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Pioneer Memorial Hospital And Health Services
Pioneer Memorial Hospital And Health
315 North Washington StreetViborg, SD 57070
| Bed count | 12 | Medicare provider number | 431328 | Member of the Council of Teaching Hospitals | NO | Children's hospital | NO |
EIN: 460260288
Display data for year:
Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
13.18%
Spending by Community Benefit Category- 2021
(as % of total functional expenses)
(as % of total functional expenses)
Community Benefit Spending Compared to Functional Expenses, 2010-2021
Additional data
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 $ 11,142,407 Total amount spent on community benefits as % of operating expenses$ 1,468,085 13.18 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 72,275 0.65 %Medicaid as % of operating expenses$ 32,360 0.29 %Costs of other means-tested government programs as % of operating expenses$ 0 0 %Health professions education as % of operating expenses$ 108,054 0.97 %Subsidized health services as % of operating expenses$ 1,222,980 10.98 %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.$ 24,306 0.22 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 8,110 0.07 %Community building*
as % of operating expenses$ 2,511 0.02 %- * = 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$ 2,511 0.02 %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$ 0 0 %Other as % of community building expenses$ 2,511 100 %Direct offsetting revenue $ 3,828 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 $ 3,828
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$ 453,622 4.07 %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$ 60,468 13.33 %- 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
This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
- 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 $ 4179386 including grants of $ 0) (Revenue $ 5478022) PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES OPERATES A 12-BED CRITICAL ACCESS HOSPITAL. THE ORGANIZATION PROVIDES HEALTHCARE SERVICES TO VIBORG AND SURROUNDING RURAL COMMUNITIES. DURING THE CURRENT YEAR, THE HOSPITAL HAD 102 ACUTE AND SWING BED ADMISSIONS AND 521 PATIENT DAYS, 822 VISITS TO THE EMERGENCY ROOM AND PERFORMED 58 SURGERIES/SCOPE PROCEDURES. VOLUMES AT PIONEER MEMORIAL HOSPITAL REMAINED CONSISTENT WITH THE PRIOR YEAR AS WE CONTINUED TO TESTING FOR COVID-19 AND PROVIDING CARE TO PATIENTS WITH COVID-19.
4B (Expenses $ 3218131 including grants of $ 0) (Revenue $ 3392720) PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES OPERATES A 43-BED SKILLED NURSING FACILITY, A 20-UNIT SENIOR HOUSING FACILITY, AND A 10-UNIT ASSISTED LIVING FACILITY. IN THE NURSING HOME, THERE WERE 35 ADMISSIONS AND 11,727 RESIDENT DAYS. THERE WERE 4,789 RESIDENT DAYS IN THE SENIOR HOUSING FACILITY, AND 3,103 RESIDENT DAYS IN THE ASSISTED LIVING FACILITY. PIONEER MEMORIAL'S LONG-TERM CARE SERVICES CONTINUED TO SEE SIGNIFICANT IMPACT FROM THE COVID-19 PANDEMIC STARTING IN 2020 AND GOING INTO 2021. A DECLINE IN CENSUS CONTINUED IN FISCAL YEAR 2021 WITH THE SKILLED NURSING FACILITY DAYS DOWN BY 8%, ASSISTED LIVING DOWN BY 12% AND THE SENIOR HOUSING DOWN BY 26%. THE LOST REVENUES DUE TO THE PANDEMIC WERE IN EXCESS OF $618,000 FOR FISCAL YEAR 2021.
4C (Expenses $ 1999393 including grants of $ 0) (Revenue $ 2769972) PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES OPERATES THREE MEDICARE-CERTIFIED RURAL HEALTH CLINICS LOCATED IN CENTERVILLE, PARKER AND VIBORG, SD. IN THE RURAL HEALTH CLINICS, THERE WERE 11,634 CLINIC VISITS. THE THREE RURAL HEALTH CLINICS ADMINISTERED 5,752 COVID VACCINATIONS IN FISCAL YEAR 2021.
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Facility Information
Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
PIONEER MEMORIAL HOSPITAL AND HEALTH SERVICE "PART V, SECTION B, LINE 5: IN CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENT, A FOUR-STEP APPROACH WAS TAKEN FOR THE ASSESSMENT. (1) NON-GENERALIZABLE SURVEY: THE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY (NDSU) DEVELOPED AND MAINTAINED LINKS TO THE ONLINE SURVEY TOOL. NDSU DISTRIBUTED THE WEBSITE ADDRESS FOR THE SURVEY INSTRUMENT VIA E-MAIL TO VARIOUS KEY COMMUNITY STAKEHOLDERS AND AGENCIES, AT TIMES USING A SNOWBALL APPROACH. EIGHTY-NINE TOTAL RESPONDENTS PARTICIPATED IN THE ONLINE SURVEY DURING DECEMBER 2017 AND JANUARY 2018. THE PURPOSE OF THIS NON-GENERALIZABLE SURVEY OF COMMUNITY STAKEHOLDERS IN THE AREA WAS TO LEARN ABOUT THE PERCEPTIONS OF AREA COMMUNITY LEADERS REGARDING COMMUNITY HEALTH, THEIR PERSONAL HEALTH, PREVENTIVE HEALTH, AND THE PREVALENCE OF DISEASE. A LIKERT SCALE WAS DEVELOPED TO DETERMINE THE RESPONDENT'S HIGHEST CONCERNS, WITH 1 AS NOT AT ALL AND 5 MEANING A GREAT DEAL. NEEDS RANKING 3.5 AND ABOVE WERE INCLUDED AS NEEDS TO BE ADDRESSED AND PRIORITIZED. MANY OF THE IDENTIFIED NEEDS RANKING < 3.5 ARE BEING ADDRESSED BY PMH AND COMMUNITY PARTNERS; HOWEVER, 3.5 AND ABOVE ARE THE FOCUS OF THE PURPOSE OF THE REQUIRED PRIORITIZATION.(2) COMMUNITY STAKEHOLDER MEETING: PIONEER MEMORIAL HOSPITAL INVITED COMMUNITY STAKEHOLDERS TO A MEETING TO REVIEW THE EARLY FINDINGS FROM THE SURVEY AND TO DISCUSS THE TOP HEALTH ISSUES OR HEALTH-RELATED ISSUES FACING THE COMMUNITY. COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR THE COMMUNITY. (3) COMMUNITY ASSET MAPPING: UPON REVIEW OF THE DATA AND IDENTIFYING THE UNMET NEEDS FROM THE VARIOUS SURVEYS AND DATA SETS, ASSET MAPPING WAS CONDUCTED. RESEARCH WAS DONE ON ANY UNMET NEEDS TO DETERMINE WHAT RESOURCES WERE AVAILABLE IN THE COMMUNITY TO ADDRESS THOSE NEEDS. ONCE GAPS WERE DETERMINED, THE COMMUNITY STAKEHOLDER GROUP PROCEEDED TO THE PRIORITIZATION PROCESS, UTILIZING A MULTI-VOTING METHODOLOGY TO DETERMINE WHICH TOP PRIORITIES WOULD BE DEVELOPED INTO IMPLEMENTATION STRATEGIES.(4) SECONDARY RESEARCH: THE SECONDARY DATA INCLUDES THE ROBERT WOOD JOHNSON COUNTY HEALTH RANKINGS FOR TURNER COUNTY, AND THE ""FOCUS ON SOUTH DAKOTA - A PICTURE OF HEALTH"" STUDY CONDUCTED BY THE HELMSLEY CHARITABLE TRUST. INDICATORS REVIEWED FOR THIS ASSESSMENT INCLUDE POPULATION DATA, VITAL STATISTICS, ADULT BEHAVIORAL RISK FACTORS, CRIME AND CHILD RISK."
PIONEER MEMORIAL HOSPITAL AND HEALTH SERVICE PART V, SECTION B, LINE 7D: THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY 2020-2022 WERE MADE AVAILABLE VIA THE FOLLOWING METHODS: (1) THE PMH&HS SHAREHOLDERS MEETING ON JUNE 29, 2020. (2) THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT WAS EMAILED ON OCTOBER 29,2019 TO THE FOLLOWING: (A) CITY MAYORS/FINANCE OFFICERS IN VIBORG, CENTERVILLE, HURLEY, PARKER, IRENE AND WAKONDA, (B) DEVELOPMENT DIRECTORS IN CENTERVILLE AND PARKER, (C) LAW ENFORCEMENT - TURNER COUNTY SHERIFF, (D) COUNTY - TURNER COUNTY AUDITOR AND (E) THE SCHOOL SUPERINTENDENTS IN VIBORG-HURLEY, CENTERVILLE, PARKER AND IRENE-WAKONDA SCHOOL DISTRICTS.LINES 7A AND 10A: HTTPS://WWW.PIONEERMEMORIAL.ORG/CUSTOM/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
PIONEER MEMORIAL HOSPITAL AND HEALTH SERVICE PART V, SECTION B, LINE 11: IN 2021, PIONEER MEMORIAL PERFORMED THE FOLLOWING ACTIONS WITH REGARD TO THE IMPLEMENTATION STRATEGY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT.1. AGING POPULATION - SENIOR CARE EDUCATION: - EDUCATION AND PROMOTION OF LOW COST LAB TESTS (DIRECT TESTS) WERE PROVIDED ON THE HOSPITAL'S WEBSITE AND THROUGH SOCIAL MEDIA.- PROVIDED EDUCATION ON HEALTHY AGING, FALLS PREVENTION, OSTEOPOROSIS, PARKINSONS, EATING SMART, HEART HEALTHY HABITS, CARDIAC REHABILITATION, BENEFITS OF PHYSICAL ACTIVITY, AND YEARLY WELLNESS VISIT VIA SOCIAL MEDIA.- PROVIDED EDUCATION ON CARING FOR A PERSON WITH ALZHEIMER OR DEMENTIA VIA SOCIAL MEDIA.- PROMOTED EDUCATION ON COVID AND THE COVID VACCINATION VIA SOCIAL MEDIA AND THE PIONEER LIFELINE. - PROVIDED EDUCATION ON DIFFERENT LIFESTYLE OPTIONS FOR SENIOR LIVING IN THE PIONEER LIFELINE. - SPONSORED HEALTH LIVING CLASS FOR SENIORS IN THE COMMUNITIES OF VIBORG, CENTERVILLE, PARKER AND IRENE. THE ATTENDEES DID EXERCISES SITTING AND STANDING AND BLOOD PRESSURES CHECKED. - DUE TO THE CORONAVIRUS PANDEMIC IN 2021, WE WERE UNABLE TO SPONSOR IN-PERSON SEMINARS ON ESTATE PLANNING, MEDICAID ELIGIBILITY AND APPLICATION PROCESS, VENDOR FAIRS ON AVAILABLE IN-HOME SERIES AND FINANCIAL ASSISTANCE PROGRAM. 2. MENTAL HEALTH - EDUCATION- PROVIDED INFORMATION VIA SOCIAL MEDIA ON SEPTEMBER IS SUICIDE AWARENESS MONTH, ESPECIALLY THE PROFOUND PSYCHOLOGICAL AND SOCIAL EFFECT ON PEOPLE AND OUR COMMUNITIES FROM THE COVID-19 PANDEMIC, AND THE ENCOURAGEMENT THAT IF YOU ARE STRUGGLING, HELP IS AVAILABLE. - PROVIDED INFORMATION VIA SOCIAL MEDIA ON STAYING FIT, WELLNESS AND THE BENEFITS OF ENGAGING IN PHYSICAL ACTIVITIES ON YOUR MENTAL AND PHYSICAL HEALTH. - PROVIDED INFORMATION VIA SOCIAL MEDIA ON MANAGING STRESS AND MENTAL HEALTH AWARENESS. - PROVIDED INFORMATION VIA SOCIAL MEDIA ON HOLIDAY STRESS AND HOLIDAY ALCOHOL USE. - PROVIDED INFORMATION VIA SOCIAL MEDIA ON DEPRESSION IN ADOLESCENTS AND YOUNG ADULTS. - PROVIDED INFORMATION VIA SOCIAL MEDIA ON CHECKING YOUR MEDICATIONS AND PROPERLY DISPOSING OF MEDICATIONS TO PREVENT DRUG ADDICTION AND OVERDOSE DEATHS. - EDUCATION TO ADULTS ON THE IMPORTANCE OF SELF-CARE DURING A PANDEMIC.
PIONEER MEMORIAL HOSPITAL AND HEALTH SERVICE PART V, SECTION B, LINE 13B: FINANCIAL ASSISTANCE IS PROVIDED UP TO 100% FOR INDIVIDUALS WHO ARE AT 200% OR BELOW THE FEDERAL POVERTY GUIDELINES, AND A SLIDING SCALE DISCOUNT IS OFFERED TO INDIVIDUALS FROM 201% UP TO 350% OF THE FEDERAL POVERTY GUIDELINES. THE DETERMINATION OF FINANCIAL ASSISTANCE IS BASED ON THE FEDERAL POVERTY GUIDELINES, BUT WE ALSO TAKE INTO CONSIDERATION OTHER FACTORS SUCH AS SERIOUS ILLNESS, LOSS OF EMPLOYMENT, INSURANCE COVERAGE AND OTHER EXTENUATING CIRCUMSTANCES IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE OR DISCOUNTED CARE.
PIONEER MEMORIAL HOSPITAL AND HEALTH SERVICE PART V, SECTION B, LINE 16J: PART V, SECTION B, LINE 16A-C: THE FINANCIAL ASSISTANCE POLICY, APPLICATION, AND PLAIN LANGUAGE SUMMARY ARE POSTED AT HTTPS://WWW.PIONEERMEMORIAL.ORG/CUSTOM/FINANCIAL-ASSISTANCEPART V, SECTION B, LINE 16I: SIGNS ARE POSTED IN THE ADMISSIONS OFFICES AND EMERGENCY ROOM THAT DISCOUNTED FEES ARE AVAILABLE FOR PATIENTS MEETING THE CRITERIA, AND PATIENTS ARE ENCOURAGED TO CONTACT PATIENT FINANCIAL SERVICES TO DISCUSS THEIR CHARGES. PATIENTS ARE INFORMED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE ON THE BILLING STATEMENT AND ARE GIVEN THE TELEPHONE NUMBER TO CONTACT PATIENT FINANCIAL SERVICES WITH QUESTIONS OR TO INQUIRE ABOUT FINANCIAL ASSISTANCE. INFORMATION ON FINANCIAL ASSISTANCE IS PROVIDED TO PATIENTS IN THE REMINDER LETTERS AND COLLECTION LETTERS SENT TO PATIENTS WITH DELINQUENT BALANCES. PATIENT FINANCIAL SERVICES VISIT WITH INPATIENTS THAT ARE ADMITTED TO THE HOSPITAL WITH NO INSURANCE TO DISCUSS PAYMENT OPTIONS AND THE AVAILABILITY OF FINANCIAL ASSISTANCE.
PIONEER MEMORIAL HOSPITAL AND HEALTH SERVICE PART V, SECTION B, LINE 20E: LINE 20D, PRESUMPTIVE ELIBIGILITY DETERMINATIONS: ONCE A FINANCIAL ASSISTANCE APPLICATION IS COMPLETED AND APPROVED, IT WILL REMAIN IN EFFECT FOR SIX MONTHS FROM THE DATE OF APPROVAL. SERVICES PROVIDED DURING THE SIX MONTH PERIOD WILL BE ELIGIBLE FOR FINANCIAL ASSISTANCE AS DETERMINED DURING THE APPLICATION APPROVAL PROCESS.
PIONEER MEMORIAL HOSPITAL AND HEALTH SERVICE 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.
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Supplemental Information
Schedule H (Form 990) Part VI
PART I, LINE 3C: FINANCIAL ASSISTANCE IS PROVIDED UP TO 100% FOR INDIVIDUALS WHO ARE AT 200% OR BELOW THE FEDERAL POVERTY GUIDELINES AND A SLIDING SCALE DISCOUNT IS OFFERED TO INDIVIDUALS FROM 201% UP TO 350% OF THE FEDERAL POVERTY GUIDELINES. THE DETERMINATION OF FINANCIAL ASSISTANCE IS BASED ON THE FEDERAL POVERTY GUIDELINES, BUT WE ALSO TAKE INTO CONSIDERATION OTHER FACTORS SUCH AS SERIOUS ILLNESS, LOSS OF EMPLOYMENT, INSURANCE COVERAGE AND OTHER EXTENUATING CIRCUMSTANCES IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE OR DISCOUNTED CARE.PART I, LINE 6B:THE ORGANIZATION'S COMMUNITY BENEFIT REPORT CAN BE FOUND ON ITS WEBSITE AT HTTPS://WWW.PIONEERMEMORIAL.ORG/CUSTOM/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
PART I, LINE 7: CHARITY CARE (LINE A) WAS CALCULATED USING THE OVERALL COST TO CHARGE RATIO ADDRESSING ALL PATIENT SEGMENTS. COMMUNITY HEALTH IMPROVEMENT SERVICES (LINE E), HEALTH PROFESSIONS EDUCATION (LINE F) AND CASH AND IN-KIND CONTRIBUTIONS (LINE I) ARE BASED ON ACTUAL PROGRAM EXPENSES RECORDED IN THE GENERAL LEDGER. MEDICAID (LINE B) AND SUBSIDIZED HEALTH SERVICES(LINE G) ARE REPORTED USING THE MEDICAID AND MEDICARE COST REPORTS, RESPECTIVELY.
PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES INCLUDES CLINIC REVENUE OF $1,452,800 AND EXPENSE OF $2,333,368, FOR A NET LOSS FROM CLINIC OPERATIONS OF $880,568.
PART II, COMMUNITY BUILDING ACTIVITIES: PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES (PMHHS) PROVIDES FOR THE HEALTH AND SAFETY OF THE COMMUNITIES WE SERVE THROUGH FINANCIAL AND IN-KIND CONTRIBUTIONS TO THE LOCAL VOLUNTEER FIRE DEPARTMENTS, AMBULANCES AND FIRST RESPONDERS, SENIOR CITIZENS CENTERS, FOOD PANTRIES, DOMESTIC VIOLENCE SHELTERS, COMMUNITY AND SCHOOL EVENTS AND OTHER COMMUNITY ORGANIZATIONS THAT SERVE THE BETTERMENT OF THE COMMUNITIES WE SERVE. PMHHS IS ACTIVELY INVOLVED WITH THE TURNER COUNTY DISASTER PREPAREDNESS AND TURNER COUNTY CHILD PROTECTION TEAM. THE DESCRIBED ACTIVITY FURTHERS HEALTH IN THE COMMUNITY AS THE SUPPORT TO THESE ORGANIZATIONS PROVIDE SAFETY AND HEALTH SUPPORT TO INDIVIDUALS IN THE COMMUNITY.
PART III, LINE 2: THE AMOUNT ON LINE 2 REPRESENTS IMPLICIT PRICE CONCESSIONS. THE ORGANIZATION DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH THE RESPECTIVE CLASS OF PATIENTS AND RESIDENTS.
PART III, LINE 3: THE ORGANIZATION BELIEVES THE AMOUNT OF IMPLICIT PRICE CONCESSIONS INCLUDES PERSONS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE BUT WHO DID NOT COMPLETE THE APPLICATION PROCESS. THE METHODOLOGY USED TO ESTIMATE THE AMOUNT THAT WOULD HAVE QUALIFIED FOR FINANCIAL ASSISTANCE WAS BASED ON A PERCENTAGE OF DEMOGRAPHICS BELOW THE POVERTY LEVEL. THE POPULATION AND POVERTY RATES WERE OBTAINED FOR EACH OF THE COMMUNITIES IN OUR SERVICE AREA. THE PERCENTAGE OF POPULATION BY COMMUNITY TO THE TOTAL SERVICE AREA WAS CALCULATED, AND THIS PERCENTAGE WAS APPLIED TO THE COMMUNITY'S POVERTY RATE. THE AVERAGE WEIGHTED POVERTY RATE BY EACH COMMUNITY WAS TOTALED TO CALCULATE THE TOTAL AVERAGE WEIGHTED POVERTY RATE FOR OUR SERVICE AREA. THIS AVERAGE WEIGHTED POVERTY RATE WAS APPLIED TO THE AMOUNT OF IMPLICIT PRICE CONCESSIONS.
PART III, LINE 4: THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES IMPLICIT PRICE CONCESSION IS LOCATED IN THE AUDITED FINANCIAL STATEMENT REPORT ON PAGES 15-16.
PART III, LINE 8: PIONEER MEMORIAL HOSPITAL AND HEALTH SERVICES PROVIDES SERVICES TO PATIENTS UNDER THE MEDICARE PROGRAM KNOWING THEY WILL NOT RECEIVE ALL THE COSTS ASSOCIATED WITH PROVIDING THESE SERVICES. PROVIDING THESE SERVICES IS ESSENTIAL TO THESE PATIENTS AND THE COMMUNITY AND INCREASES THEIR ACCESS TO HEALTHCARE SERVICES. IN THE EVENT MEDICARE PRODUCES A SHORTFALL, IT IS CONSIDERED A COMMUNITY BENEFIT.MEDICARE ALLOWABLE COSTS OF CARE ARE BASED ON THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY CENTERS FOR MEDICARE AND MEDICAID SERVICES.
PART III, LINE 9B: PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES (PMHHS) IS COMMITTED TO PROVIDING FINANCIAL ASSISTANCE TO THOSE PATIENTS DEMONSTRATING AN INABILITY TO PAY FOR THE MEDICAL SERVICES PROVIDED. PMHHS WILL NOTIFY PATIENTS OF THEIR BALANCES BY BILLING STATEMENTS WHICH ARE MAILED APPROXIMATELY EVERY 28 DAYS FROM THE DATE THE ACCOUNT IS CONSIDERED SELF-PAY. THE BILLING STATEMENT PROVIDES INFORMATION REGARDING AVAILABILITY OF FINANCIAL ASSISTANCE. PMHHS WILL MAKE REASONABLE EFFORTS TO DETERMINE IF PATIENTS ARE ELIGIBLE FOR FINANCIAL ASSISTANCE. IF THE PATIENT/GUARANTOR HAS PROVIDED AN ACCURATE MAILING ADDRESS TO PMHHS, THE PATIENT/GUARANTOR WILL BE PROVIDED A MINIMUM OF 4 BILLING STATEMENTS BEFORE AN UNPAID SELF-PAY BALANCE WOULD BE ASSIGNED TO AN OUTSIDE COLLECTION VENDOR. IF THE PATIENT