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Coteau Des Prairies Hospital

Coteau Des Prairies
205 Orchard Drive
Sisseton, SD 57262
Bed count25Medicare provider number431339Member of the Council of Teaching HospitalsNOChildren's hospitalNO
EIN: 460278210
Display data for year:
Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
1.3%
Spending by Community Benefit Category- 2021
(as % of total functional expenses)
* = CBI denoted preventative categories
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$ 22,001,567
      Total amount spent on community benefits
      as % of operating expenses
      		$ 286,554
      1.30 %
  • Amount spent in the following IRS community benefit categories:
      • Financial Assistance at cost
        as % of operating expenses
        		$ 19,253
        0.09 %
        Medicaid
        as % of operating expenses
        		$ 252,165
        1.15 %
        Costs of other means-tested government programs
        as % of operating expenses
        		$ 0
        0 %
        Health professions education
        as % of operating expenses
        		$ 14,577
        0.07 %
        Subsidized health services
        as % of operating expenses
        		$ 0
        0 %
        Research
        as % of operating expenses
        		$ 0
        0 %
        Community health improvement services and community benefit operations*
        as % of operating expenses
        Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.
        		$ 559
        0.00 %
        Cash and in-kind contributions for community benefit*
        as % of operating expenses
        		$ 0
        0 %
        Community building*
        as % of operating expenses        		$ 1,818
        0.01 %
    • * = 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 housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Persons served (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Community building expense
          as % of operating expenses          		$ 1,818
          0.01 %
          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
          		$ 784
          43.12 %
          Community health improvement advocacy
          as % of community building expenses
          		$ 559
          30.75 %
          Workforce development
          as % of community building expenses
          		$ 475
          26.13 %
          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        		$ 585,259
        2.66 %
        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 agencyNot 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 $ 17532598 including grants of $ 0) (Revenue $ 21843953)
COTEAU DES PRAIRIES HOSPITAL (CDPH) IS A 25 BED ACUTE CARE HOSPITAL WITH PHYSICIAN CLINICS LOCATED IN SISSETON, SOUTH DAKOTA AND THE SURROUNDING AREA. THE HOSPITAL PROVIDES HEALTH CARE SERVICES TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THEN ESTABLISHED RATES. SINCE THE HOSPITAL DOES NOT PURSUE COLLECTION OF THESE AMOUNTS, THEY ARE NOT REPORTED AS PATIENT SERVICE REVENUE. THE ESTIMATED COST OF PROVIDING THESE SERVICES WAS 42,781 FOR THE YEAR ENDED DECEMBER 31, 2021. STATISTICS FOR THE PERIOD ENDED DECEMBER 31, 2021, ARE AS FOLLOWS: ACUTE PATIENT DAYS = 958, SWING-BED PATIENT DAYS = 654, NEWBORN NURSERY DAYS = 152, EMERGENCY ROOM VISITS = 4,528, CLINIC VISITS = 13,271, AND NUMEROUS OTHER OUTPATIENT VISITS.
      Facility Information
      Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
      FACILITY 1, COTEAU DES PRAIRIES - PART V, LINE 3E
SIGNIFICANT HEALTH NEEDS AS IDENTIFIED BY VARIOUS STAKEHOLDER GROUPS INCLUDED BEHAVIORAL HEALTH, PRENATAL SUBSTANCE USE, LACK OF RESOURCES, MENTAL HEALTH SERVICES, CAREER AND PROFESSIONAL DEVELOPMENT TO DEVELOP HEALTH PROFESSIONALS WITHIN THE COMMUNITY, HOME VISITING TO FAMILIES WITH BABIES AND PRESCHOOLERS, RELIABLE CHILD CARE, AND HEALTHY FOOD THAT IS AFFORDABLE.
      FACILITY 1, COTEAU DES PRAIRIES - PART V, LINE 5
THE COMMUNITY HEALTH NEEDS ASSESSMENT EVALUATED COMMUNITY HEALTH FROM A NUMBER OF PERSPECTIVES INCLUDING STAKEHOLDER AND COMMUNITY SURVEYS, SURVEYS OF COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATION ALONG WITH PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY COTEAU DES PRAIRIES HEALTH CARE SYSTEM EMPLOYEES LOCALLY.
