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Monument Health Spearfish Hospital offers extensive patient services centralized at one location which includes both the hospital and Spearfish Monument Medical Clinic. Services include emergency care: 24 hours a day / 7 days a week, diabetes care, heart & vascular care, home care, hospice, labor & delivery, laboratory services, medical imaging, OB/GYN, physical therapy & rehabilitation, prenatal care, surgery, swing-bed program, telemedicine, and serves as a medication disposal site.

Any individual who has had a brain injury is welcome to attend. The support group is also available for family members. Brain injuries can be obtained from accidents, falls, multiple concussions, tumors, stokes, lack of oxygen, epilepsy and Parkinson's, to name a few. The brain injury may be a recent injury or one that has been acquired for many years.

The auditor is the keeper of county records and acts as a bookkeeper of county business. The auditor is responsible for County Commissioner meetings including scheduling, agenda, business follow-up, Preparing the county's budget, Audit bills or other claims against the county and prepare the warrants in payment of these bills, Figuring the mill levy, and Head election officer of the county. Notary Public services available. Some fees may apply. Assists with the following - indigent medical claims (excluding prescriptions) and burial and funeral.

Offers many activities including: line dancing, exercise classes and fitness room, billiards, Wii bowling, card games, table tennis, SHIINE Medicare Part D assistance, pet food assistance, pet care assistance, weekly blood pressure checks, nutrition program providing commodity, meals on wheels, and meals at The Center. ​Bingo is offered from 7:00pm - 9:00pm, Tuesday and Friday evenings.

The SD State Fairgrounds encompasses 190 acres and 90 plus buildings and is available for rent for a variety of special events throughout the year. The fairgrounds is home to the South Dakota State Fair which takes place annually always ending on Labor Day. The fair is a showcase for agriculture and 4-H featuring educational exhibits, livestock shows, live entertainment, carnival, food and fun. The fairgrounds also plays host to several annual events including the Wheel Jam, the SD BBQ Championships, livestock events, and horse events.

The city government of Mitchell provides the City Council agendas and oversees long range planning for the city. City administration approves special event permits, coordinates planning, organizing and directing of activities in city departments. The City Administrator's office is in this building, as well as the Mayor's.

Non Profit Toy Library that creates educational toy boxes, color coded by age group, FREE to borrow and sanitized, available at the Main Office and at Partner Libraries. Take them home, play, have fun, bring it back and repeat.

Elected officials who oversee the administration and policy-making of county government. Responsible for managing the county's budget, enacting local laws and ordinances, and representing county interests at the state and federal levels. They also oversee various county services and departments.

Offering free tax help to qualified people who need assistance in preparing their simple tax returns. IRS-certified volunteers provide free basic income tax return preparation with electronic filing. to qualified individuals. The IRS VITA finder lists a site only two weeks before it opens. So, if a site isn't showing on the list, check back regularly for updated information.

Offers community members who are struggling to make ends meet the opportunity to receive free, quality clothing. By appointment only. Monday. Call for more information or to make an appointment.

Individual, family and couple's counseling for mental health, psychiatry, chemical dependency, and ADHD assessment. Issues treated include anxiety, depression, mood disorders, adjustment disorders, substance abuse disorders, domestic abuse/violence, grief and loss, trauma, relational issues, and significant life changes. Offering sessions via telehealth.

TANF (Temporary Assistance for Needy Families) is a temporary public assistance work program administered by the Department of Social Services in partnership with the Department of Labor and Regulation. It is designed to provide temporary assistance and build economic self-sufficiency for children and families. Eligibility and income guidelines are available by phone or by visiting the website.

The Highway Superintendent is charged with direction, cost management, and supervision of construction and maintenance of county roads and bridges. Approving all bills associated with county road maintenance before payment.

60's + Dining is a senior congregate meal program that provides a nutritious noon meal which reduces or prevents malnutrition, a major cause of other health problems. The program also provides socialization for the participants, which helps ease the problem of isolation among older persons. Persons who are unable to leave their homes due to illness or frailty may receive a home-delivered meal, while those who are able to travel meet at a congregate site for their meals. Participants in the program are asked to make a donation for the meal, but no one is refused service if unable to do so. Frozen Meal Program available to any client over 60. Quality, balanced, nutritious meals are flash frozen in specialty containers that can be heated in the microwave.

​Provides in-home support to individuals with daily activities and personal needs to help individuals maintain their independence and quality of life while remaining in the comfort of their own homes. Services include assistance with activities of daily living (such as bathing, dressing, grooming, toileting, and mobility), light housekeeping, laundry, meal preparation, medication reminders, companionship, social engagement, transportation to help with errands or appointments, and respite care for family caregivers.

The National Problem Gambling Helpline serves as a one-stop hub connecting people looking for assistance with a gambling problem to local resources.

Responsible for preparing a comprehensive annual financial report, appropriations, administration of the annual budget process, maintaining all official records of the City, preparing and publishing minutes of official City Council meetings, receiving and recording all monies deposited with the City, investing surplus cash balances of the City, debt financing, official requests for public information, insurance, conducting annual municipal elections and special elections, issuing liquor licenses, special assessment administration, accounts receivable, accounts payable, and serving as the payment center for municipal utilities.

Library services include access to over 60,000 books, Audio books, Videos, Internet access via 10 computers, Wi-Fi, Digital Content including books and magazines, test proctoring, Teen programming, Adult programming and computer classes, Preschool and Children's programming, and Homebound program.

The City of Deadwood offers a transit service that stops at various locations around the Deadwood area. This is not a 24-hour service.

Auditor services include processing payroll, making sure all accounts are payable and receivable, establishing real property tax levies, prepare annual financial reports, maintains all records of voter registration and election history, and preserves all duties required by law relative to all County, State, and federal elections held in the county. Election Duties of the Auditor include voter registration, ballot preparation, appointment and training of election officials, counting ballots with scanner equipment, and issuing certificates of election. Notary Public services are available. Some fees may apply. Based on eligibility guidelines, Welfare services may include medical assistance and burial/funeral assistance.

ICAP Emergency Services helps with emergency utilities and rent (Rent assistance is NOT available to those residing in Sioux Falls) for income qualified households. Must meet all requirements. Also offers food pantry vouchers to those who qualify (cannot receive SNAP).

Provides non-medical, in-home support with instrumental activities of daily living including light housekeeping, laundry, meal preparation, grocery shopping, medication reminders, and assistance with errands to support individuals in maintaining a safe home environment.

Provides worship services and youth programming.

The Lions Club assists individuals who are blind and helps with community education for the prevention of blindness. Sight and blindness are main areas of emphasis. Also active in area of diabetes education and fundraising for different groups. The group also offers screenings for vision to preschool children at no charge. Works with schools, daycares, and health care events.

Center for Financial Resources: Provides financial counseling and education; homeownership counseling and education; debt management plans; bankruptcy counseling; and Sharpen Your Financial Focus.  First Time Home Buyer Sessions: A certified housing counselor works with clients one on one to complete a pre-purchase counseling reviewing items such as: credit report, current mortgage products, individual budge and affordability considerations and additional financial counseling support as needed. Homebuyer Education Seminars: Provides comprehensive information on the following topics - Money management strategies, including saving for a home, Credit reports, scoring and wise use of credit as a homeowner, Financing options (including FHA, VA, and RD loans) and working with a lender, Predatory lending awareness, Shopping for a home and working with a Realtor, Home maintenance and the home inspection process, and Homeownership resources and applicable referrals