2026-09-08T12:50:37-04:00 2025-12-31 460393458 WOHLENBERG RITZMAN & CO LLC PO BOX 1018 YANKTON SD 57078 990 2025-01-01 460361016 PHILIP HEALTH SERVICES INC PHIL 6058592511 503 WEST PINE STREET PHILIP SD 57567 MAUREEN CADWELL CHIEF EXECUTIVE OFFI 6058593908 2026-08-31 true KATHLEEN DOYLE P01322431 6056654401 2026-08-28 2025 MAUREEN CADWELL 18460992 false X WWW.PHILIPHEALTHSERVICES.COM X 1953 SD TO PROVIDE HEALTH CARE TO PHILIP, SD & SURROUNDING AREAS 7 7 205 25 0 198063 99714 18730671 17880548 415053 432658 36067 48072 19379854 18460992 0 0 10792782 11259020 0 11736 8701048 8471631 19493830 19730651 -113976 -1269659 27228938 25306340 9624496 8957320 17604442 16349020 TO PROVIDE HEALTH CARE TO PHILIP, SD & SURROUNDING AREAS false false 13785029 17880548 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. 13785029 true true false false false false false false false false true false false false true false true false false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 12 0 true 205 true false false false false false false false false false false false false false false X 7 7 false false false false false true true true true false false true true true true true true true true false X X ORGANIZATION 6058592511 PO BOX 790 PHILIP SD 57567 DAVID HOLMAN MD EMPLOYEE 40.00 X 396376 0 28305 KERRY BLACKHAM EMPLOYEE 40.00 X 327602 0 27628 MAUREEN CADWELL CHIEF EXECUT 40.00 X 0 265754 23203 DIANE WEBER EMPLOYEE 40.00 X 202193 0 16452 ROBERT FUGATE EMPLOYEE 40.00 X 158348 0 31182 TERRY HENRIE EMPLOYEE 40.00 X 181046 0 5656 TRISHA LARSON DIRECTOR 1.00 X 0 0 0 RITA O'CONNELL SECRETARY 1.00 X X 0 0 0 THOR ROSETH DIRECTOR 1.00 X 0 0 0 DJ RUSH VICE PRESIDE 1.00 X X 0 0 0 RAY SMITH PRESIDENT 1.00 X X 0 0 0 MIKE VETTER DIRECTOR 1.00 X 0 0 0 CHRISTY WILLERT DIRECTOR 1.00 X 0 0 0 1265565 265754 132426 21 false true false MONUMENT HEALTH PO BOX 3450 RAPID CITY SD 57709 MGMT SERVICES 1219264 MEDICAL SOLUTIONS PO BOX 850737 MINNEAPOLIS MN 55485 CONTRACT LABOR 699135 JENSEN DESIGN BUILD 801 QUINCE ST MITCHELL SD 57301 CONTRACTOR 595000 QUICK2HIRE PO BOX 1844 MEMPHIS TN 38101 CONTRACT LABOR 403903 4 61001 38713 99714 PATIENT SERVICE REVENUE 621990 17775329 17775329 OTHER OPERATING REVENUE 621990 68506 68506 MISCELLANEOUS REVENUE 621990 36713 36713 17880548 367613 367613 48072 48072 48072 48072 65045 65045 65045 65045 18460992 17993665 367613 X 288957 288957 8832074 7224395 1607679 275654 240331 35323 1240924 873427 367497 621411 488297 133114 49610 49610 20924 20924 2935277 2174550 748991 11736 82060 977 81083 729307 55403 673904 274 250 24 1003649 302534 701115 69566 66948 2618 2974 1453 1521 197488 141073 56415 1500335 639573 860762 17840 200 17640 SUPPLIES 1534262 1247553 286709 340B DRUG COSTS 328065 328065 19730651 13785029 5933886 11736 8865520 8141697 2837231 2114440 159578 166932 403133 391752 105550 172079 26496443 13156333 14512343 13340110 191533 219323 154050 760007 27228938 25306340 1948032 1242560 7299005 7074618 377459 241569 398573 9624496 8957320 X 17549837 16294156 54605 54864 17604442 16349020 27228938 25306340 -1269659 14237 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 130936 130936 18716857 8087915 10628942 5854537 4283363 1571174 1794113 785055 1009058 13340110 THIRD PARTY PAYOR SETTLEMENT PAYABLE 398573 398573 18475229 14237 14237 18460992 18460992 19730651 19730651 19730651 true true X true X true X true true false false 36163 36163 0.00180 2206525 2280812 2242688 2280812 36163 0.00180 1600337 859086 741251 0.03760 1600337 859086 741251 0.03760 3843025 3139898 777414 0.03940 56531 56531 0.00290 56531 56531 0.00290 true 234291 6742668 6890742 -148074 true true 1 1 HANS P PETERSON MEMORIAL HOSPITAL 503 W PINE ST PHILIP SD 57567 WWW.PHILIPHEALTHSERVICES.COM 10555 X X X HANS P PETERSON MEMORIAL HOSPITAL 1 false false true X X X X X X X X X 24 true true false true X WWW.PHILIPHEALTHSERVICES.COM true 24 true WWW.PHILIPHEALTHSERVICES.COM false false true X 100.000000000000 200.000000000000 X true true X X X X true X WWW.PHILIPHEALTHSERVICES.COM X WWW.PHILIPHEALTHSERVICES.COM X X X X X true X true X X X true X false false 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 2024 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) SOCIAL DETERMINANT OF HEALTH; 4) DIABETES; 5) TOBACCO USE; 6) DISABILING CONDITIONS; 7) NUTRITION, PHYSICAL ACTIVITY & WEIGHT; 8) HEART DISEASE & STROKE; 9) INFANT HEALTH & FAMILY PLANNING; 10) SEXUAL HEALTH; 11) INJURY & VIOLENCE; 12) CANCER; AND 13) ACCESS TO HEALTH CARE SERVICES. 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: SOCIAL DETERMINANTS OF HEALTH, INJURY & VIOLENCE, POTENTIALLY DISABILING CONDITIONS, TOBACCO USE, INFANT HEALTH & FAMILY PLANNING, SEXUALLY TRANSMITTED DISEASES AND ACCESS TO HEALTH CARE SERVICES AS THESE AREAS FALL MORE WITHIN THE PURVUE OF THE STATE AND COUNTY HEALTH DEPARTMENTS AND OTHER COMMUNITY AND LAW ENFORCEMENT AGENCIES. FACILITY 1, HANS P PETERSON MEMORIAL HOSPITAL - PART V, LINE 20A INFORMATION ON THE FAP IS ON THE HOSPITAL'S WEBSITE AND STATED ON THE BILLING STATEMENT TO CONTACT PHILIP HEALTH SERVICES FOR ADDITIONAL INFORMATION FOR FINANCIAL ASSISTANCE. FACILITY 1, HANS P PETERSON MEMORIAL HOSPITAL - PART V, LINE 20B INFORMATION ON THE FAP IS ON THE HOSPITAL'S WEBSITE AND STATED ON THE BILLING STATEMENT TO CONTACT PHILIP HEALTH SERVICES FOR ADDITIONAL INFORMATION FOR FINANCIAL ASSISTANCE. IN ADDITION, IF A PATIENT OR REPRESENTATIVE INQUIRES ABOUT PAYING, FINANCIAL ASSISTANCE INFORMATION WOULD BE PROVIDED TO THEM. 4 PHILIP NURSING HOME 503 WEST PINE PHILIP SD 57567 NURSING HOME SILVERLEAF ASSISTED LIVING FACILTIY 519 WEST PINE PHILIP SD 57567 ASSISTED LIVING FACILITY PHILIP CLINIC 507 WEST PINE PHILIP SD 57567 PROVIDER BASED CLINIC KADOKA CLINIC 601 CHESTNUT STREET KADOKA SD 57543 RURAL HEALTH CLINIC 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. X X X X X false false false false false false false false false DAVID HOLMAN MD EMPLOYEE 396376 10500 17805 424681 KERRY BLACKHAM EMPLOYEE 327602 9823 17805 355230 MAUREEN CADWELL CHIEF EXECUTIVE OFFI 265754 6505 16698 288957 DIANE WEBER EMPLOYEE 202193 6063 10389 218645 ROBERT FUGATE EMPLOYEE 158348 4750 26432 189530 TERRY HENRIE EMPLOYEE 181046 5430 226 186702 FORM 990, PAGE 1, PART I, LINE 6 BOARD MEMBERS SERVE WITHOUT COMPENSATION VOLUNTEERS ENTERTAIN NURSING RESIDENTS FORM 990, PAGE 6, PART VI, LINE 7A MEMBERS ELECT THE GOVERNING BOARD AT THE ANNUAL MEETING FORM 990, PAGE 6, PART VI, LINE 7B BOARD DECISIONS ARE NOT SUBJECT TO APPROVAL OF MEMBERS FORM 990, PAGE 6, PART VI, LINE 11B CHIEF EXECUTIVE REVIEWS 990 WHICH IS PREPARED BY AN AUDITING FIRM FORM 990, PAGE 6, PART VI, LINE 12C OFFICERS, DIRECTORS AND KEY EMPLOYEES REQUIRED TO ANNUALLY DISCLOSE INTERESTS THAT COULD GIVE RISE TO CONFLICTS FORM 990, PAGE 6, PART VI, LINE 15A ANNUAL BOARD EVALUATION CONDUCTED WITH INPUT FROM REGIONAL HEALTH PERSONNEL. SDAHO SALARY STUDY USED AS A GUIDELINE. FORM 990, PAGE 6, PART VI, LINE 15B PHYSICIANS HAVE EMPLOYMENT CONTRACTS FORM 990, PAGE 6, PART VI, LINE 18 GUIDESTAR.COM FORM 990, PAGE 6, PART VI, LINE 19 GOVERNING DOCUMENTS ARE MADE AVAILABLE ON REQUEST FORM 990, PART IX, LINE 11G CONSULTANT & MGMT 169,738 650,756 11,736 DATA PROCESSING 0 3,094 0 EDUCATION/TRAINING 35,413 19,872 0 MAINTENANCE CONTRACT 162,391 14,100 0 PATIENT TRANSPORT 7,326 0 0 PHL LABORATORY 131,470 0 0 PHYSICIAN FEES 33,878 0 0 PROFESSIONAL FEES-OTHER 0 4,384 0 PROFESSIONAL-NON PHYS 1,632,803 1,785 0 RECRUITMENT 1,531 55,000 0 TOTAL 2,174,550 748,991 11,736 MONUMENT HEALTH PO BOX 6000 RAPID CITY SD 57709 REIMBURSEM SD 501 3 N/A false false false false false false false false false false false false false false false false true false false false MONUMENT HEALTH P 1197630 CASH EXPENDITURES SCHEDULE R ON OCTOBER 1, 2021, THE FACILITY ENTERED INTO A MANAGEMENT AGREEMENT WITH MONUMENT HEALTH (MH) TO PROVIDE SERVICES TO THE HOSPITAL, CLINICS AND ASSISTED LIVING FACILITY. MH PROVIDES THE FOLLOWING SERVICES; ADMINISTRATOR, SUPPORTING SERVICES, OTHER SPECIFIC SERVICES, ATTENDANCE AT MEETINGS, REPORTS AND EDUCATION. IN CONSIDERATION FOR THESE SERVICES, THE FACILITY REIMBURSES MH 100% OF THE ADMINISTRATORS BASE SALARY AND BENEFITS AND THE ACTUAL COST OF SUPPORTING SERVICES. THE AGREEMENT EXPIRES SEPTEMBER 30,2031. EITHER PARTY MAY TERMINATE THE AGREEMENT SOONER, WITH OR WITHOUT CAUSE, BY GIVING 90 DAYS WRITTEN NOTICE OF TERMINATION.