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Philip Health Services Inc
Philip, SD 57567
| Bed count | 18 | Medicare provider number | 431319 | 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 $ 14,902,874 Total amount spent on community benefits as % of operating expenses$ 692,795 4.65 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 116,804 0.78 %Medicaid as % of operating expenses$ 0 0 %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$ 575,991 3.86 %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.$ 0 0 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 0 0 %Community building*
as % of operating expenses$ 23,177 0.16 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? YES 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$ 23,177 0.16 %Physical improvements and housing as % of community building expenses$ 0 0 %Economic development as % of community building expenses$ 0 0 %Community support as % of community building expenses$ 0 0 %Environmental improvements as % of community building expenses$ 0 0 %Leadership development and training for community members as % of community building expenses$ 0 0 %Coalition building as % of community building expenses$ 0 0 %Community health improvement advocacy as % of community building expenses$ 0 0 %Workforce development as % of community building expenses$ 23,177 100 %Other as % of community building expenses$ 0 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$ 368,205 2.47 %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$ 0 0 %- 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? NO
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 $ 12992833 including grants of $ 0) (Revenue $ 15804465) THE FACILITY OPERATES A CRITICAL ACCESS HOSPITAL IN PHILIP, SD PROVIDING SHORT TERM INPATIENT, OUTPATIENT AND EMERGENCY HEALTH CARE SERVICES. THE FACILITY ALSO OPERATES AN ASSISTED LIVING FACILITY PROVIDING RESIDENTIAL CARE SERVICES, A SKILLED NURSING FACILITY PROVIDING LONG TERM NURSING HOME CARE, AND CLINIC FACILITIES FOR PHYSICIAN SERVICES.
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Facility Information
FACILITY 1, HANS P PETERSON MEMORIAL HOSPITAL - PART V, LINE 5 AS PART OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, THERE WERE KEY INFORMANT FOCUS GROUPS HELD IN THE REGION - THESE FOCUS GROUPS ALLOWED FOR INPUT FROM PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH, AS WELL AS OTHERS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. 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. PARTICIPANTS INCLUDED A REPRESENTATIVE OF PUBLIC HEALTH AS WELL AS SEVERAL INDIVIDUALS WHO WORK WITH LOW-INCOME, MINORITY OR OTHER MEDICALLY UNDERSERVED POPULATIONS AND THOSE WHO WORK WITH PERSONS WITH CHRONIC DISEASE CONDITIONS. TO OBTAIN ADDITIONAL INPUT FROM LOCAL RESIDENTS AND HEALTH CARE STAKEHOLDERS, THE HOSPITAL CONDUCTED AN ADDITIONAL SERIES OF FOCUS GROUPS IN 2021 WITH RESIDENTS FROM PHILIP, HAAKON COUNTY AND JACKSON COUNTY.
FACILITY 1, HANS P PETERSON MEMORIAL HOSPITAL - PART V, LINE 6A THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS SPONSORED BY A PARTNERSHIP BETWEEN HANS P PETERSON MEMORIAL HOSPITAL AND MONUMENT HEALTH
FACILITY 1, HANS P PETERSON MEMORIAL HOSPITAL - PART V, LINE 11 AREAS OF OPPORTUNITY WERE PRIORITIZED AS FOLLOWS: 1.) MENTAL HEALTH; 2.) SUBSTANCE ABUSE; 3.) DIABETES; 4.) NUTRITION, PHYSICAL ACTIVITY & WEIGHT; 5.) TOBACCO USE; 6.) CANCER; 7.) INJURY & VIOLENCE PREVENTION; 8.) HEART DISEASE & STROKE; 9.) INFANT HEALTH & FAMILY PLANNING; 10.) ACCESS TO HEALTH CARE SERVICES; 11.) POTENTIALLY DISABLING CONDITIONS; 12.) SEXUAL HEALTH. IN ACKNOWLEDGING THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS, THE HOSPITAL DETERMINED THAT IT COULD ONLY EFFECTIVELY FOCUS ON THOSE WHICH IT DEEMED MOST PRESSING, MOST UNDERADDRESSED, AND MOST WITHIN ITS ABILITY TO INFLUENCE. DUE TO LIMITED RESOURCES, SERVICES AND EXPERTISE AVAILABLE TO ADDRESS THESE HEALTH PRIORITIES, THE FOLLOWING WERE NOT CHOSEN FOR ACTION: SUBSTANCE ABUSE AND TOBACCO USE AND CANCER. REGARDING INJURY & VIOLENCE PREVENTION, THE HOSPITAL BELIEVES THAT THIS PRIORITY AREA FALLS MORE WITHIN THE PURVIEW OF THE COUNTY HEALTH DEPARTMENT AND OTHER COMMUNITY AND LAW ENFORCEMENT ORGANIZATIONS. LIMITED RESOURCES AND LOWER PRIORITY EXCLUDED THIS AS AN AREA FOR ACTION.
