MONUMENT HEALTH RAPID CITY HOSPITAL INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: MONUMENT HEALTH RAPID CITY HOSPITAL INC (EIN 46-0319070)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-14
IRS object ID: 201921349349302772
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 B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-14T09:52:04-05:00	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	460319070	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RAPID CITY REGIONAL HOSPITAL INC	BusinessNameLine1Txt

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	353 FAIRMONT BLVD 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	09:41:47	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)
Principal Officer	PAULETTE DAVIDSON	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	353 FAIRMONT BLVD PO BOX 6000	AddressLine1Txt
City	RAPID CITY	CityNm
State Abbreviation	SD	StateAbbreviationCd
ZIP	577096000	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$746,228,456	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	1973	FormationYr
Legal Domicile State	SD	LegalDomicileStateCd
Activity Or Mission	HELPING PATIENTS AND COMMUNITIES LIVE WELL	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	5106	TotalEmployeeCnt
Total Volunteers	372	TotalVolunteersCnt
Total Gross UBI	$9,672,522	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$775,675	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,580,515	PYContributionsGrantsAmt
CY Contributions Grants	$2,375,680	CYContributionsGrantsAmt
PY Program Service Revenue	$648,592,391	PYProgramServiceRevenueAmt
CY Program Service Revenue	$704,972,214	CYProgramServiceRevenueAmt
PY Investment Income	$33,161,670	PYInvestmentIncomeAmt
CY Investment Income	$37,860,710	CYInvestmentIncomeAmt
PY Other Revenue	$325,810	PYOtherRevenueAmt
CY Other Revenue	$236,746	CYOtherRevenueAmt
PY Total Revenue	$687,660,386	PYTotalRevenueAmt
CY Total Revenue	$745,445,350	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	$274,104,003	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$287,244,751	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$1,006,086	CYTotalFundraisingExpenseAmt
PY Other Expenses	$373,459,215	PYOtherExpensesAmt
CY Other Expenses	$411,789,680	CYOtherExpensesAmt
PY Total Expenses	$647,563,218	PYTotalExpensesAmt
CY Total Expenses	$699,034,431	CYTotalExpensesAmt
PY Revenues Less Expenses	$40,097,168	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$46,410,919	CYRevenuesLessExpensesAmt
Total Assets BOY	$963,416,356	TotalAssetsBOYAmt
Total Assets EOY	$1,131,251,656	TotalAssetsEOYAmt
Total Liabilities BOY	$271,456,316	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$408,174,755	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$691,960,040	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$723,076,901	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	$396,293,493	ExpenseAmt
Revenue	$423,671,703	RevenueAmt
Desc	RAPID CITY REGIONAL HOSPITAL, INC. (RCRH) OFFERS BOTH INPATIENT AND OUTPATIENT HEALTH SERVICES. ITS TERTIARY HOSPITAL, RAPID CITY HOSPITAL (RCH), SERVES WESTERN SOUTH DAKOTA. THE NEAREST LARGER HOSPITAL IS IN SIOUX FALLS, SD, MORE THAN 350 MILES AWAY. AS SUCH, THE SERVICES PROVIDED BY RCRH ARE TRULY A HEALTHCARE SAFETY NET FOR WESTERN SOUTH DAKOTA. THE HOSPITAL PROVIDES COMPREHENSIVE CARE, INCLUDING LEVEL II TRAUMA CARE.RCRH IS ALSO THE SINGLE MEMBER OF REGIONAL HEALTH HOME PLUS, LLC.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$22,607,060	ExpenseAmt
Revenue	$23,152,393	RevenueAmt
Desc	REGIONAL HEALTH HOME PLUS, LLC SPECIALTY PHARMACY OFFERS HIGH-COST, HIGH-TOUCH MEDICATION THERAPY FOR PATIENTS WITH COMPLEX DISEASES. THESE INCLUDE CANCER, MULTIPLE SCLEROSIS, CROHN'S DISEASE, HEPATITIS C, PSORIASIS, RHEUMATOID ARTHRITIS AND RARE GENETIC CONDITIONS. THE MEDICATIONS OFTEN REQUIRE SPECIAL STORAGE, HANDLING, AND/OR ADMINISTRATION.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$21,979,162	ExpenseAmt
Revenue	$108,396,331	RevenueAmt
Desc	RCH SURGICAL SERVICES - PROVIDE IN AND OUT-PATIENT SURGICAL SERVICES TO ACUTE CARE PATIENTS.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$20,961,308	ExpenseAmt
Revenue	$140,217,130	RevenueAmt
Desc	RCH PHARMACY - PROVIDE PHARMACEUTICALS IN SUPPORT OF ACUTE CARE HOSPITAL PATIENTS.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$20,961,308	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$140,217,130	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$461,841,023	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	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	Yes (1)	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	Yes (1)	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	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
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	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	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
IRP Document	603	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	5106	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	13	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	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	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
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	353 FAIRMONT BLVD PO BOX 6000	AddressLine1Txt
City	RAPID CITY	CityNm
State Abbreviation	SD	StateAbbreviationCd
ZIP	577096000	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 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
JACK LYNASS
CHAIRMAN	0.87	0.00	Yes (X)	Yes (X)	$0	$0	$0
LISA SEAMAN
VICE CHAIRMAN	1.07	0.00	Yes (X)	Yes (X)	$0	$0	$0
DIEDRE BUDAHL
BOARD MEMBER	0.84	0.00	Yes (X)		$0	$0	$0
SANDRA BURNS
BOARD MEMBER	0.63	0.00	Yes (X)		$0	$0	$0
TIMOTHY FROST MD
BOARD MEMBER	0.63	0.00	Yes (X)		$0	$0	$0
SRI GANGINENI MD
BOARD MEMBER / EMPLOYED PHYSICIAN	40.89	0.00	Yes (X)		$509,899	$0	$68,701
LIA GREEN
BOARD MEMBER	2.14	0.02	Yes (X)		$0	$0	$0
RICH KINZLEY
BOARD MEMBER	0.69	0.01	Yes (X)		$0	$0	$0
KELLY MANNING MD
BOARD MEMBER	0.84	0.00	Yes (X)		$0	$0	$0
ROBERT MUDGE
BOARD MEMBER	0.46	0.00	Yes (X)		$0	$0	$0
TROY NESBIT MD
BOARD MEMBER	0.77	0.00	Yes (X)		$28,850	$0	$0
DENNIS POPP
BOARD MEMBER	0.73	0.00	Yes (X)		$0	$0	$0
BRENT PHILLIPS
PRESIDENT & CEO	48.43	11.57	Yes (X)	Yes (X)	$0	$1,448,075	$197,188
MARK A THOMPSON
CFO/TREASURER	44.39	10.61		Yes (X)	$536,474	$0	$101,169
TERESA BURROFF
GENERAL COUNSEL/SECRETARY	44.39	10.61		Yes (X)	$440,874	$0	$59,154
PAULETTE R DAVIDSON
CHIEF OPERATING OFFICER	44.39	10.61			$555,940	$0	$99,695	Yes (X)
TRESHA MORELAND
VP HUMAN RESOURCES	44.39	10.61			$262,689	$0	$38,373	Yes (X)
RICHARD S LATUCHIE
VP INFO TECHNOLOGY CIO UNTIL 02/2018	44.39	10.61			$427,314	$0	$35,168	Yes (X)
STEPHANIE LAHR
VP INFO TECHNOLOGY CIO	44.39	10.61			$373,121	$0	$71,740	Yes (X)
MARY MASTEN
GENERAL COUNSEL, EMERITUS	44.39	10.61			$337,833	$0	$52,994	Yes (X)
LAURA C WIGHTMAN
CHIEF NURSING OFFICER	44.39	10.61			$311,717	$0	$53,302	Yes (X)
JOHN PIERCE
VP RAPID CITY MARKET	55.00	0.00			$316,037	$0	$68,128	Yes (X)
MICHAEL TILLES
PRESIDENT HOME PLUS	55.00	0.00			$326,963	$0	$56,355	Yes (X)
THOMAS S WORSLEY
PRESIDENT SPEARFISH MARKET	55.00	0.00			$283,478	$0	$58,040	Yes (X)
JOHN KARL HEILMAN III MD
PHYSICIAN - CARDIOLOGY	40.00	0.00			$948,087	$0	$34,875		Yes (X)
JAMES TAKARA MD
PHYSICIAN - CARDIAC SURGERY	40.00	0.00			$867,415	$0	$78,708		Yes (X)
BHASKAR PURUSHOTTAM MD
PHYSICIAN - CARDIOLOGY	40.00	0.00			$1,066,050	$0	$91,904		Yes (X)
JOSEPH TUMA MD
PHYSICIAN - CARDIOLOGY	40.00	0.00			$1,128,627	$0	$91,035		Yes (X)
AMAD ZINELDINE MD
PHYSICIAN - ONCOLOGY	40.00	0.00			$849,687	$0	$86,534		Yes (X)
MAUREEN HENSON
VP HUMAN RESOURCES RETIRED 04/17	44.39	10.61			$106,769	$0	$708			Yes (X)
PAUL W CLEMMENTS
FORMER VP PROF SERVICES UNTIL 04/18	55.00	0.00			$230,687	$0	$36,879			Yes (X)
MICHAEL E LATOUR
FORMER VP RAPID CITY MARKET	55.00	0.00			$213,801	$0	$34,130			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$10,122,312	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,448,075	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,414,780	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	347	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
LAYTON GUSTAFSON
9090 SOUTH SANDY PARKWAY	SANDY	UT	84070	CONSTRUCTION	$19,045,716
MEDEFIS
10826 OLD MILL RD 101	OMAHA	NE	68105	TEMPORARY MEDICAL STAFF COVERAGE	$14,922,269
EPIC SYSTEMS CORPORATION
1979 MILKY WAY	VERONA	WI	53593	SOFTWARE MAINTENANCE AND SUPPORT	$7,700,323
XTEND HEALTHCARELLC
90 VOLUNTEER DRIVE SUITE 150	HENDERSONVILLE	TN	37075	REVENUE CYCLE MANAGEMENT AND ANALYTICS	$3,353,377
NORDIC CONSULTING PARTNERS INC
740 REGENT STREET SUITE 400	MADISON	WI	53715	CONSULTING SERVICES	$3,112,757

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	282	CntrctRcvdGreaterThan100KCnt
Fundraising	$196,154	FundraisingAmt
Related Organizations	$24,034	RelatedOrganizationsAmt
Government Grants	$158,351	GovernmentGrantsAmt
All Other Contributions	$1,997,141	AllOtherContributionsAmt
Total Contributions	$2,375,680	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
IN PATIENT PHARMACY	446110	$140,055,009	$140,055,009
CARDIAC SERVICES	622110	$117,274,737	$117,274,737
SURGICAL SERVICES	622110	$115,038,552	$115,038,552
LABORATORY	621500	$111,539,350	$111,539,350
MIS CT SCAN	621500	$61,716,977	$61,716,977

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$159,347,589	TotalRevenueColumnAmt
Related Or Exempt Func Income	$149,736,567	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$9,611,022	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$704,972,214	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,760,417	TotalRevenueColumnAmt
Exclusion	$7,760,417	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,129,679	TotalRevenueColumnAmt
Exclusion	$1,129,679	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$528,836	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$437,383	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$91,453	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$91,453	TotalRevenueColumnAmt
Exclusion	$91,453	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$28,970,614	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$28,970,614	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$28,970,614	TotalRevenueColumnAmt
Exclusion	$28,970,614	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$158,636	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$196,154	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$151,208	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,428	TotalRevenueColumnAmt
Exclusion	$7,428	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$270,880	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$194,515	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$76,365	TotalRevenueColumnAmt
Related Or Exempt Func Income	$76,365	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	UBI FROM PARTNERSHIPS	Desc
Business	900099	BusinessCd
Total Revenue Column	$61,500	TotalRevenueColumnAmt
Unrelated Business Revenue	$61,500	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$61,500	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$745,445,350	TotalRevenueColumnAmt
Related Or Exempt Func Income	$695,437,557	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$9,672,522	UnrelatedBusinessRevenueAmt
Exclusion	$37,959,591	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,251,220	TotalAmt
Management And General	$4,251,220	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$335,680	TotalAmt
Program Services	$335,680	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$260,137,629	TotalAmt
Program Services	$196,113,063	ProgramServicesAmt
Management And General	$63,340,389	ManagementAndGeneralAmt
Fundraising	$684,177	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,771,304	TotalAmt
Program Services	$3,540,725	ProgramServicesAmt
Management And General	$1,218,248	ManagementAndGeneralAmt
Fundraising	$12,331	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$371,043	TotalAmt
Program Services	$275,346	ProgramServicesAmt
Management And General	$94,738	ManagementAndGeneralAmt
Fundraising	$959	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$17,377,875	TotalAmt
Program Services	$12,209,254	ProgramServicesAmt
Management And General	$5,124,919	ManagementAndGeneralAmt
Fundraising	$43,702	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$465,316	TotalAmt
Program Services	$18,468	ProgramServicesAmt
Management And General	$446,848	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$341,481	TotalAmt
Program Services	$56,540	ProgramServicesAmt
Management And General	$284,941	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$60,430,398	TotalAmt
Program Services	$36,085,279	ProgramServicesAmt
Management And General	$24,309,369	ManagementAndGeneralAmt
Fundraising	$35,750	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$935,375	TotalAmt
Program Services	$18,335	ProgramServicesAmt
Management And General	$888,240	ManagementAndGeneralAmt
Fundraising	$28,800	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$11,621,137	TotalAmt
Program Services	$4,222,765	ProgramServicesAmt
Management And General	$7,227,191	ManagementAndGeneralAmt
Fundraising	$171,181	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$22,653,348	TotalAmt
Program Services	$4,381,262	ProgramServicesAmt
Management And General	$18,258,315	ManagementAndGeneralAmt
Fundraising	$13,771	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$16,136,616	TotalAmt
Program Services	$7,167,090	ProgramServicesAmt
Management And General	$8,965,685	ManagementAndGeneralAmt
Fundraising	$3,841	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,137,153	TotalAmt
Program Services	$1,100,388	ProgramServicesAmt
Management And General	$1,031,175	ManagementAndGeneralAmt
Fundraising	$5,590	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$408,777	TotalAmt
Program Services	$55,220	ProgramServicesAmt
Management And General	$353,557	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,677,368	TotalAmt
Program Services	$9,810	ProgramServicesAmt
Management And General	$4,667,558	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$33,496,567	TotalAmt
Program Services	$10,495,529	ProgramServicesAmt
Management And General	$22,995,054	ManagementAndGeneralAmt
Fundraising	$5,984	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,862,636	TotalAmt
Program Services	$963,995	ProgramServicesAmt
Management And General	$898,641	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$119,520,922	$123,135,455	-$3,614,533
INTERCO. SERV. & SUPPL.	$85,959,627	$12,806,038	$73,153,589
BAD DEBT EXPENSE	$48,618,434	$48,618,434
ALL OTHER EXPENSES	$2,524,525	$232,347	$2,292,178

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$699,034,431	TotalAmt
Program Services	$461,841,023	ProgramServicesAmt
Management And General	$236,187,322	ManagementAndGeneralAmt
Fundraising	$1,006,086	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$6,955,120	BOYAmt
EOY	$8,012,424	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,729,674	BOYAmt
EOY	$2,658,134	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$75,237,627	BOYAmt
EOY	$83,644,994	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$17,071,266	BOYAmt
EOY	$17,282,863	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$8,568,982	BOYAmt
EOY	$9,662,027	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$535,320,608	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$202,155,475	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$258,963,493	BOYAmt
EOY	$333,165,133	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$521,106,376	BOYAmt
EOY	$588,826,079	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$60,346,239	BOYAmt
EOY	$64,271,229	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,580,906	BOYAmt
EOY	$3,580,906	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$8,856,673	BOYAmt
EOY	$20,147,867	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$963,416,356	BOYAmt
EOY	$1,131,251,656	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$50,762,441	BOYAmt
EOY	$62,300,320	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$132,708,107	BOYAmt
EOY	$292,151,374	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$87,985,768	BOYAmt
EOY	$53,723,061	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$271,456,316	BOYAmt
EOY	$408,174,755	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$670,667,836	BOYAmt
EOY	$700,627,981	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$19,629,275	BOYAmt
EOY	$20,785,991	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,662,929	BOYAmt
EOY	$1,662,929	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$691,960,040	BOYAmt
EOY	$723,076,901	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$963,416,356	BOYAmt
EOY	$1,131,251,656	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$46,410,919	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$9,440,948	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$5,853,110	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 B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	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	$56,610	OtherActivitiesAmt
Total Lobbying Expenditures	$56,610	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	SCHEDULE C, PART II-B, LINE 1I: 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 $214,724, 10.87% WAS USED FOR LOBBYING PURPOSES. 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 $63,186, 22.98% WAS USED FOR LOBBYING PURPOSES. ANNUAL DUES WERE PAID TO THE AMERICAN MEDICAL REHAB PROVIDERS 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 $10,712, 35.00% WAS USED FOR LOBBYING PURPOSES. IN FISCAL YEAR 2018, $15,000 OF CONSULTING EXPENSE WAS INCURRED IN REGARD TO LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,662,929	BeginningYearBalanceAmt
End Year Balance	$1,662,929	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,662,929	BeginningYearBalanceAmt
End Year Balance	$1,662,929	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,662,929	BeginningYearBalanceAmt
End Year Balance	$1,662,929	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,662,929	BeginningYearBalanceAmt
End Year Balance	$1,662,929	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,662,929	BeginningYearBalanceAmt
End Year Balance	$1,662,929	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,346,017	OtherCostOrOtherBasisAmt
Book Value	$8,346,017	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$266,347,650	OtherCostOrOtherBasisAmt
Depreciation	$102,329,373	DepreciationAmt
Book Value	$164,018,277	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,186,635	OtherCostOrOtherBasisAmt
Depreciation	$3,236,309	DepreciationAmt
Book Value	$6,950,326	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$169,625,235	OtherCostOrOtherBasisAmt
Depreciation	$96,589,793	DepreciationAmt
Book Value	$73,035,442	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$80,815,071	OtherCostOrOtherBasisAmt
Book Value	$80,815,071	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$333,165,133	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
MORTGAGE-BACKED SECURITIES	$240,916	F
INVESTMENT IN WEST DAKOTA HEALTH CARE/REGIONAL HEALTH NETWORK	$43,000,231	F
INVESTMENT IN PRIVATELY HELD COMPANIES	$21,030,082	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$64,271,229	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
PAYABLE UNDER INTEREST RATE SWAP	$5,246,063
OTHER LONG TERM LIABILITIES	$19,353,456
ACCRUED PENSION LIABILITY	$29,123,542

Field	Value	IRS element (for citing)
Total Liability	$53,723,061	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4:

ENDOWED FUNDS ARE HELD IN AN INTEREST BEARING ACCOUNT SUBJECT TO THE TERMS AS SPECIFIED BY THE DONOR AND BOARD OF DIRECTORS. THE EARNINGS ON THE ENDOWMENT FUNDS BECOME TEMPORARILIY RESTRICTED FUNDS AND THEREFORE ARE NOT PART OF THE ENDOWMENT BALANCE. OF THE $1,662,929 ENDOWMENT FUNDS, $692,332 ARE RESTRICTED TO BE USED FOR GRANTS/SCHOLARSHIPS TO STUDENTS IN A HEALTHCARE PROGRAM, $512,197 IS RESTRICTED FOR USE IN THE PEDIATRICS UNIT, $100,000 FOR PROMOTION OF A HEALTHY COMMUNITY, $197,400 FOR CARDIAC SERVICES, $100,000 FOR HOSPICE PATIENTS, $36,000 FOR PLANTS IN PUBLIC AREAS AND $25,000 FOR CANCER CARE.

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. CERTAIN CONSOLIDATED SUBSIDIARIES, INCLUDING REGIONAL HEALTH HOME PLUS, LLC ARE NOT TAX-EXEMPT ENTITIES AND ARE CONSIDERED DISREGARDED ENTITIES FOR TAX PURPOSES. 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 G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	DUCK RACE	Event1Nm
Gross Receipts Event1	$106,263	GrossReceiptsEvent1Amt
Charitable Contri Event1	$90,887	CharitableContriEvent1Amt
Gross Revenue Event1	$15,376	GrossRevenueEvent1Amt
Other Direct Expenses Event1	$52,965	OtherDirectExpensesEvent1Amt
Event2	TOUGH ENOUGH TO WEAR PINK	Event2Nm
Gross Receipts Event2	$105,267	GrossReceiptsEvent2Amt
Charitable Contri Event2	$105,267	CharitableContriEvent2Amt
Other Direct Expenses Event2	$43,212	OtherDirectExpensesEvent2Amt
Other Events Total	5	OtherEventsTotalCnt
Gross Receipts Other Events	$143,260	GrossReceiptsOtherEventsAmt
Gross Revenue Other Events	$143,260	GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events	$55,031	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$354,790	GrossReceiptsTotalAmt
Charitable Contributions Tot	$196,154	CharitableContributionsTotAmt
Gross Revenue Total Events	$158,636	GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events	$151,208	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$151,208	DirectExpenseSummaryEventsAmt
Net Income Summary	$7,428	NetIncomeSummaryAmt

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	$12,429,104	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$12,429,104	NetCommunityBenefitExpnsAmt
Total Expense	0.01910	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$54,101,428	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$37,556,787	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,544,641	NetCommunityBenefitExpnsAmt
Total Expense	0.02540	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$66,530,532	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$37,556,787	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,973,745	NetCommunityBenefitExpnsAmt
Total Expense	0.04450	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	12	ActivitiesOrProgramsCnt
Persons Served	2733	PersonsServedCnt
Total Community Benefit Expns	$1,173,447	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,117	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,169,330	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	242	PersonsServedCnt
Total Community Benefit Expns	$6,215,661	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,760,473	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,455,188	NetCommunityBenefitExpnsAmt
Total Expense	0.00380	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,596,543	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,598,293	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,998,250	NetCommunityBenefitExpnsAmt
Total Expense	0.01840	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,799,996	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,732,325	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$67,671	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	300	PersonsServedCnt
Total Community Benefit Expns	$405,858	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$405,858	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	21	ActivitiesOrProgramsCnt
Persons Served	3275	PersonsServedCnt
Total Community Benefit Expns	$28,191,505	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,095,208	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,096,297	NetCommunityBenefitExpnsAmt
Total Expense	0.02470	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	21	ActivitiesOrProgramsCnt
Persons Served	3275	PersonsServedCnt
Total Community Benefit Expns	$94,722,037	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$49,651,995	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$45,070,042	NetCommunityBenefitExpnsAmt
Total Expense	0.06920	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$7,571	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,571	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$6,418	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,418	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	260	PersonsServedCnt
Total Community Benefit Expns	$2,973	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,973	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	400	PersonsServedCnt
Total Community Benefit Expns	$893	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$893	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	35	PersonsServedCnt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	25	PersonsServedCnt
Total Community Benefit Expns	$12,534	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$12,534	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	720	PersonsServedCnt
Total Community Benefit Expns	$30,389	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$30,389	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$48,618,434	BadDebtExpenseAmt
Bad Debt Expense Attributable	$508,134	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$167,653,511	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$164,791,323	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$2,862,188	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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (5 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 BLACK HILLS MEDICAL OFFICE BD LLC
OFFICE BUILDING	0.67930	0.32070
2 MEDICAL & DENTAL BUILDING
OFFICE BUILDING	0.71450	0.28550
3 THE IMAGING CENTER LLC
MEDICAL IMAGING	0.50000	0.50000
4 SAME DAY SURGERY CENTER
SPECIALTY AND AMBULATORY SRVCS	0.40000	0.60000
5 WESTERN PROVIDERS INC
PHO	0.50000	0.50000

