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Fall River Health Services
Hot Springs, SD 57747
| Bed count | 25 | Medicare provider number | 431322 | 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 $ 25,306,697 Total amount spent on community benefits as % of operating expenses$ 1,290,183 5.10 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 304,680 1.20 %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$ 45,564 0.18 %Subsidized health services as % of operating expenses$ 901,890 3.56 %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.$ 35,934 0.14 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 2,115 0.01 %Community building*
as % of operating expenses$ 203,012 0.80 %- * = 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$ 203,012 0.80 %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$ 203,012 100 %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$ 0 0 %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? 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 $ 21355182 including grants of $ 0) (Revenue $ 0) TO PROVIDE SHORT TERM INPATIENT AND OUTPATIENT ACUTE HOSPITAL CARE, LONG-TERM CARE, AND RURAL HEALTH CLINIC CARE TO RESIDENTS OF HOT SPRINGS, SOUTH DAKOTA AND SURROUNDING COMMUNITIES, REGARDLESS OF ABILITY TO PAY. SERVICES PROVIDED THIS YEAR INCLUDE 1,926 ACUTE AND SWINGBED DAYS, 14,357 RURAL HEALTH CLINIC VISITS, AND 18,197 LONG-TERM CARE DAYS AND NUMEROUS OUTPATIENT VISITS.
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Facility Information
FACILITY 1, FALL RIVER HEALTH SERVICES - PART V, LINE 3E THE FOLLOWING PRIORITY HEALTH NEEDS WERE IDENTIFIED BASED ON THE SURVEY DATA COLLECTED AND DEMOGRAPHICS SPECIFIC TO FALL RIVER COUNTY: 1. ACCESSIBILITY TO LOCAL PROVIDERS, SPECIALTIES, AND SERVICES. 2. COMMUNITY/GOVERNMENT/HEALTHCARE CORRDINATION TO EASE ACCESS TO SUBSTANCE ABUSE AND MENTAL HEALTH RESOURCES AND SUPPORTS. 3. REGULARLY SCHEDULED COMMUNITY EDUCATION ON HEALTH MAINTENANCE, PREVENTION, AND RESOURCES.
FACILITY 1, FALL RIVER HEALTH SERVICES - PART V, LINE 5 THE 2019 CHNA WAS CONDUCTED BY FRHS VIA THE DISTRIBUTION OF SURVEYS THROUGH FOCUS GROUPS, SURVEYS THROUGHOUT FALL RIVER COUNTY WITH COLLECTION BOXES, PHONE INTERVIEWS, AND ATTENDANCE AT LOCAL GATHERINGS. SURVEY DATA WAS COLLECTED FROM THE FOLLOWING SOURCES: SENIOR CENTERS, LOCAL BUSINESS AND ENTERPRISES, LOCAL SCHOOL PERSONNEL, LAW ENFORCEMENT AGENCIES, HEALTHCARE STAFF, AND MULTIPLE LOCAL COMMUNITY EVENTS.
FACILITY 1, FALL RIVER HEALTH SERVICES - PART V, LINE 11 THE FOLLOWING 3-PART PLAN OF ACTION WILL BE IMPLEMENTED: 1. FRHS WILL ACTIVELY PURSUE RECRUITMENT OF STAFFING POSITIONS AND COMPLETE A PERFORMANCE IMPROVEMENT PROJECT TO IMPROVE WORK FLOW OF PHONE CALLS AND CHECK IN/OUT PROCESSES FOR PATIENTS TO INCREASE ACCESSIBILITY TO LOCAL PROVIDERS, SPECIALTIES, AND SERVICES. 2. FRHS WILL COLLABORATE WITH COMMUNITY/GOVERNMENT/HEALTHCARE TO PROVIDE LOCAL ADDICTION RESOURCE INFORMATION AND EASE ACCESS FOR INDIVIDUALS SEEKING SUPPORT SERVICES. 3. FRHS WILL COORDINATE REGULARLY SCHEDULED EDUCATION ON HEALTH MAINTENANCE, PREVENTION, AND RESOURCES WITHIN THE COMMUNITY, AT LOCAL EVENTS, AND WITHIN THE HOSPITAL.