      FACILITY 1, COTEAU DES PRAIRIES - PART V, LINE 11
THE HOSPITAL FACILITY HAS IDENTIFIED TWO PRIORITY AREAS OF FOCUS. BY FOCUSING ON BROADER UPFRONT ISSUES SUCH AS ACCESS TO PRIMARY CARE, MORE TIMELY AND TARGETED REFERRALS, AND EARLY DETECTION, THE HOSPITAL FACILITY BELIEVES THEY WILL BE ABLE TO HAVE A DOWNSTREAM IMPACT ON A WIDE RANGE OF CONDITIONS AND DISEASES. 1) IMPROVING ACCESS TO CARE AND USE OF TELEHEALTH TECHNOLOGIES THROUGH TEAM-BASED CARE, SCREENING FOR ANXIETY/DEPRESSION, PREVENTATIVE SCREENING, ADDRESSING FINANCIAL BARRIERS OF PATIENTS, EXTENDING HOURS, RECRUITING PROVIDERS, AND PROMOTING TELEHEALTH USE. 2) ADDRESSING BEHAVIORAL AND MENTAL HEALTH NEEDS INCLUDING ALCOHOL, DRUG, AND SUBSTANCE USE DISORDERS THROUGH IDENTIFICATION/SCREENING, BRIEF INTERVENTION, REFERRAL TO CARE, AND IMPROVEMENT OF ACCESS TO BEHAVIORAL/TELEHEALTH SERVICES.
      FACILITY 1, COTEAU DES PRAIRIES - PART V, LINE 16J
A SUMMARY OF THE CHARITY CARE POLICY IS POSTED IN THE HOSPITAL'S MAIN ENTRANCE/ADMISSION AREAS, THE MAIN ENTRANCE/ADMISSION AREAS FOR EACH OF THE CLINICS, AND IN THE EMERGENCY ROOMS AND WAITING ROOMS. CDPH PROVIDES A COPY OF THE POLICY, OR A SUMMARY THEREOF, AND FINANCIAL ASSISTANCE CONTACT INFORMATION TO PATIENTS AS PART OF THE INTAKE PROCESS, WHEN APPLICABLE. IN ADDITION, CDPH PERSONNEL DISCUSS WITH THE PATIENT THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, AND ASSIST THE PATIENT WITH QUALIFICATION FOR SUCH PROGRAMS, WHEN APPLICABLE.
      Supplemental Information
      Schedule H (Form 990) Part VI
      SCHEDULE H, 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. UNREIMBURSED MEDICAID ON LINE 7B WAS CALCULATED USING THE COSTING METHODS TO PREPARE THE COST REPORTS. COMMUNITY HEALTH IMPROVEMENT SERVICES, LINE 7E, AND HEALTH PROFESSIONS EDUCATION, LINE 7F, IS COMPILED USING ACTUAL COSTS.
      SCHEDULE H, PART II
"CDP TRAVELS TO VARIOUS COMMUNITIES IN WITHIN 30 MILES FOR ""TOE CLINICS"" THIS SERVICE IS OFFERED TO ANYONE NO MATTER AGE, GENDER, ETHNICITY. CDP EMPLOYEES ARE ACTIVE IN COMMUNITY MEETINGS WITH IHS, ALIVE ROBERTS COUNTY, SD DEPT HUMAN SERVICES, SWO COLLEGE. MEETINGS HAVE A RANGE OF AGENDA'S THAT INCLUDE HEALTHY BABIES 0-5, SUICIDE PREVENTION, MENTAL HEALTH, COMMON PATIENTS IN THE COMMUNITY HEALTH & WELLNESS, PROMOTING HEALTHY PREGNANCIES."
      SCHEDULE H, PART III, LINE 8
THE HOSPITAL PROVIDES SERVICES TO MEDICARE PATIENTS KNOWING THERE COULD BE A SHORTFALL BECAUSE ACCESS TO HEALTHCARE AND INDIVIDUAL'S HEALTH IS IMPORTANT TO THE HOSPITAL. THEREFORE; THE MEDICARE SHORTFALL IS CONSIDERED A COMMUNITY BENEFIT. TOTAL REVENUE RECEIVED FROM MEDICARE (INCLUDING DSH AND IME) IS THE GROSS REIMBURSEMENT PLUS SETTLEMENT (INCLUDING LSA). BOTH THE TOTAL REVENUE RECEIVED FROM MEDICARE AND THE MEDICARE ALLOWABLE COSTS ARE REPORTED FROM THE MEDICARE COST REPORT. THE MEDICARE COST REPORT IS COMPLETED BASED ON THE RULES AND REGULATIONS SET FORTH BY CENTERS FOR MEDICAID AND MEDICARE SERVICES.
      SCHEDULE H, PART III, LINE 9B
FOR PATIENTS WHO QUALIFY FOR CHARITY CARE AND ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR DISCOUNTED HOSPITAL BILLS, COTEAU DES PRAIRIES HOSPITAL AND CLINIC MAY OFFER EXTENDED PAYMENT PLANS. THE HOSPITAL WILL NOT SEND UNPAID BILLS TO OUTSIDE COLLECTION AGENCIES AND WILL CEASE ALL COLLECTION ACTIONS SUCH AS WAGE GARNISHMENTS, LIENS ON PRIMARY RESIDENCES, OR OTHER LEGAL ACTIONS. THE HOSPITAL WILL FIRST MAKE REASONABLE EFFORTS TO DETERMINE WHETHER THE PATIENT IS ELIGIBLE FOR CHARITY CARE UNDER THE FINANCIAL ASSISTANCE POLICY.
      SCHEDULE H, PART VI, LINE 2
THE PRIORITY OF CDPH IS TO PROMOTE THE HEALTH OF SISSETON AND ALSO THE SURROUNDING RURAL COMMUNITIES. PLEASE REFER TO SCHEDULE H, PART V, LINE 5.
      SCHEDULE H, PART VI, LINE 3
CDPH UTILIZES MULTIPLE METHODS FOR PATIENT EDUCATION OF FINANCIAL ASSISTANCE. PLEASE SEE SCHEDULE H, PART V, LINE 16.
      SCHEDULE H, PART VI, LINE 4
THE HOSPITAL SERVES APPROXIMATELY 21,000 RESIDENTS IN THE GLACIAL LAKES REGION IN NORTHEAST SOUTH DAKOTA AS WELL AS WEST CENTRAL MINNESOTA. COMMUNITIES SERVED INCLUDE ROBERTS COUNTY, MARSHALL COUNTY, AND DAY COUNTY IN SOUTH DAKOTA AS WELL AS RICHLAND COUNTY IN NORTH DAKOTA AND TRAVERSE COUNTY IN MINNESOTA.
      SCHEDULE H, PART VI, LINE 5
CDPH IS A SOLE COMMUNITY PROVIDER WITH AN 9 MEMBER VOLUNTEER BOARD OF DIRECTORS WHO ALL RESIDE IN THE PRIMARY SERVICE AREA. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED INDIVIDUALS AS THEY ARE REQUESTED. IF CDPH WERE TO HAVE SURPLUS FUNDS, THE FUNDS WOULD BE APPLIED TO PATIENT CARE IMPROVEMENTS AND ALSO TO REDUCE THE NEED FOR RATE INCREASES FOR THE PATIENTS. THE EMERGENCY ROOM IS STAFFED 24 HOURS A DAY, 7 DAYS A WEEK, AND PATIENTS ARE WELCOMED REGARDLESS OF RACE OR THE ABILITY TO PAY FOR THE SERVICES. CDPH PARTICIPATES IN ALL GOVERNMENT-SPONSORED HEALTH PROGRAMS INCLUDING MEDICARE, MEDICAID, INDIAN HEALTH SERVICES, AND VETERAN AFFAIRS BENEFITS. THE HOSPITAL AND CLINICS WELCOME STUDENTS FOR TRAINING AND COLLEGE ROTATIONS IN VARIOUS HEALTHCARE PROFESSIONS.
      SCHEDULE H, PART VI
PART I, LINE 3C: PLEASE REFER TO SCHEDULE H, PART V, LINE 13.