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	OtherOtherDesc
RAPID CITY REGIONAL HOSPITAL
1	353 FAIRMONT BLVD	RAPID CITY	SD	57701	WWW.REGIONALHEALTH.COM	10558	Yes (X)	Yes (X)	Yes (X)	Yes (X)	8 PROVIDER-BASED CLINICS; 1 BEHAVIORAL HEALTH FACILITY
SAME DAY SURGERY CENTER
2	651 CATHEDRAL DRIVE	RAPID CITY	SD	57701	WWW.SAMEDAYSURGERYCENTER.ORG	10581	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Residency CriteriaResidencyCriteriaInd	Other CriteriaOtherCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Provided Nonprofit ContactProvidedNonprofitContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Prospective Medicare MedicaidProspectiveMedicareMedicaidInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	No Emergency CareNoEmergencyCareInd
RAPID CITY REGIONAL HOSPITAL INC
1	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	15	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	SEE SECTION C, LINE 7D	Yes (X)	Yes (X)	Yes (1)	15	Yes (1)	SEE SECTION C, LINE 7D	0	Yes (1)	Yes (X)	200.000000000000	250.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	SEE SECTION C, LINE 16A-C	Yes (X)	SEE SECTION C, LINE 16A-C	Yes (X)	SEE SECTION C, LINE 16A-C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
SAME DAY SURGERY CENTER
2	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	15	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	SEE SECTION C, LINE 7D	Yes (X)	Yes (X)	Yes (1)	15	Yes (1)	HTTP://WWW.SAMEDAYSURGERYCENTER.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/	0	Yes (1)	Yes (X)	200.000000000000	250.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	SEE SECTION C, LINE 16A-C	Yes (X)	SEE SECTION C, LINE 16A-C	Yes (X)	SEE SECTION C, LINE 16A-C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	0	Yes (X)	0	0	Yes (X)

Supplemental Information SupplementalInformationGrp (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
RAPID CITY REGIONAL HOSPITAL, INC.	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.
SAME DAY SURGERY CENTER	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.
RAPID CITY REGIONAL HOSPITAL, INC.	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, AND 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.
SAME DAY SURGERY CENTER	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, AND 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.
RAPID CITY REGIONAL HOSPITAL, INC.	PART V, SECTION B, LINE 7D: HTTP://WWW.REGIONALHEALTH.COM/ABOUT-US/COMMUNITY-NEEDS-ASSESSMENT
SAME DAY SURGERY CENTER	PART V, SECTION B, LINE 7D: HTTP://WWW.SAMEDAYSURGERYCENTER.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/
RAPID CITY REGIONAL HOSPITAL, INC.	PART V, SECTION B, LINE 11: IN REVIEW OF THE NEEDS IDENTIFIED IN THE 2015 CHNA, RAPID CITY REGIONAL HOSPITAL HAS IDENTIFIED THE AREAS BELOW THAT 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 EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION. 6) INJURY & VIOLENCE: RCRH HAS PARTNERED WITH KOHL'S CARES, SAFE & SOUND SOUTH DAKOTA, FARM BUREAU OF SOUTH DAKOTA, AND COMMUNITY ORGANIZED RESOURCES IN EDUCATING YOUTH IN ORDER TO ADDRESS THIS AREA OF OPPORTUNITY. WITH THESE PARTNERSHIPS, RAPID CITY REGIONAL HOSPITAL DETERMINED THAT PROGRESS IS BEING MADE IN THIS AREA AND THAT OTHER AREAS OF OPPORTUNITY REQUIRED MORE IMMEDIATE AND FOCUSED ATTENTION. 7) ORAL HEALTH: RCRH HAS LIMITED RESOURCES, SERVICES AND EXPERTISE AVAILABLE TO ADDRESS ORAL HEALTH AND ACCESS TO ORAL HEALTH INSURANCE. OTHER COMMUNITY ORGANIZATIONS HAVE INFRASTRUCTURE AND PROGRAMS IN PLACE TO BETTER MEET THIS NEED. LIMITED RESOURCES EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION.8) RESPIRATORY DISEASES: RCRH BELIEVES 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: RAPID CITY REGIONAL HOSPITAL IS A TOBACCO-FREE FACILITY. THE FACILITY PROVIDES SMOKING CESSATION SCREENING TO PATIENTS AND PROVIDES REFERENCE TO THE SOUTH DAKOTA QUIT LINE AS APPLICABLE. LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION.DURING FY18, REGIONAL HEALTH HOSPITALS, ALONG WITH SAME DAY SURGERY CENTER, 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, REGIONAL HEALTH NETWORK (SPEARFISH REGIONAL HOSPITAL, STURGIS REGIONAL HOSPITAL, LEAD-DEADWOOD REGIONAL HOSPITAL, AND CUSTER REGIONAL HOSPITAL), SAME DAY SURGERY CENTER AND THE COMMUNITY CAME TOGETHER TO WORK ON STRATEGIES OUTLINED IN THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP), INCLUDING OBJECTIVES FOR EACH PRIORITY AREA. FY18 UPDATES ACCESS TO HEALTHCARE SERVICESIN JUNE 2018, A PILOT OF A 24/7 CALL OPTION WAS ROLLED OUT FOR PRIMARY CARE PATIENTS IN A CLINIC LOCATION IN RAPID CITY. AS PART OF THE PILOT, SIMPLIFIED SCHEDULING RULES AND DECISION TREES WERE CREATED IN THE ELECTRONIC HEALTH RECORD SYSTEM.DIRECT 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 AND SAME DAY SURGERY CENTER 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. REGIONAL HEALTH RECEIVED A KOHL'S CARES GRANT TO IMPLEMENT AN EVIDENCE-BASED PROGRAM CALLED KIDSHAPE 2.0. THE PROGRAM STRIVES TO INCREASE THE KNOWLEDGE OF HEALTHY BEHAVIORS RELATED TO NUTRITION, PHYSICAL ACTIVITY, AND HEALTH EFFICACY AMONG COMMUNITY YOUTH AND FAMILIES. KIDSHAPE IS DESIGNED FOR CHILDREN AGES 6 TO 12 WHO ARE OVERWEIGHT OR WISH TO MAINTAIN A HEALTHY LIFESTYLE. THREE KIDSHAPE WORKSHOPS WERE HELD IN FY18.IN COLLABORATION WITH LIVE WELL BLACK HILLS, MEMBERS OF REGIONAL'S WELL-BEING TEAM REACHED OUT TO BUSINESSES IN THE RAPID CITY AREA TO PROVIDE THE WORKSITE TOOLKIT AND OFFER ASSISTANCE IN STARTING A WORKSITE WELLNESS PROGRAM.
SAME DAY SURGERY CENTER	PART V, SECTION B, LINE 11: IN REVIEW OF THE NEEDS IDENTIFIED IN THE 2015 CHNA, SAME DAY SURGERY CENTER (SDSC) IDENTIFIED THE AREAS BELOW THAT 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 A 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: SDSC HAS LIMITED RESOURCES, SERVICES AND EXPERTISE AVAILABLE TO ADDRESS ORAL HEALTH AND ACCESS TO ORAL HEALTH INSURANCE. OTHER COMMUNITY ORGANIZATIONS HAVE INFRASTRUCTURE AND PROGRAMS IN PLACE TO BETTER MEET THIS NEED. LIMITED RESOURCES EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION.8) RESPIRATORY DISEASES: SDSC BELIEVES 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: SDSC IS A TOBACCO-FREE FACILITY. THE FACILITY PROVIDES SMOKING CESSATION SCREENING TO PATIENTS AND PROVIDES REFERENCE TO SOUTH DAKOTA QUIT LINE AS APPLICABLE. LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA CHOSEN FOR ACTION.DURING FY18, REGIONAL HEALTH HOSPITALS, ALONG WITH SAME DAY SURGERY CENTER, 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, REGIONAL HEALTH NETWORK (SPEARFISH REGIONAL HOSPITAL, STURGIS REGIONAL HOSPITAL, LEAD-DEADWOOD REGIONAL HOSPITAL, AND CUSTER REGIONAL HOSPITAL), SAME DAY SURGERY CENTER AND THE COMMUNITY CAME TOGETHER TO WORK ON STRATEGIES OUTLINED IN THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP), INCLUDING OBJECTIVES FOR EACH PRIORITY AREA.ACCESS TO HEALTHCARE SERVICESA 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. MENTAL HEALTHIN MAY 2018, REGIONAL HEALTH AND SAME DAY SURGERY CENTER 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. REGIONAL HEALTH RECEIVED A KOHL'S CARES GRANT TO IMPLEMENT AN EVIDENCE-BASED PROGRAM CALLED KIDSHAPE 2.0. THE PROGRAM STRIVES TO INCREASE THE KNOWLEDGE OF HEALTHY BEHAVIORS RELATED TO NUTRITION, PHYSICAL ACTIVITY, AND HEALTH EFFICACY AMONG COMMUNITY YOUTH AND FAMILIES. KIDSHAPE IS DESIGNED FOR CHILDREN AGES 6 TO 12 WHO ARE OVERWEIGHT OR WISH TO MAINTAIN A HEALTHY LIFESTYLE. THREE KIDSHAPE WORKSHOPS WERE HELD IN FY18.IN COLLABORATION WITH LIVE WELL BLACK HILLS, MEMBERS OF THE WELLBEING WORKGROUP TEAM REACHED OUT TO BUSINESSES IN THE RAPID CITY AREA TO PROVIDE THE WORKSITE TOOLKIT AND OFFER ASSISTANCE IN STARTING A WORKSITE WELLNESS PROGRAM.
RAPID CITY REGIONAL HOSPITAL, INC.	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.
SAME DAY SURGERY CENTER	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.
RAPID CITY REGIONAL HOSPITAL, INC.	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.
SAME DAY SURGERY CENTER	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 RAPID CITY REGIONAL HOSPITAL	THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE AT HTTP://WWW.REGIONALHEALTH.COM/PATIENTS-AND-FAMILIES
PART V, LINES 16A-C SAME DAY SURGERY CENTER	THE FINANCIAL ASSISTANCE POLICY, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE AT HTTP://WWW.SAMEDAYSURGERYCENTER.ORG/FINANCIAL-ASSISTANCE/

