGIONAL HEALTH, INC. HAS FINAL AUTHORITY IN SIGNIFICANT BUSINESS DECISIONS AFFECTING THE SUPPORTED ORGANIZATIONS.
FORM 990, PART VI, SECTION B, LINE 11B	THE 990 IS PREPARED AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. IT IS THEN REVIEWED INTERNALLY BY FINANCE AND LEGAL MANAGEMENT. THE FORM 990 IS FURTHER REVIEWED, PRIOR TO FILING, BY THE ORGANIZATION'S BOARD OF DIRECTORS THROUGH A PORTAL TO THE ORGANIZATION'S INTERNAL INFORMATION SYSTEM, TO WHICH EACH BOARD MEMBER HAS ACCESS. EDUCATIONAL SESSIONS HAVE BEEN PROVIDED TO BOARD MEMBERS ON HOW TO ACCESS THE PORTAL.
FORM 990, PART VI, SECTION B, LINE 12C	AS PART OF THE ANNUAL DISCLOSURE OF POTENTIAL CONFLICTS PROCESS, ALL BOARD MEMBERS, OFFICERS, AND MANAGEMENT ARE REQUIRED TO COMPLETE AN ANNUAL DISCLOSURE STATEMENT ON FINANCIAL INTERESTS AND CONFLICTING INTERESTS. AT BOARD AND BOARD COMMITTEE MEETINGS, THE MEETING AGENDA INCLUDES AN INITIAL ITEM "CONFLICTS OF INTEREST" WHERE THE CHAIR ASKS MEMBERS IF THEY HAVE ANY CONFLICTING INTERESTS OR FINANCIAL INTERESTS RELATED TO AN AGENDA ITEM. IF A CONFLICTING OR FINANCIAL INTEREST IS DISCLOSED, IT IS NOTED IN THE MINUTES AND THERE IS DISCUSSION OR DETERMINATION OF WHETHER THE DISCLOSURE REQUIRES THE BOARD OR COMMITTEE MEMBER TO BE EXCUSED FROM DISCUSSION OR ACTION ON THAT AGENDA ITEM. BOARD OR COMMITTEE MEMBERS WHOSE DISCLOSURE IS FOUND TO BE A CONFLICT MAY BE INVITED TO SPEAK ON THE MATTER BY THE CHAIR, BUT ARE NOT PERMITTED TO VOTE ON THE MATTER AND MAY BE REQUIRED TO LEAVE THE MEETING DURING DISCUSSION, AFTER THEY HAVE MADE ANY COMMENTS INVITED BY THE CHAIR. FAILURE TO COMPLY WITH THE CONFLICT OF INTEREST POLICY CONSTITUTES GROUNDS FOR REMOVAL FROM OFFICE OR MEMBERSHIP ON THE BOARD OR BOARD COMMITTEE AND, IN THE CASE OF ALL EMPLOYEES, TERMINATION OF EMPLOYMENT.
FORM 990, PART VI, SECTION B, LINE 15A	THE EXECUTIVE COMMITTEE OF REGIONAL HEALTH INC. (RHI; PARENT) ENGAGED AN INDEPENDENT THIRD PARTY COMPENSATION FIRM TO CONDUCT A REVIEW OF ALL EXECUTIVES, VICE PRESIDENT LEVEL AND ABOVE, TO DETERMINE AN APPROPRIATE COMPENSATION RANGE IN WHICH THEIR COMPENSATION WOULD BE ESTABLISHED. THE INDEPENDENT COMPENSATION CONSULTANT PROVIDED PEER GROUP MARKET COMPARATIVE DATA FOR BASE SALARY, TOTAL CASH COMPENSATION, BENEFITS AND TOTAL COMPENSATION FOR EXECUTIVES. THE CEO OR HIS DESIGNEE DETERMINES THE ACTUAL BASE SALARY OF THE EXECUTIVES WITHIN THE COMMITTEE-APPROVED BASE SALARY RANGE BASED ON EXPERIENCE AND PERFORMANCE, PROVIDING THE TOTAL COMPENSATION IS WITHIN THE TARGETED MARKET PERCENTILE, E.G. 50TH PERCENTILE. IN MAY 2017, THE INDEPENDENT CONSULTANT MET WITH COMMITTEE MEMBERS AND PRESENTED 2017 DATA UPON WHICH THE COMMITTEE DETERMINED ALL ELEMENTS OF COMPENSATION FOR THE MEMBER'S CEO (BASE SALARY, TOTAL CASH COMPENSATION, BENEFITS AND TOTAL COMPENSATION) AND REAFFIRMED THE ORGANIZATION'S EXECUTIVE COMPENSATION PHILOSOPHY, WHICH INCLUDES THE TARGETED MARKET PERCENTILE FOR ALL OTHER EXECUTIVES.
FORM 990, PART VI, SECTION C, LINE 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 FROM THE OFFICE OF THE SECRETARY OF STATE. 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 OR SITES SUCH AS OFFERING STATEMENTS IN BOND ISSUES OR MUNICIPAL SECURITIES RULEMAKING BOARD'S ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) DATA PORT.
FORM 990, PART XI, LINE 9:	ASSET RELEASED FROM RESTRICTION 1,753,218.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
REGIONAL HEALTH INC
353 FAIRMONT BLVD	RAPID CITY	SD	57701	201487506	HEALTHCARE	SD	501(C)(3)	LINE 12C, III-FI	N/A	0
RAPID CITY REGIONAL HOSPITAL INC
353 FAIRMONT BLVD	RAPID CITY	SD	57701	460319070	HEALTHCARE	SD	501(C)(3)	LINE 3		0	REGIONAL HEALTH INC
REGIONAL HEALTH PHYSICIANS INC
353 FAIRMONT BLVD	RAPID CITY	SD	57701	460372454	HEALTHCARE	SD	501(C)(3)	LINE 3		0	REGIONAL HEALTH INC

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd
MEDICAL & DENTAL BUILDING
2805 S 5TH ST	RAPID CITY	SD	57701	460339629	MEDICAL OFFICE BLDG	SD	N/A
BLACK HILLS MEDICAL OFFICE BD LLC
353 FAIRMONT BLVD	RAPID CITY	SD	57701	411992146	MEDICAL OFFICE BLDG	SD	N/A

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd