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Faulkton Area Medical Center
Faulkton, SD 57438
| Bed count | 12 | Medicare provider number | 431301 | Member of the Council of Teaching Hospitals | NO | Children's hospital | NO |
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of total functional expenses)
Community Benefit Expenditures: 2021
All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Operating expenses $ 11,241,065 Total amount spent on community benefits as % of operating expenses$ 1,701,823 15.14 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 43,000 0.38 %Medicaid as % of operating expenses$ 75,445 0.67 %Costs of other means-tested government programs as % of operating expenses$ 0 0 %Health professions education as % of operating expenses$ 0 0 %Subsidized health services as % of operating expenses$ 1,372,711 12.21 %Research as % of operating expenses$ 0 0 %Community health improvement services and community benefit operations*
as % of operating expensesNote: these two community benefit categories are reported together on the Schedule H, part I, line 7e.$ 210,667 1.87 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 0 0 %Community building*
as % of operating expenses$ 0 0 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? Not available Number of activities or programs (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Persons served (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Community building expense
as % of operating expenses$ 0 0 %Physical improvements and housing as % of community building expenses$ 0 Economic development as % of community building expenses$ 0 Community support as % of community building expenses$ 0 Environmental improvements as % of community building expenses$ 0 Leadership development and training for community members as % of community building expenses$ 0 Coalition building as % of community building expenses$ 0 Community health improvement advocacy as % of community building expenses$ 0 Workforce development as % of community building expenses$ 0 Other as % of community building expenses$ 0 Direct offsetting revenue $ 0 Physical improvements and housing $ 0 Economic development $ 0 Community support $ 0 Environmental improvements $ 0 Leadership development and training for community members $ 0 Coalition building $ 0 Community health improvement advocacy $ 0 Workforce development $ 0 Other $ 0
Other Useful Tax-exempt Hospital Information: 2021
In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.
Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
as % of operating expenses$ 92,000 0.82 %Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program? NO - Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2022 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.
Does the organization have a written financial assistance (charity care) policy? YES Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients? YES Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
as % of operating expenses$ 17,200 18.70 %- Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Reported to credit agency Not available Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid? NO The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines? YES In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.
Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute? NO
Community Health Needs Assessment Activities: 2021
The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.
Did the tax-exempt hospital report that they had conducted a CHNA? YES Did the CHNA define the community served by the tax-exempt hospital? YES Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital? YES Did the tax-exempt hospital make the CHNA widely available (i.e. post online)? YES Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA? YES
Supplemental Information: 2021
- Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4A (Expenses $ 9281504 including grants of $ 0) (Revenue $ 11298422) FAULKTON AREA MEDICAL CENTER (FAMC) OPERATES A 12-BED CRITICAL ACCESS HOSPITAL AND RURAL HEALTH CLINIC IN FAULKTON, SOUTH DAKOTA. IN FISCAL YEAR 2021, FAMC HAD 131 ACUTE ADMISSIONS AND 68 SWINGBED ADMISSIONS, WITH 372 AND 608 PATIENT DAYS, RESPECTIVELY. THE FAMC RHC HAD 5,972 CLINIC VISITS IN THE FISCAL YEAR.
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Facility Information
FAULKTON AREA MEDICAL CENTER PART V, SECTION B, LINE 5: INFORMATION OBTAINED IN VARIOUS FORMATS WAS USED IN THE ANALYSIS AND IMPLEMENTATION STRATEGY TO IDENTIFY THE MOST CRITICAL HEALTH NEEDS. OUTSIDE ENTITIES INVOLVED WERE: FAULK COUNTY CANCER SUPPORT GROUPFAULK COUNTY HEALTH OFFICEFAULKTON AREA SCHOOL DISTRICTFOCUS GROUPS AND INDIVIDUAL INTERVIEWS WERE ALSO CONDUCTED.IN ADDITION, THE GENERAL PUBLIC COMPLETED BOTH ONLINE AND/OR PAPER SURVEYS.