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Supplemental Information
SCHEDULE H, PART I, LINE 3C PATIENT COMPLETES AN APPLICATION WHICH GATHERS FINANCIAL INFORMATION RELATED TO THE PATIENT. NET WORTH IS CONSIDERED IN DETERMINING FREE OR DISCOUNTED CARE. DEBT OWED TO THE HOSPITAL MUST BE MORE THAN 20% OF THE PATIENT'S NET WORTH TO QUALIFY FOR FREE OR DISCOUNTED CARE. FAP ELIBIBLE INDIVIDUALS ARE NEVER CHARGED MORE THAN AGB.
SCHEDULE H, PART III, LINE 2 THE FACILITY PROVIDES ALLOWANCES FOR DOUBTFUL RECEIVABLES EQUAL TO THE ESTIMATED COLLECTION LOSSES. THE ESTIMATED COLLECTION LOSSES ARE BASED ON HISTORICAL COLLECTION EXPERIENCE COUPLED WITH REVIEW OF THE CURRENT STATUS OF THE EXISTING RECEIVABLES.
SCHEDULE H, PART VI, LINE 2 FACILITY MANAGEMENT, AS PART OF ITS OPERATIONAL PLANNING PROCESS, CONTINUALLY EVALUATES OPPORTUNITIES TO ADD NEW SERVICES TO THE CLINICAL SPECTRUM. SERVICES AVAILABLE IN THE REMOTE LOCATION ARE EVALUATED BASED ON THE CLINIAL CAPABILITIES OF THE AVAILABLE MEDICAL STAFF PROVIDERS AND SUPPORTIVE CLINICAL RESOURCES. THOSE FACTORS ARE BALANCED WITH THE NUMBER OF PEOPLE IN THE SERVICE AREA WHO DEMONSTRATE THE NEED FOR THOSE SERVICES. CLINICAL MODELS AND BUSINESS MODELS ARE MATCHED AND MONITORED OVER THE COURSE OF TIME TO DETERMINE THE FEASIBILITY OF NEW AND/OR EXISTING SERVICESS OFFERD IN THE COMMUNITY.
SCHEDULE H, PART VI, LINE 3 SIGNS ARE POSTED AT ENTRANCES INFORMING THE PUBLIC OF THE COMMUNITY BENEFIT PROGRAM.
SCHEDULE H, PART VI, LINE 4 THE ORGANIZATION SERVES THE SMALL TOWNS (POPULATIONS ARE LESS THAN 700) OF PHILIP, KADOKA, MIDLAND, WALL AND OTHERS, AS WELL AS THE RURAL RESIDENTS OF WESTERN SOUTH DAKOTA. THERE IS NO OTHER AVAILABLE HEALTH CARE WITHIN 90 MILES.
SCHEDULE H, PART VI, LINE 5 PHILIP HEALTH SERVICES, INC, A NON-PROFIT COMMUNITY OWNED CORPORATION, HAS BEEN ABLE TO CONTINUE TO OFFER PRIMARY MEDICAL CARE TO THIS AREA IN LARGE PART DUE TO THE SUPPORT OF THE COMMUNITY AND THE LEARDERSHIP OF THE BOARD OF DIRECTORS. ALL NET GAINS ARE INVESTED BACK INTO THE ORGANIZATION TO MAINTAIN CURRENT SERVICES AND EXPAND SERVICES.
SCHEDULE H, PART VI PART III, SEC B, LINE 8 - COMMUNITY BENEFIT THE MEDICARE SHORT FALL IS ALL CONSIDERED COMMUNITY BENEFIT. THERE IS NO ADDITIONAL FUNDING SOURCE TO OFFSET THE MEDICARE SHORTFALL. SERVICES ARE PROVIDED TO MEDICARE BENEFICIARIES IN ALL AREAS OF THE HOSPITAL KNOWING THAT MEDICARE COSTS WILL NOT BE FULLY RECOVERED.