Field	Value	IRS element (for citing)
Facility	7	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - REGIONAL HEALTH HOME HOSPICE HOUSE
224 ELK ST	RAPID CTIY	SD	57701	END OF LIFE CARE
2 - RAPID CITY REGIONAL HOSPICE HOUSE
224 ELK ST	RAPID CTIY	SD	57701	END OF LIFE CARE
3 - REGIONAL HEALTH DERMATOLOGY
717 MEADE STREET 100	RAPID CTIY	SD	57701	CLINIC
4 - REGIONAL DIALYSIS CENTER - SPEARFISH
132 YANKEE ST	SPEARFISH	SD	57783	DIALYSIS CENTER
5 - REGIONAL HEALTH HOMEHOSPICE-SPEARFISH
1440 NORTH MAIN STREET	SPEARFISH	SD	57783	END OF LIFE CARE
6 - REGIONAL HEALTH MEDICAL CLINIC
112 7TH AVE	WALL	SD	57790	CLINIC
7 - PINE RIDGE REGIONAL MEDICAL CLINIC
EAST HIGHWAY 18	PINE RIDGE	SD	57702	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. AND ITS SUBSIDIARIES. 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 MAY BE UPDATED ANNUALLY AS THE FPL INCOME GUIDELINES ARE RELEASED.
PART I, LINE 6A:	THE ORGANIZATION'S COMMUNITY BENEFIT REPORT CAN BE FOUND ON ITS WEBSITE AT HTTPS://REGIONALHEALTH.COM/ABOUT-US/ANNUAL-REPORT
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, 7F, 7H, AND 7I.
PART I, LN 7 COL(F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN, IS $ 48,618,434.
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 ORGANIZATION'S FINANCIAL STATEMENTS CAN BE FOUND ON PAGE NINE AND TEN OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:	THE PAYMENTS ARE COMPARED TO THE ACTUAL COST OF PROVIDING THE SERVICE AS ARRIVED AT THROUGH THE MEDICARE COST REPORTS. 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 (FAP) 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 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	0	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 (21 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
SRI GANGINENI MD
BOARD MEMBER / EMPLOYED PHYSICIAN	$456,261	$0	$53,638	$0	$0	$0	$29,513	$0	$39,188	$0	$578,600	$0	$0	$0
BRENT PHILLIPS
PRESIDENT & 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	$399,584	$0	$115,518	$0	$21,372	$0	$80,003	$0	$21,166	$0	$637,643	$0	$21,372	$0
TERESA BURROFF
GENERAL COUNSEL/SECRETARY	$339,972	$0	$100,902	$0	$0	$0	$58,432	$0	$722	$0	$500,028	$0	$0	$0
PAULETTE R DAVIDSON
CHIEF OPERATING OFFICER	$419,090	$0	$136,850	$0	$0	$0	$72,183	$0	$27,512	$0	$655,635	$0	$0	$0
TRESHA MORELAND
VP HUMAN RESOURCES	$218,956	$0	$43,733	$0	$0	$0	$30,137	$0	$8,236	$0	$301,062	$0	$0	$0
RICHARD S LATUCHIE
VP INFO TECHNOLOGY CIO UNTIL 02/2018	$333,934	$0	$93,380	$0	$0	$0	$15,399	$0	$19,769	$0	$462,482	$0	$0	$0
STEPHANIE LAHR
VP INFO TECHNOLOGY CIO	$301,821	$0	$71,300	$0	$0	$0	$39,325	$0	$32,415	$0	$444,861	$0	$0	$0
MARY MASTEN
GENERAL COUNSEL, EMERITUS	$314,005	$0	$23,828	$0	$0	$0	$32,609	$0	$20,385	$0	$390,827	$0	$0	$0
LAURA C WIGHTMAN
CHIEF NURSING OFFICER	$264,017	$0	$47,700	$0	$0	$0	$34,871	$0	$18,431	$0	$365,019	$0	$0	$0
JOHN PIERCE
VP RAPID CITY MARKET	$254,732	$0	$42,473	$0	$18,832	$0	$39,938	$0	$28,190	$0	$384,165	$0	$18,832	$0
MICHAEL TILLES
PRESIDENT HOME PLUS	$254,046	$0	$72,917	$0	$0	$0	$33,183	$0	$23,172	$0	$383,318	$0	$0	$0
THOMAS S WORSLEY
PRESIDENT SPEARFISH MARKET	$238,398	$0	$45,080	$0	$0	$0	$32,868	$0	$25,172	$0	$341,518	$0	$0	$0
JOHN KARL HEILMAN III MD
PHYSICIAN - CARDIOLOGY	$890,586	$0	$57,501	$0	$0	$0	$12,483	$0	$22,392	$0	$982,962	$0	$0	$0
JAMES TAKARA MD
PHYSICIAN - CARDIAC SURGERY	$838,924	$0	$0	$0	$28,491	$0	$48,844	$0	$30,703	$0	$946,962	$0	$28,491	$0
BHASKAR PURUSHOTTAM MD
PHYSICIAN - CARDIOLOGY	$1,008,549	$0	$57,501	$0	$0	$0	$59,345	$0	$32,559	$0	$1,157,954	$0	$0	$0
JOSEPH TUMA MD
PHYSICIAN - CARDIOLOGY	$1,029,167	$0	$57,501	$0	$41,959	$0	$61,301	$0	$34,337	$0	$1,224,265	$0	$41,959	$0
AMAD ZINELDINE MD
PHYSICIAN - ONCOLOGY	$745,532	$0	$57,501	$0	$46,654	$0	$46,945	$0	$39,589	$0	$936,221	$0	$46,654	$0
MAUREEN HENSON
VP HUMAN RESOURCES RETIRED 04/17	$81,029	$0	$0	$0	$25,740	$0	$250	$0	$458	$0	$107,477	$0	$25,740	$0
PAUL W CLEMMENTS
FORMER VP PROF SERVICES UNTIL 04/18	$188,579	$0	$33,456	$0	$8,652	$0	$11,967	$0	$24,912	$0	$267,566	$0	$8,652	$0
MICHAEL E LATOUR
FORMER VP RAPID CITY MARKET	$179,643	$0	$34,158	$0	$0	$0	$15,383	$0	$18,747	$0	$247,931	$0	$0	$0

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, LINE 4B	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: TERESA BURROFF 50,332 PAULETTE DAVIDSON 63,856 STEPHANIE LAHR 30,998 MARY MASTEN 7,400 TRESHA MORELAND 22,037 BRENT PHILLIPS 161,068 JOHN PIERCE 25,941 MARK THOMPSON 60,375 MICHAEL TILLES 25,083 LAURA WIGHTMAN 26,544 THOMAS WORSLEY 24,541 SRI, GANGINENI, MD 20,951 BHASKAR PURUSHOTTAM, MD 51,018 JAMES TAKARA, MD 36,361 JOSEPH TUMA, MD 48,818 AMAD ZINELDINE, MD 31,644 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. JOHN PIERCE 18,832 MARK THOMPSON 21,372 JAMES TAKARA,MD 28,491 JOSEPH TUMA,MD 41,959 AMAD ZINELDINE,MD 46,654 MAUREEN HENSON 25,740 PAUL CLEMMENTS 8,652
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 WILL REVIEW AND APPROVE ALL INCENTIVE COMPENSATION PERFORMANCE MEASURES AND ALL AWARDS, IF ANY.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
SD HEALTH & EDUCATIONAL FACILITIES AUTHORITY
A	460315509	2015-01-27	$67,210,000	REFUND SERIES 2008 BONDS ISSUED 8/14/08	0	0	0
SD HEALTH & EDUCATIONAL FACILITIES AUTHORITY
B	460315509	2017-09-07	$238,488,122	REFUND SERIES 2010 AND 2011 BONDS; HOSPITAL BUILDINGS AND EQUIPMENT	0	0	0	83755VE26

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt
A	$9,815,000	$67,210,000	$250,000	$66,960,000	2015	Yes (1)	0	Yes (1)	Yes (1)
B		$239,418,060	$1,807,893	$54,521,227		0	Yes (1)	0	Yes (1)	$183,088,940