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Supplemental Information
SCHEDULE H, PART I, LINE 3C UPON APPLICATION APPROVAL, FREE CARE IS PROVIDED TO PATIENTS WHOSE INCOME FALL BELOW FEDERAL POVERTY GUIDELINES. UPON APPLICATION APPROVAL, DISCOUNTED CARE IS PROVIDED ON A SLIDING SCALE TO PATIENTS WHOSE INCOME FALL BETWEEN 100% AND 175% OF FEDERAL POVERTY GUIDELINES. IN ADDITION TO MEETING THE INCOME BASED CRITERIA ABOVE, PATIENTS MUST ALSO HAVE CASH AND CASH EQUIVALENT ASSETS OF LESS THAN 50,000 TO RECEIVE FREE OR DISCOUNTED CARE.
SCHEDULE H, PART I, LINE 7 THE COSTING METHOD IS AS FOLLOWS TOTAL EXPENSES / GROSS PATIENT SERVICE REVENUE = PERCENTAGE OF COST TO CHARGES.
SCHEDULE H, PART II COMMUNITY HEALTH IMPROVEMENT ADVOCACY - THE ENTITY PROMOTES AMERICAN CANCER SOCIETY'S RELAY FOR LIFE WITHIN THE COMMUNITY. ALSO PROVIDES COMMUNITY HEALTH FAIR TO IMPROVE PUBLIC HEALTH. OTHER - THE ENTITY COMPLETED A COMMUNITY NEEDS ASSESSMENT TO HELP PROTECT OR IMPROVE THE COMMUNITY'S HEALTH.
SCHEDULE H, PART III, LINE 8 THE INFORMATION IS DERIVED FROM THE MEDICARE COST REPORT D, E & M WKSTS.
SCHEDULE H, PART III, LINE 9B "THE COLLECTION POLICY INCLUDES AN EXPLANATION OF FALL RIVER HEALTH SERVICES' CHARTIY CARE PROGRAM. THE PROGRAM IS CONSIDERD A ""RESOURCE OF LAST RESORT, EVERY ATTEMPT WILL BE MADE TO ASSIST THE PATIENT IN BECOMING COVERED UNDER ANY AVAILABLE ASSISTANCE PROGRAMS, STATE, LOCAL, FEDERAL OR COMMUNITY BASED"". REGULAR COLLECTION EFFORTS WILL BE FOLLOWED UNTIL A DETERMINATION IS MADE FROM A COMPLETED ASSISTANCE APPLICATION THAT A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE."
SCHEDULE H, PART VI, LINE 2 FRHS STRIVES TO STAY CURRENT WITH THE NEEDS OF OUR COMMUNITY BY KEEPING INVOLVED IN VARIOUS ORGANIZATIONAL GROUPS. WE ARE STREGTHENING OUR RELATIONSHIP WITH THE LOCAL SCHOOL SYSTEM, LOW INCOME, ELDERLY HOUSING AUTHORITY AND SPECIAL SERVICES. WE TAKE THEIR INPUT AND FOCUS ON THE HEALTH NEEDS THAT ARE IDENTIFIED. BY WORKING TOGETHER THE HEALTH AND WELLNESS OF OUR COMMUNITY IS IMPROVED WITH BY A COLLABORATIVE APPROACH.
SCHEDULE H, PART VI, LINE 3 THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE BY POSTING THEIR CHARITY CARE POLICIES AND OTHER FEDERAL, STATE, AND LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S CHARITY CARE POLICY BY POSTING GUIDELINES IN ADMITTING AREAS, HAVING THE INFORMATION AVAILABLE ON THEIR WEBSITE, PUBLICATIONS IN NEWSPAPERS ADS AND THROUGH DISCUSSIONS WITH INDIVIDUALS SEEKING MORE INFORMATION.
SCHEDULE H, PART VI, LINE 4 THE ORGANIZATIONS SERVICES A RURAL AREA IN SOUTHWESTERN SOUTH DAKOTA. THE PRIMARY SERVICE AREA IS FALL RIVER COUNTY WHICH HAS 6,758 RESIDENTS (2018 ESTIMATE). THE SECONDARY SERVICE AREA INCLUDE PARTS OF CUSTER AND SHANNON COUNTIES. 14.0% OF RESIDENTS IN THE PRIMARY SERVICE AREA ARE UNDER THE FEDERAL POVERTY LEVEL, WHILE HIGHER PERCENTAGE OF THE RESIDENTS IN THE SECONDARY SERVICE AREA ARE UNDER THE FEDERAL POVERTY LEVEL. THE SERVICE AREA IS DESIGNATED AS BOTH A MEDICALLY UNDERSERVED AREA AND A HEALTH PROFESSIONAL SHORTAGE AREA.
SCHEDULE H, PART VI, LINE 5 A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS. THE ORGANIZATION APPLIES ANY SURPLUS FUNDS TO FACILITY IMPROVEMENTS FOR PATIENT CARE.
