SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
Phillips County Hospital Association
 
Employer identification number

81-6016152
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

 

No
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . .
    13,000   13,000 0.200 %
b Medicaid (from Worksheet 3, column a) . . . . .     1,466,457 909,685 556,772 8.400 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     1,479,457 909,685 569,772 8.600 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).            
f Health professions education (from Worksheet 5) . . .     71,554   71,554 1.080 %
g Subsidized health services (from Worksheet 6) . . . .            
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     6,320   6,320 0.100 %
j Total. Other Benefits . .     77,874   77,874 1.180 %
k Total. Add lines 7d and 7j .     1,557,331 909,685 647,646 9.780 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and
training for community members
           
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
111,036
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
55,518
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
2,938,217
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
3,071,172
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-132,955
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 Phillips County Hospital
311 S 8th Ave E
Malta,MT59538
www.pchospital.us
12856
X X     X   X      
Schedule H (Form 990) 2018
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Schedule H (Form 990) 2018
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Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
Phillips County Hospital
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
 
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 17
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 17
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): https://pchospital.us/community-transparency/
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2018
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Schedule H (Form 990) 2018
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
Phillips County Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
https://pchospital.us/hospital/
b
https://pchospital.us/hospital/
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Page 6
Schedule H (Form 990) 2018
Page 6
Part VFacility Information (continued)