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd
A	0	0	0	0	0.00020	0.00030	0.00050	0	0	Yes (1)
B	0	0	Yes (1)	Yes (1)	0.00690	0.00860	0.01550	0	0	Yes (1)	0	0

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
US BANK NA
A	0	0	0	0	Yes (1)	Yes (1)	9.200000000000	0	0	0	0	Yes (1)
(no name)
B	0	0	0	0	0	0				0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K, PART II, LINE 3, BOND B	FormAndLineReferenceDesc
Explanation	THE ISSUE PRICE ON PART I, COLUMN (E) IS DIFFERENT THAN THE AMOUNT ON PART II, LINE 3 DUE TO INTEREST EARNED DURING THE CONSTRUCTION PHASE ON THE PROCEEDS OF $929,938.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
GREGG RADTKE
FAMILY MEMBER OF DIRECTOR SANDRA BURNS	$42,612	EMPLOYMENT EARNINGS, HOSPITAL CENSUS COORD.	0
ERIKA L RADTKE
FAMILY MEMBER OF DIRECTOR SANDRA BURNS	$85,821	EMPLOYMENT EARNINGS, APPLICATIONS ANALYST	0
NADINE E RADTKE
FAMILY MEMBER OF DIRECTOR SANDRA BURNS	$86,081	EMPLOYMENT EARNINGS, APPLICATIONS ANALYST	0
CALEB HANSEN
FAMILY MEMBER OF DIRECTOR LISA SEAMAN	$80,500	EMPLOYMENT EARNINGS, REGISTERED NURSE	0
LINDSEY HANSEN
FAMILY MEMBER OF DIRECTOR LISA SEAMAN	$40,667	EMPLOYMENT EARNINGS, REGISTERED NURSE	0
PAMELA KIM PHILLIPS MD
SPOUSE OF CEO	$714,995	EMPLOYMENT EARNINGS, PHYSICIAN	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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; JOHN PIERCE; MICHAEL TILLES; MARK THOMPSON; LAURA WIGHTMAN; AND THOMAS WORSLEY AND EMPLOYED BOARD MEMBER SRI GANGINENI MD.
FORM 990, PART VI, SECTION A, LINE 6	REGIONAL HEALTH, INC. IS THE SOLE MEMBER OF RAPID CITY REGIONAL HOSPITAL, INC.
FORM 990, PART VI, SECTION A, LINE 7A	THE ORGANIZATION'S SOLE MEMBER AND SUPPORTING ORGANIZATION, REGIONAL HEALTH, INC., APPOINTS THE MEMBERS OF RAPID CITY REGIONAL HOSPITAL'S GOVERNING BODY. THE BYLAWS REQUIRE THAT AT LEAST ONE MEMBER OF RAPID CITY REGIONAL HOSPITAL'S BOARD ALSO SERVES AS A VOTING MEMBER OF THE SOLE MEMBER'S BOARD TO BETTER ASSURE THE SOLE MEMBER'S CONTINUED RESPONSIVENESS TO RAPID CITY REGIONAL HOSPITAL.
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 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:	ADJ TO THE FUNDED STATUS OF THE PENSION PLAN -3,495,514. MEDICAL STAFF NET INCOME 98,846. TEMPORARILY RESTRICTED NET ASSET CHANGES -2,029,158. AUXILIARY NET INCOME -55,580. CHANGE IN INTEREST SWAP -130,000. TRANSFERS TO RELATED ORGANIZATIONS -241,704.
FORM 990, PART X, LINE 20:	THE ISSUE PRICE OF THE BONDS INCLUDES THE FILING ORGANIZATION'S SHARE OF THE ENTIRE BOND ISSUE, WHICH WAS ISSUED TO REGIONAL HEALTH, INC. ON BEHALF OF THE REGIONAL HEALTH OBLIGATED GROUP. THE REGIONAL HEALTH OBLIGATED GROUP CONSISTS OF REGIONAL HEALTH, INC., RAPID CITY REGIONAL HOSPITAL, INC., REGIONAL HEALTH NETWORK, INC. AND REGIONAL HEALTH PHYSICIANS, INC.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	REGIONAL HEALTH HOME PLUS LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2925 REGIONAL WAY PO BOX 6000	AddressLine1Txt
City	RAPID CITY	CityNm
State Abbreviation	SD	StateAbbreviationCd
ZIP	57701	ZIPCd

Field	Value	IRS element (for citing)
EIN	364841157	EIN
Primary Activities	HEALTHCARE SERVICES	PrimaryActivitiesTxt
Legal Domicile State	SD	LegalDomicileStateCd
Total Income	$52,891,379	TotalIncomeAmt
End Of Year Assets	-$10,883,347	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	RAPID CITY REGIONAL HOSPITAL INC	BusinessNameLine1Txt

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
REGIONAL HEALTH NETWORK INC
353 FAIRMONT BLVD	RAPID CITY	SD	57701	460360899	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 (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
MEDICAL & DENTAL BUILDING
2805 S 5TH ST	RAPID CITY	SD	57701	460339629	MEDICAL OFFICE BLDG	SD	RAPID CITY REGIONAL HOSPITAL INC	INVESTMENT	-$66,698	$949,698	0	Yes (1)	0.71450
BLACK HILLS MEDICAL OFFICE BD LLC
353 FAIRMONT BLVD	RAPID CITY	SD	57701	411992146	MEDICAL OFFICE BLDG	SD	RAPID CITY REGIONAL HOSPITAL INC	INVESTMENT	-$7,621	$1,466,129	0	0	0.67930
SAME DAY SURGERY CENTER
651 CATHEDRAL DRIVE	RAPID CITY	SD	57701	411889892	MEDICAL SERVICES	SD	RAPID CITY REGIONAL HOSPITAL INC	RELATED	$2,539,366	$2,749,852	0	Yes (1)	0.40000

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	Yes (1)	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	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	SAME DAY SURGERY CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	F	TransactionTypeTxt
Involved	$2,220,000	InvolvedAmt
Method Of Amount Determination	FMV	MethodOfAmountDeterminationTxt