2019-05-14T09:52:37-05:00 2018-06-30 450250958 EIDE BAILLY LLP 800 NICOLLET MALL STE 1300 MINNEAPOLIS MN 554027033 990 2017-07-01 460360899 REGIONAL HEALTH NETWORK INC REGI 6057559130 PO BOX 6000 RAPID CITY SD 577096000 MARK THOMPSON CFO 6057559130 2019-05-14 1 KIM HUNWARDSEN CPA P00484560 6122536500 2019-05-09 8.39.233.203 2019-05-14 09:42:34 CD P B602D594AFD2B0B327E07A06F36CA6A7E42546D0 3650BCA763D4039ED1D1A7C737D64363E3F0370A 2017 2019-02-21 02:37:17Z X PAULETTE DAVIDSON PO BOX 6000 RAPID CITY SD 577096000 156080241 0 X WWW.REGIONALHEALTH.COM X 1981 SD HELPING PATIENTS AND COMMUNITIES LIVE WELL 10 7 1405 186 993945 -404317 914625 526521 154546086 155509558 102685 -79226 19877 32943 155583273 155989796 0 0 0 0 85551812 87306692 0 0 0 74394900 78645007 159946712 165951699 -4363439 -9961903 81174246 120880142 14247152 62164847 66927094 58715295 X 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. 0 0 98998694 110246079 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. 8140196 31876400 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. 6655601 7336323 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. 5275804 5056811 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. 5275804 5056811 119070295 1 0 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 X 0 0 1405 1 1 1 0 0 0 0 1 1 0 0 0 0 X 10 7 1 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 X X MARK THOMPSON 6057559127 PO BOX 6000 RAPID CITY SD 577096000 RICHARD TYSDAL CHAIRMAN 1.48 0.03 X X 0 0 0 DAVID THOM VICE CHAIRMAN 0.49 0.00 X X 0 0 0 DUSTY PINSKE BOARD MEMBER 1.19 0.02 X 0 0 0 ROBERT HAIVALA BOARD MEMBER 0.53 0.00 X 0 0 0 LEE B BAILEY MD BOARD MEMBER / EMPLOYED PHYSICIAN 40.53 0.00 X 397685 0 60221 PAUL BISSON BOARD MEMBER 0.77 0.00 X 0 0 0 CHRISTOPHER GASBARRE DO BOARD MEMBER / EMPLOYED PHYSICIAN 41.04 0.27 X 242138 334317 77510 ROSS LAMPHERE BOARD MEMBER 0.63 0.00 X 0 0 0 PAT WALKER BOARD MEMBER 0.69 0.00 X 0 0 0 BRENT PHILLIPS PRESIDENT AND CEO 11.37 48.63 X X 0 1448075 197188 MARK A THOMPSON CFO/TREASURER 10.42 44.58 X 0 536474 101169 TERESA BURROFF GENERAL COUNSEL, SECRETARY 10.42 44.58 X 0 440874 59154 MARY MASTEN GENERAL COUNSEL, EMERITUS 10.42 44.58 X 0 337833 52994 PAULETTE DAVIDSON CHIEF OPERATING OFFICER 10.42 44.58 X 0 555940 99695 TRESHA MORELAND VP HUMAN RESOURCES 10.42 44.58 X 0 262689 38373 RICHARD S LATUCHIE VP INFO TECHNOLOGY/CIO RETIRED 02/18 10.42 44.58 X 0 427314 35168 STEPHANIE LAHR VP INFO TECHNOLOGY CIO 10.42 44.58 X 0 373121 71740 LAURA WIGHTMAN CHIEF NURSING OFFICER 10.42 44.58 X 0 311717 53302 KYLE RICHARDS PRESIDENT - HILLS MKT 55.00 0.00 X 170153 0 22045 MARK SCHMIDT PRESIDENT LEAD-DEADWOOD 55.00 0.00 X 245971 0 54781 VERONICA SCHMIDT PRESIDENT - CUSTER 55.00 0.00 X 209374 0 19236 MARK SCHULTE PRESIDENT - STURGIS 55.00 0.00 X 221369 0 51830 LARRY VEITZ PRESIDENT - SPEARFISH 55.00 0.00 X 314685 0 55335 CHRISTOPHER FROMMMD PHYSICIAN - EMERGENCY SERV 40.00 0.00 X 342206 0 62252 MATTHEW FINKEMD PHYSICIAN - EMERGENCY SERV 40.00 0.00 X 330089 0 65398 KIPP GOULD MD PHYSICIAN - ORTHOPEDIC SURGERY 39.74 0.26 X 403011 455487 94723 RAY JENSEN MD PHYSICIAN - ORTHOPEDIC SURGERY 39.74 0.26 X 706310 418863 80128 RICHARD LITTLE MD PHYSICIAN - ORTHOPEDIC SURGERY 39.74 0.26 X 340333 448276 89066 MAUREEN HENSON VP HUMAN RESOURCES RETIRED 04/17 10.42 44.58 X 0 106769 708 3923324 6457749 1442016 82 1 1 0 SCULL CONSTRUCTION SERVICE INC 803 INDUSTRIAL AVE RAPID CITY SD 57702 CONSTRUCTION SERVICES 7328041 JOURNEY GROUP COMPANIES 345 INDUSTRIAL DR SPEARFISH SD 57783 CONSTRUCTION SERVICES 3698700 MEDEFIS 10826 OLD MILL RD 101 OMAHA NE 68105 TEMPORARY MEDICAL STAFF COVERAGE 2095007 ATHENA HEALTH INC 311 ARSENAL ST WATERTOWN MA 02472 COMPUTER SOFTWARE-PRACTICE MANAGEMENT BI 2002052 ZIMMER US INC 2700 MINNEHAHA AVE MINNEAPOLIS MN 55406 MEDICAL SUPPLIES 671760 40 152414 374107 526521 ACUTE CARE HOSPITAL IP AND OP 623000 92003864 92003864 PHYSICIAN CLINICS 621110 44592379 44592379 LONG TERM CARE FACILITIES 623000 9409350 9409350 ASSISTED LIVING FACILITIES 623000 529168 529168 8974797 7980852 993945 155509558 -375 -375 44537 11594 32943 32943 32943 78851 -78851 -78851 -78851 155989796 154515613 993945 -46283 1259731 393660 866071 11711 11711 68751142 60025264 8725878 1332923 1150334 182589 11470482 8779665 2690817 4480703 3859580 621123 86043 217 85826 60330 60330 16263 16263 6991594 5655943 1335651 77112 1098 76014 3013173 1527559 1485614 1770978 1135827 635151 4526612 2035326 2491286 411638 355540 56098 5848 4066 1782 511 503 8 5595738 2824351 2771387 653853 391610 262243 INTERCOMPANY CHARGES 29821461 5420993 24400468 MEDICAL SUPPLIES 13788379 13723106 65273 BAD DEBT EXPENSE 10001890 10001890 MISCELLANEOUS 1823584 1772052 51532 165951699 119070295 46881404 0 312969 18797335 19534170 24400546 2049191 2336717 546365 609029 120568906 48006286 55968850 72562620 309284 314571 54656 54656 2398761 1804668 81174246 120880142 6077435 11215073 8169717 50949774 14247152 62164847 X 65080538 58281753 1746556 333542 100000 100000 66927094 58715295 81174246 120880142 X -9961903 -3114 1753218 X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 16263 16263 0 PART II-B, LINE 1: 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. 146585 -3114 143471 121703 24882 146585 120509 1194 121703 116730 3779 120509 100000 16730 116730 0.00000 0.69700 0.30300 0 1 0 9331968 9331968 76030090 25892655 50137435 1145168 747593 397575 33174996 21366038 11808958 886684 886684 72562620 DUE TO RELATED PARTIES 50949774 50949774 X 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. 1 1 X 1 X 1 X 1 1 0 1 1 3518188 3518188 0.02260 15225866 10843882 4381984 0.02810 18744054 10843882 7900172 0.05070 10 1382 2304156 2304156 0.01480 5445890 4012703 1433187 0.00920 1 750 6813 6813 0.00000 11 2132 7756859 4012703 3744156 0.02400 11 2132 26500913 14856585 11644328 0.07470 1 856 856 0.00000 1 270 1319 1319 0.00000 2 270 2175 2175 0.00000 1 10001890 37928 41124878 42905328 -1780450 X 1 1 4 1 SPEARFISH REGIONAL HOSPITAL 1440 N MAIN STREET SPEARFISH SD 57783 WWW.REGIONALHEALTH.COM 10566 X X X 6 PROVIDER-BASED CLINICS A 2 CUSTER REGIONAL HOSPITAL 1220 MONTGOMERY STREET CUSTER SD 57730 WWW.REGIONALHEALTH.COM 47660 X X X X 2 PROVIDER-BASED CLINICS A 3 STURGIS REGIONAL HOSPITAL 2140 JUNCTION AVENUE STURGIS SD 57785 WWW.REGIONALHEALTH.COM 10567 X X X X 1 PROVIDER-BASED CLINIC A 4 LEAD-DEADWOOD REGIONAL HOSPITAL 61 CHARLES STREET