HAS FAILED TO PROVIDE A CORRECT OR DELIVERABLE MAILING ADDRESS, THEN THEIR BALANCES MAY BE ASSIGNED TO A THIRD PARTY COLLECTION VENDOR PRIOR TO 4 STATEMENTS BEING PROVIDED. IF PMHHS IS REASONABLY ABLE TO DETERMINE THAT A PATIENT IS UNABLE TO PAY THEIR MEDICAL BILL, PMHHS MAY GRANT FINANCIAL ASSISTANT PRIOR TO THE 4 STATEMENTS BEING PROVIDED. NEITHER PMHHS NOR ANY OF ITS THIRD PARTY COLLECTION VENDORS WILL TAKE ANY EXTRAORDINARY COLLECTION EFFORTS UNTIL PMHHS AND THE THIRD PARTY COLLECTION VENDOR HAVE MADE REASONABLE EFFORTS TO DETERMINE IF A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE PMHHS FINANCIAL ASSISTANCE POLICY. PMHHS DICTATES THAT ITS THIRD PARTY COLLECTION VENDORS CANNOT TAKE EXTRAORDINARY COLLECTION ACTIVITIES UNTIL A BALANCE IS AT LEAST 241 DAYS PAST THE FIRST SELF-PAY STATEMENT DATE PROVIDED TO THE PATIENT/GUARANTOR. THIS IS TO ENSURE THAT BOTH PMHHS AND ITS THIRD PARTY COLLECTION VENDORS ARE TAKING ANY AND ALL NECESSARY STEPS TO NOTIFY PATIENTS OF ITS FINANCIAL ASSISTANCE POLICY AND ALLOWING THE APPROPRIATE TIME FOR A PATIENT/GUARANTOR TO FILL OUT A FINANCIAL ASSISTANCE APPLICATION. IF A PATIENT/GUARANTOR FILLS OUT A COMPLETED FINANCIAL ASSISTANCE APPLICATION, PMHHS WILL NOTIFY THE THIRD PARTY COLLECTION VENDOR TO SUSPEND ALL EXTRAORDINARY COLLECTION ACTIVITIES APPENDING THE OUTCOME OF THE FINANCIAL ASSISTANCE DETERMINATION. IF REQUIRED BY REGULATION OR LAW AND THE PATIENT HAS FILLED OUT A FINANCIAL ASSISTANCE APPLICATION PRIOR TO 240 DAYS FROM THE FIRST SELF-PAY STATEMENT DATE, THEN THE THIRD PARTY COLLECTION VENDOR WILL TAKE STEPS TO REVERSE EXTRAORDINARY COLLECTION EFFORT FOR ANY PATIENT THAT QUALIFIES FOR FINANCIAL ASSISTANCE.
PART VI, LINE 3: PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES (1) POSTS CONTACT INFORMATION IN ADMISSIONS, EMERGENCY ROOM, AND OTHER AREAS OF THE ORGANIZATION FOR CONCERNS WITH CHARGES; (2) INCLUDES FINANCIAL ASSISTANT CONTACT INFORMATION ON PATIENT STATEMENTS AND COLLECTION LETTERS; (3) CONTACTS EMERGENCY ROOM PATIENTS WITH NO INSURANCE AND DISCUSSES PAYMENT OPTIONS AND FINANCIAL ASSISTANCE; (4) CONTACTS PATIENTS WITH NO INSURANCE WHO ARE SCHEDULED FOR PROCEDURES AND DISCUSSES PAYMENT OPTIONS AND FINANCIAL ASSISTANCE; (5) DISCUSSES WITH THE PATIENT THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, AND ASSISTS THE PATIENT WITH QUALIFICATION FOR SUCH PROGRAMS, WHERE APPLICABLE.