FAULKTON AREA MEDICAL CENTER PART V, SECTION B, LINE 11: OUR 2020 IMPLEMENTATION STRATEGY FOCUSED ON ALL ASPECTS OF THE HIGHEST PRIORITY OF NEEDS THAT BEST ACCOMMODATE OUR COMMUNITY. FAMC ADDRESSED THE NEEDS IDENTIFIED IN THE 2020 IMPLEMENTATION STRATEGY IN THE FOLLOWING WAYS.1) HOME HEALTH CARE/HOSPICE: THE CENTER'S GOAL IS TO DEVELOP A VISITING NURSE PROGRAM. IMPLEMENTATION OF THE VISITING NURSE PROGRAM WAS PUT ON HOLD DUE TO THE COVID-19 PANDEMIC. 2) COST/BILLING: PATIENTS ARE ENCOURAGED TO APPLY FOR FINANCIAL ASSISTANCE. THE APPLICATION IS VERY BRIEF.3) TELEHEALTH/OUTREACH SERVICES: TELEHEALTH OPPORTUNITIES HAVE IMPROVED AND EXPANDED DUE TO THE PANDEMIC AND TECHNOLOGY ADVANCES. VIRTUAL VISIT OPTIONS HAVE INCREASED.4) EDUCATION: FAMC HAS ENTERED INTO A HEALTH EDUCATION CONTRACT WITH THE SCHOOL. A NEWSLETTER HAS BEEN INSTIGATED FOR MAILING TO THE PUBLIC, AND FAMC'S ONLINE AND SOCIAL MEDIA PRESENCE HAS EXPANDED WITH EDUCATIONAL ARTICLES AND INFORMATION.AS THE NEEDS OF OUR COMMUNITY CHANGE, WE WILL REVIEW OUR METHODS OF EDUCATION, PROGRAMS AND SERVICES TO RAISE AWARENESS AND FULFILL THE NEEDS OF THE COMMUNITY.2021 UPDATE: IMPLEMENTATION OF THE VISITING NURSE PROGRAM IS ON HOLD DUE TO THE CONTINUING COVID-19 PANDEMIC AND THE DIFFICULTY MAINTAINING ADEQUATE PROFESSIONAL STAFF FOR ON SITE OPERATIONS, WITHOUT CONSIDERING ANY EXPANSION TO OFF SITE PATIENT CARE.
FAULKTON AREA MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENTS WHOSE FAMILY INCOME EXCEEDS 200% OF THE FPL MAY BE ELIGIBLE TO RECEIVE DISCOUNTED RATES ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE, AT THE DISCRETION OF FAULKTON AREA MEDICAL CENTER. A DETERMINATION BASED ON PRESUMPTIVE ELIGIBILITY MAY BE MADE IF ALL OTHER AVENUES HAVE BEEN EXHAUSTED.
FAULKTON AREA MEDICAL CENTER PART V, SECTION B, LINE 16J: A SUMMARY OF THE POLICY WAS ATTACHED TO BILLING INVOICES, POSTED IN THE ER AND/OR WAITING ROOMS, AND MADE AVAILABLE UPON REQUEST.
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Supplemental Information
PART I, LINE 3C: PATIENTS WHOSE FAMILY INCOME EXCEEDS 200% OF THE FPL MAY BE ELIGIBLE TO RECEIVE DISCOUNTED RATES ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE, AT THE DISCRETION OF FAULKTON AREA MEDICAL CENTER. A DETERMINATION BASED ON PRESUMPTIVE ELIGIBILITY MAY BE MADE IF ALL OTHER AVENUES HAVE BEEN EXHAUSTED.
PART I, LINE 7: CHARITY CARE EXPENSE WAS CONVERTED TO COST ON LINE 7A BASED ON AN OVERALL COST-TO-CHARGE RATIO ADDRESSING ALL PATIENT SEGMENTS. LINE 7B, MEDICAID, WAS DETERMINED BASED ON THE COSTING METHODS USED TO PREPARE THE COST REPORTS. LINE 7E WAS OBTAINED UTILIZING THE ACTUAL GENERAL LEDGER SYSTEM. LINE 7G WAS OBTAINED FROM THE MEDICARE COST REPORT.
PART I, LINE 7G: RURAL HEALTH CLINIC NET REVENUES OF $967,341 AND COSTS OF $2,159,740 WERE INCLUDED ON LINE 7G FOR A NET COMMUNITY BENEFIT OF $1,192,399.
PART III, LINE 2: THE AMOUNT ON LINE 2 REPRESENTS IMPLICIT PRICE CONCESSIONS. THE ORGANIZATION DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSION BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH THIS CLASS OF PATIENTS.
PART III, LINE 3: THE ESTIMATED AMOUNT OF FAMC'S IMPLICIT PRICE CONCESSIONS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE CHARITY CARE POLICY IS CALCULATED BASED ON THE US CENSUS BUREAU REPORT OF THE PERCENTAGE OF INDIVIDUALS LIVING BELOW THE POVERTY LEVEL IN 2020. 18.7% CAN REASONABLY BE CONSIDERED A COMMUNITY BENEFIT AS IT WOULD HAVE BEEN WRITTEN OFF TO CHARITY IF APPLICATIONS WERE PRESENTED.