DEADWOOD SD 57732 WWW.REGIONALHEALTH.COM 10535 X X X X 1 PROVIDER-BASED CLINIC A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 15 1 1 0 1 X SEE SECTION C, LINE 7D X X 1 15 1 SEE SECTION C, LINE 7D 0 1 X 200.000000000000 250.000000000000 X X X 1 1 X X X X 1 X SEE SECTION C, LINE 16A-C X SEE SECTION C, LINE 16A-C X SEE SECTION C, LINE 16A-C X X X X X X X 1 X 0 X X X X 1 X 0 0 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 8 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 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. 1 1 0 0 0 0 0 1 0 LEE B BAILEY MD BOARD MEMBER / EMPLOYED PHYSICIAN 368709 0 0 0 28976 0 34741 0 27386 0 459812 0 28976 0 CHRISTOPHER GASBARRE DO BOARD MEMBER / EMPLOYED PHYSICIAN 234138 299991 8000 0 0 34326 51882 0 13092 12536 307112 346853 0 34326 BRENT PHILLIPS PRESIDENT AND CEO 0 867435 0 580640 0 0 0 169630 0 27558 0 1645263 0 0 MARK A THOMPSON CFO/TREASURER 0 399584 0 115518 0 21372 0 80003 0 21166 0 637643 0 21372 TERESA BURROFF GENERAL COUNSEL, SECRETARY 0 339972 0 100902 0 0 0 58432 0 722 0 500028 0 0 MARY MASTEN GENERAL COUNSEL, EMERITUS 0 314005 0 23828 0 0 0 32609 0 20385 0 390827 0 0 PAULETTE DAVIDSON CHIEF OPERATING OFFICER 0 419090 0 136850 0 0 0 72183 0 27512 0 655635 0 0 TRESHA MORELAND VP HUMAN RESOURCES 0 218956 0 43733 0 0 0 30137 0 8236 0 301062 0 0 RICHARD S LATUCHIE VP INFO TECHNOLOGY/CIO RETIRED 02/18 0 333934 0 93380 0 0 0 15399 0 19769 0 462482 0 0 STEPHANIE LAHR VP INFO TECHNOLOGY CIO 0 301821 0 71300 0 0 0 39325 0 32415 0 444861 0 0 LAURA WIGHTMAN CHIEF NURSING OFFICER 0 264017 0 47700 0 0 0 34871 0 18431 0 365019 0 0 KYLE RICHARDS PRESIDENT - HILLS MKT 170153 0 0 0 0 0 7908 0 14137 0 192198 0 0 0 MARK SCHMIDT PRESIDENT LEAD-DEADWOOD 218539 0 27432 0 0 0 29739 0 25042 0 300752 0 0 0 VERONICA SCHMIDT PRESIDENT - CUSTER 92830 0 0 0 116544 0 8200 0 11036 0 228610 0 10392 0 MARK SCHULTE PRESIDENT - STURGIS 187513 0 33856 0 0 0 26116 0 25714 0 273199 0 0 0 LARRY VEITZ PRESIDENT - SPEARFISH 255447 0 46184 0 13054 0 33129 0 22206 0 370020 0 13054 0 CHRISTOPHER FROMMMD PHYSICIAN - EMERGENCY SERV 322254 0 0 0 19952 0 37080 0 25172 0 404458 0 19952 0 MATTHEW FINKEMD PHYSICIAN - EMERGENCY SERV 310089 0 20000 0 0 0 33421 0 31977 0 395487 0 0 0 KIPP GOULD MD PHYSICIAN - ORTHOPEDIC SURGERY 403011 425368 0 0 0 30119 66999 0 15465 12259 485475 467746 0 30119 RAY JENSEN MD PHYSICIAN - ORTHOPEDIC SURGERY 686310 418863 20000 0 0 0 51500 0 15591 13037 773401 431900 0 0 RICHARD LITTLE MD PHYSICIAN - ORTHOPEDIC SURGERY 332333 411344 8000 0 0 36932 60252 0 15003 13811 415588 462087 0 36932 MAUREEN HENSON VP HUMAN RESOURCES RETIRED 04/17 0 81029 0 0 0 25740 0 250 0 458 0 107477 0 25740 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. PATRICIA M YANZICK FAMILY MEMBER OF DIRECTOR ROBERT HAIVALA 11711 EMPLOYMENT EARNINGS, LPN 0 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. 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 REGIONAL HEALTH INC 0 REGIONAL HEALTH PHYSICIANS INC 353 FAIRMONT BLVD RAPID CITY SD 57701 460372454 HEALTHCARE SD 501(C)(3) LINE 3 REGIONAL HEALTH INC 0 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 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0