PART VI, LINE 2: PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES (PMH&HS) ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES AS PART OF ITS ANNUAL STRATEGIC PLANNING PROCESS. INFORMATION IS ALSO OBTAINED THROUGHOUT THE YEAR FROM THE SATISFACTION SURVEYS COMPLETED BY PATIENTS OF THE HOSPITAL AND CLINICS AND THE RESIDENTS IN THE NURSING HOME IN ACCESSING HEALTH CARE NEEDS. PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES BASED OUT OF VIBORG, SD WORKED IN PARTNERSHIP WITH SANFORD HEALTH TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT IN 2019, AND THE PMH&HS BOARD OF DIRECTORS APPROVED THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT AND THE COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION STRATEGY 2020-2022 ON SEPTEMBER 26, 2019. THE ASSESSMENT TARGETED THE SURROUNDING COMMUNITY, CONSIDERING THE NEEDS OF INDIVIDUALS AND HOUSEHOLDS WITHIN THE DEFINED RESEARCH AREA INCLUDING ADJACENT RURAL COMMUNITIES SUCH AS CENTERVILLE, DAVIS, HURLEY, PARKER, IRENE AND WAKONDA, AMONG OTHERS. AN IMPLEMENTATION STRATEGY WAS DEVELOPED THAT IDENTIFIES THE NEED AREAS AND THEIR RESPECTIVE GOALS AND ACTIVITIES THAT PMH&HS AIMS TO ACHIEVE IN THE COMING THREE-YEAR PERIOD.
PART VI, LINE 4: PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES SERVES THE RURAL COMMUNITIES OF VIBORG, CENTERVILLE, DAVIS, HURLEY, IRENE, PARKER AND WAKONDA. PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES IS A CRITICAL ACCESS HOSPITAL AND IS THE ONLY HOSPITAL LOCATED IN TURNER COUNTY. THERE ARE TWO TERTIARY HOSPITALS AND ONE HEART HOSPITAL LOCATED IN THE SIOUX FALLS METROPOLITAN AREA (45 MILES AWAY), AND ONE HOSPITAL LOCATED IN YANKTON (35 MILES AWAY). TURNER COUNTY IS A HEALTHCARE PROFESSIONAL SHORTAGE AREA. THE UNINSURED, MEDICAID AND MEDICARE PATIENTS REPRESENT RESPECTIVELY, 3%, 5% AND 60% OF TOTAL HOSPITAL PATIENTS.COMMUNITY POPULATION AVERAGE INCOME AVG HOUSEHOLD SIZEVIBORG 946 $ 46,875 2.8CENTERVILLE 1,213 $ 54,911 2.3DAVIS 180 $ 63,947 2.3HURLEY 622 $ 59,583 2.4IRENE 678 $ 71,473 2.3PARKER 1,314 $ 83,682 2.5WAKONDA 346 $ 44,444 2.3
PART VI, LINE 5: PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES OPERATES AN EMERGENCY ROOM THAT IS AVAILABLE TO ALL REGARDLESS OF ABILITY TO PAY.THE DIRECTOR OF SAFETY AT PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES IS A MEMBER OF THE TURNER COUNTY DISASTER PREPAREDNESS TEAM. THE TEAM HAS ALSO BEEN INVOLVED WITH STATEWIDE DRILLS FOR DIFFERENT DISASTER SCENARIOS (I.E. TORNADO, PANDEMIC OUTBREAK) SO THE HOSPITAL IS PREPARED TO RESPOND IF AN ACTUAL EVENT WERE TO OCCUR. THE PUBLIC HEALTH NURSE IS A MEMBER OF THE TURNER COUNTY CHILD PROTECTION TEAM AND IS TRAINED TO STEP INTO A SITUATION INVOLVING THE WELFARE OF A CHILD IF THE NEED SHOULD ARISE.THE GOVERNING BOARD OF PIONEER MEMORIAL HOSPITAL & HEALTH SERVICES IS COMPRISED OF PERSONS WHO RESIDE IN THE PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE FACILITY HAS AN OPEN MEDICAL STAFF. THE USE OF SURPLUS FUNDS IS RE-INVESTED IN CAPITAL AND PLANT AND ALSO ALLOCATED FOR IMPROVING PATIENT CARE.