PART III, LINE 4: FOOTNOTE FROM FINANCIAL STATEMENT: PLEASE SEE FINANCIAL STATEMENT NOTE 1 - PATIENT SERVICE REVENUE ON PAGES 11-12 OF THE ATTACHED FINANCIAL STATEMENTS.
PART III, LINE 8: MEDICARE ALLOWABLE COST OF CARE WAS CALCULATED FROM THE MEDICARE COST REPORT FOR FISCAL YEAR ENDING 12/31/2021. 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 COMMUNITY.THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES.
PART III, LINE 9B: PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE DO NOT ENTER INTO COLLECTIONS UNLESS THE AMOUNT THAT IS OWED AFTER FINANCIAL ASSISTANCE IS NOT PAID. IF, DURING THE COLLECTION PROCESS, IT IS DETERMINED THAT SOMEONE MAY QUALIFY FOR FINANCIAL ASSISTANCE, THE COLLECTION PROCESS IS STOPPED AND THE FINANCIAL ASSISTANCE APPLICATION PROCESS BEGINS. COLLECTION ACTIVITY IS HALTED UNTIL THE FINANCIAL ASSISTANCE APPLICATION IS REVIEWED AND QUALIFICATION IS DETERMINED. TIME PARAMETERS ARE REVIEWED PRIOR TO EACH STEP IN THE COLLECTION PROCESS.
PART VI, LINE 2: IN ADDITION TO THE PROCESS UNDERTAKEN TO COMPLETE THE COMMUNITY HEALTH NEEDS ASSESSMENT, COMMUNITY HEALTH NEEDS ARE DETERMINED BY PROVIDERS IN DISCUSSION WITH THEIR PATIENTS, AS WELL AS IN COMMUNICATION WITH AREA ORGANIZATIONS (SCHOOL, COMMUNITY HEALTH NURSE, SENIOR CITIZENS CENTER, LOCAL NURSING HOME).
PART VI, LINE 3: FINANCIAL ASSISTANCE APPLICATIONS ARE CLEARLY LABELED AND PROVIDED AT THE PATIENT REGISTRATION AREA, CLINIC WAITING ROOM, ER WAITING ROOM AND IN EACH OF THE TWO EMERGENCY ROOMS. THERE IS ALSO A LINK ON THE FACILITY WEBSITE, INCLUDING ALL POLICIES AND APPLICATION FORMS. A FINANCIAL ASSISTANCE POLICY SUMMARY IS INCLUDED WITH EVERY PATIENT ACCOUNTS RECEIVABLE STATEMENT.
PART VI, LINE 4: FAMC'S SERVICE AREA INCLUDES MOST OF FAULK COUNTY. ACCORDING TO THE UNITED STATES CENSUS BUREAU, FAULK COUNTY'S ESTIMATED POPULATION IN 2020 WAS 2,125 AND THE MEDIAN HOUSEHOLD INCOME WAS $49,400. FAMC IS THE ONLY HEALTHCARE FACILITY WITHIN A 40 MILE RADIUS, AND IS DESIGNATED AS A CRITICAL ACCESS HOSPITAL WITH AN ATTACHED RURAL HEALTH CLINIC. FAULK COUNTY IS DESIGNATED AS A MEDICALLY UNDERSERVED AREA AND IS A HEALTHCARE PROVIDER SHORTAGE AREA.
PART VI, LINE 5: THE ENTIRE BOARD RESIDES WITHIN THE FAMC SERVICE AREA. ONE BOARD MEMBER IS A PHYSICIAN ON STAFF AT FAMC. MEDICAL STAFF PRIVILEGES ARE OFFERED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. ANY SURPLUS FUNDS ARE USED TO UPGRADE EQUIPMENT AND FACILITIES, AS WELL AS RECRUIT AND RETAIN QUALIFIED STAFF. FAMC'S EMERGENCY ROOM IS AVAILABLE TO ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. FAMC HOSTS MANY STUDENTS AS PART OF THEIR EDUCATION PROCESS. MD STUDENTS, NP/PA STUDENTS, RN CANDIDATES, PT CANDIDATES, AND DIETETICS STUDENTS ARE SOME OF THE PREVIOUS PARTICIPANTS IN SHADOWING OUR PROVIDERS/STAFF. FAMC ALSO PROVIDES A HIGH SCHOOL INTERN PROGRAM FOR LOCAL STUDENTS WHO MAY BE INTERESTED IN PURSUING A CAREER IN HEALTHCARE.