Billing and Collections
Phillips County Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2018
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Schedule H (Form 990) 2018
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
Phillips County Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2018
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Schedule H (Form 990) 2018
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
Phillips County Hospital Part V, Section B, Line 5: PCH conducted a CHNA with the assistance of the Montana State University Office of Rural Health Area Health Education Center. The process was started early in 2017 in partnership and collaboration with the County Health Nurse department and convened a Phillips county/community wide Steering Committee that is comprised of a diverse group of members representing various organizations and populations within the community including public health, elderly, low income, seniors, youth, uninsured/underinsured and any others who self-identify and want to join the conversations. The Montana Office of Rural Health was added into the already ongoing Community Needs group conversations as well as then formally meeting with the Steering Committee 2 times during the CHNA process; first to discuss health concerns in the community, offer their perspective in reviewing secondary data and discuss potential community focus groups and secondly to review survey results and focus groups to assist PCH in prioritization of health needs to address. An environmental scan of all relevant data was conducted to gather health, economic and demographic information for Philips County. Existing data in the form of PCH surveys and focus groups and county/state reports where utilized. In addition the MORH traveled to Malta and held 4 focus group discussions.
Phillips County Hospital Part V, Section B, Line 6b: Town of Dodson, City of Malta, Phillips County, Phillips County EMS, County Health nurse/department, Phillips County Coalition for Healthy Choices, PC Sheriff's Dept., Malta Chamber of Commerce, PhillCo Economic Growth Council, Malta City Parks/Rec, MSU County Extension Agent, local business owners, county librarian, Zortman community, Phillips Transit Authority, Hi-Line Retirement Center, US Border Patrol, Ministerial Assoc.
Phillips County Hospital Part V, Section B, Line 11: Community Health Needs identified in the FY2018 CHNA and Implementation Plan were addressed as follows during the fiscal year:I. Assure continued access to healthcare services-Improve access to specialty care: We continue to have traveling specialists to PCH. PCH Practitioners received training and now do IUD implants. We continue with mobile mammography. PCH is participating in regional Cancer and Breast Cancer group with CMMC in Lewistown.-Improve access to telehealth: PCH maintains 2 lines of telehealth (EMTN and REACH) as well as Ipad technology in the ER. PCH credentials/privileges many different and needed Telemed Practitioners to meet patient needs. We send clinical and operational staff to Telemed training annually. We are always in conversations with Tertiary centers for new opportunities to develop more Practitioner usage.-Explore expansion of services offered: Able to initiate Ultrasound services and pain management OUD/SUD work. PT started offering pelvic floor care and services and developed and initiated 4 Practitioner Primary care model-Improve knowledge of services available at PCH through enhanced marketing and outreach: PT developed a FB page and put on educational/informational topics for patients. We continue to advertise and put health and wellness bits in local media (newspapers and radio). We work to keep our website updated with new services and care provided. PCH staff are involved in different community groups that includes the monthly "Community Needs group" meetings.-Support access to community health resources: PCH continued several community groups: Community Needs Group, LEPC, and Suicide prevention/mental health. We have developed and keep updated a members in the community at risk. We also work to keep an updated community resource/contacts list.II. Improve access to mental and behavioral health resources-We continue to have access to behavioral health professionals through electronic and telemed venues. PCH has participated in state wide conversations around behavioral health workers and community health workers - education, training and recruitment. We continue to passively recruit a behavioral health professional to PCH.-Participate in CMMC/NMHA grant focused on integrating behavioral health into primary care: Identified and dedicated 2 staff to take the lead with this and participate in the work and help build and develop policies and procedures for PCH. We have gained a lot of education and training on IBH as well as chronic care management.-Explore opportunities to collaborate with regional partners on Senior behavioral health services - NA as the expense of the 3rd party vendor/partner was unreasonable and unable to be managed, yet PCH does much of this work through the IBH and chronic care management-Enhance PCH activities related to drug misuse (opioids/prescription drug abuse and pain management): One of our Practitioners focused clinic practice on pain management and developed many policies and procedures surrounding this. We had 2 dedicated staff to lead and track as it is associated with the IBH work. Clinical staff have also gotten a lot of education and training associated with this. Clinical staff were trained in MAT and developed policies and procedures around that service.III. Promote health, wellness and disease prevention-Continue to promote health and wellness in Phillips County: We continue to offer and support annual self-ordered labs to the community. We support Malta Trails efforts to improve their trail systems. We offer low cost sports physicals to area youth.-Enhance PCH efforts related to chronic disease management and disease prevention: We support a staff member to do chronic care management as well as utilization review for our patients. We provided a Community diabetes program through Billings Clinic and have been a part of regional Cancer and Breast cancer program with CMMC in Lewistown. We have partnered with the Boys/Girls Club - Coalition for Healthy Choices. We are recognized as Cardiac Ready by MT DPHHS.The areas identified in our FY2018 CHNA that PCH will not be addressing are as follows and reasons why:*Phillips County having higher rates of uninsured - PCH will not take this on themselves as it is not financially feasible for PCH to do so.However, PCH does have knowledge of or has a working relationship with community members who can help patients/families get onto the exchange forhealth insurance as well as Medicare Part D. PCH does have a 340B program in place in partnership with Valley Drug for uninsured/under-insured. PCH also has a sliding fee schedule and a FAP available as needed and qualified for.*Phillips County has a higher rate of persons below the poverty level - this is outside PCH ability to control other than to offer professional healthcare jobs at market comparable rates within the state for specific positions and continuing to recruit/retain employees as needed.*Desire for an updated emergency room and emergency services - PCH does not have the capital resources to address this item at this time.
Part V, Section B, Line 7a: CHNA Report:https://pchospital.us/community-transparency/
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2018
Page 9
Schedule H (Form 990) 2018
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?  
Name and address Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2018
Page 10
Schedule H (Form 990) 2018
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
Part I, Line 3c: In addition to the Federal Poverty Guidelines, Medical Indigency is also considered when determining eligibility for financial assistance.
Part I, Line 6a: The organization's community benefit report can be found on its website at www.pchospital.us or by asking the BO or Administration for a copy.
Part I, Line 7: An average ratio of cost to gross charges was used to determine the amounton Part I, line 7a. The costs for Medicaid in Part I, line 7b were determined based on the cost report. The costs for Health Professions education in Part I, line 7f and for Cash and in kind contributions, line 7i, were determined based on actual expenses recorded in the GL.
Part I, Ln 7 Col(f): The Bad Debt expense included on Form 990, Part IX, Line 25(A), but subtracted for purposes of calculating the percentage in this column is $111,036.
Part III, Line 2: Bad debt expense is reported at charges as recorded by the organization.All discounts and payments on a patient's account are accounted for priorto determining bad debt expense.
Part III, Line 3: We estimate that at least 50 percent of bad debt could have been charity care had the patient requested and filled out the financial assistance application and/or filled it out completely and accurately.
Part III, Line 4: The footnote to the Organization's financial statements can be found onpages 8 and 9 of the attached audited financial statements.
Part III, Line 8: 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.All of the Medicare shortfall should be treated as a community benefit.The Organization treats individuals regardless of the ability to pay.Providing Medicare services promotes access to healthcare services whichare vitally needed by our community.
Part III, Line 9b: PCH will accept and process an application for financial assistance during the Application Period beginning on the first day care is provided and ending 240 days after PCH provides the first post discharge billing statement. If an incomplete application is submitted the Hospital will contact the patient to request the missing information and the patient will have 30 days to respond. Failure to respond within the 30-day period will result in the Application being suspended from further processing; however the patient may re-activate the Application by providing the requested information at any time during the 240-day period following the first post-discharge statement issued by the Hospital to the patient for such care. Within 15 days of receiving a completed Financial Assistance Application, the Hospital will determine eligibility for financial assistance and notify the patient in writing of such determination. If a Financial Assistance Application (whether complete or incomplete) is submitted by a patient at any time during the Application Period, the Hospital will suspend any ECAs underway for so long as the patient's Financial Assistance Application is pending.
Part VI, Line 2: In order to assess the healthcare needs of the communities, PCH continually works to follow a philosophy that the community's CHNA is an ongoing and iterative process. With this, PCH, in partnership/collaboration with the other community entities (ie. Public/County Health Department, Nursing Home, Boys/Girls Club, Coalition for Health Choices, the Malta Public Schools, City of Malta Rec Dept., County/City officials, Malta Opportunities, Chamber, PhillCo and any others who wish to join our monthly meetings) have convened a "Community Needs Group" that discusses Phillips County needs on an ongoing monthly basis. This helps keep the process of identifying and then addressing community needs an iterative process. There are also ongoing internal conversations at PCH with the Board, Medical Staff, Senior leadership and Department Heads that discuss what else we may be missing, what is feasible and/or possible for PCH to address and if not possible to address, why so. We are constantly assessing what we are doing and identifying if there are new or different community needs that we would consider addressing.In partnership with the Montana Office of Rural Health, PCH completed its new CHNA in March of 2018. In conjunction with the CHNA PCH also then developed our current Implementation Plan which reports regularly to the Board and other members/committees of PCH as well to the public at the Annual PCH membership meeting. Both the CNHA and Implementation plan can be found on the PCH website at www.pchospital.us
Part VI, Line 3: A business office staff member visits with every inpatient about our FAP and gives them the application if they so desire. The policy and application are also available on our website. Availability of a sliding fee is posted at the clinic registration desk. All PCH business office staff are aware of the program and work with individuals on an as needed basis.
Part VI, Line 4: PCH identifies and defines its primary service area as all of the frontier/rural population and communities of Phillips County. A secondary service area is defined as the surrounding counties of Blaine, Valley and Fergus. PCH, being a HPSA designated site, is the sole hospital in Philips county and provides care and services to a population of 4,192. The county has a population density of 0.8, and the highest percentage of residents are ages 18-64. The highest race/ethnicity is white at 86.8%. The rate of uninsured adults under age 65 is 24%. Median income is $36,071 and persons below poverty level is 16.4%. The top chronic diseases are: cardiovascular, diabetes and chronic obstructive disease and the leading causes of death are: unintentional injury, suicide and cardiovascular disease.
Part VI, Line 5: PCH has an open medical staff and welcomes and invites many outside medical specialists/practices to provide services in its facility (i.e., Podiatry, OB/GYN, General Surgery, Mental Health, Hearing Specialist, OT, WIC, Telemedicine as well as others as identified). PCH is served by a 9 member volunteer board of directors along with another 30 volunteer community member association of trustees all of whom reside in Phillips County. Any excess of revenues over expenses that PCH sees annually get put back into the organization and its employees through facility improvements, needed supplies, new/updated equipment and/or technology, developing new service areas to meet and further serve the needs of the community along with investing in PCH employees through recruitment, retention of staff, improving wages, benefits and ongoing education and training so that they have the tools, knowledge, information and expertise to provide quality care. PCH also serves its community in the following ways:-PCH offers two systems for Telehealth services - EMTN out of Billings Clinic and REACH out of Benefis in Great Falls.-PCH's ER is available 24/7/365 to all community members regardless of ability to pay.-PCH is a training/mentoring site for mid-level Practitioner education - Rocky Mountain College, Chatham University, University of Utah, University of Cincinnati and Montana State University.-PCH is a clinical education and training site and is on the Advisory Boards for MSU-Northern and Aaniiih Nakoda College - nursing programs.-PCH also takes on clinical rotations for PT and Lab/X-Ray students as needed.-PCH participates in 3 different Area Health Education Center's (AHECs) in the State of Montana.-PCH is a Health Professional Shortage Area site (HPSA) and a part of the National Health Services Corps (NHSC).-PCH has helped create and organize the following community involvement/advisory groups - suicide prevention and community needs.- PCH works with the Malta Public Schools on job shadowing and engaging students in exposure to healthcare
Schedule H (Form 990) 2018
Additional Data


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