RURAL HEALTH RESOURCES OF JACKSON CO INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: RURAL HEALTH RESOURCES OF JACKSON CO INC (EIN 74-2826278)
Tax period: 2022-04-01 to 2023-03-31
Filed: 2024-02-15
IRS object ID: 202410469349301026
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule L
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-02-15T09:58:18-06:00	ReturnTs
Tax Period End	2023-03-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	FORVIS LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1201 Walnut Suite 1700	AddressLine1Txt
City	Kansas City	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	641062246	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-04-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	742826278	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RURAL HEALTH RESOURCES OF JACKSON CO INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% BART KENTON	InCareOfNm
Business Name Control	RURA	BusinessNameControlTxt
Phone	7853642116	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1110 COLUMBINE DRIVE	AddressLine1Txt
City	HOLTON	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	66436	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	CARRIE SAIA	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	7853649636	PhoneNum
Signature	2024-02-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	CARRIE	PersonFirstNm
Person Last	SAIA	PersonLastNm

Field	Value	IRS element (for citing)
SSN	XXX-XX-XXXX	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Michael J Engle	PreparerPersonNm
PTIN	P00482834	PTIN
Phone	8162216300	PhoneNum
Preparation	2024-02-15	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	HOLTON COMMUNITY HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	CARRIE SAIA	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1110 COLUMBINE DRIVE	AddressLine1Txt
City	HOLTON	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	66436	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$26,506,084	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.HOLTONHOSPITAL.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1997	FormationYr
Legal Domicile State	KS	LegalDomicileStateCd
Activity Or Mission	PROVIDE HIGH QUALITY HEALTHCARE SERVICES TO JACKSON COUNTY AND SURROUNDING COMMUNITIES WHILE CONSISTENTLY DEMONSTRATING PROFESSIONALISM WITH THE HOMETOWN TOUCH.	ActivityOrMissionDesc
Voting Members Governing Body	8	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	224	TotalEmployeeCnt
Total Volunteers	28	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,161,864	PYContributionsGrantsAmt
CY Contributions Grants	$1,017,646	CYContributionsGrantsAmt
PY Program Service Revenue	$23,692,484	PYProgramServiceRevenueAmt
CY Program Service Revenue	$25,196,256	CYProgramServiceRevenueAmt
PY Investment Income	$95,697	PYInvestmentIncomeAmt
CY Investment Income	$83,838	CYInvestmentIncomeAmt
PY Other Revenue	$181,899	PYOtherRevenueAmt
CY Other Revenue	$155,860	CYOtherRevenueAmt
PY Total Revenue	$29,131,944	PYTotalRevenueAmt
CY Total Revenue	$26,453,600	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$13,932,115	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$14,280,362	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$13,383,249	PYOtherExpensesAmt
CY Other Expenses	$13,163,500	CYOtherExpensesAmt
PY Total Expenses	$27,315,364	PYTotalExpensesAmt
CY Total Expenses	$27,443,862	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,816,580	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$990,262	CYRevenuesLessExpensesAmt
Total Assets BOY	$28,267,561	TotalAssetsBOYAmt
Total Assets EOY	$25,076,848	TotalAssetsEOYAmt
Total Liabilities BOY	$19,619,723	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$17,419,272	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$8,647,838	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$7,657,576	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROVIDE PROFESSIONALISM, COMPASSION AND EXCELLENCE IN HEALTHCARE FOR A HEALTHIER COMMUNITY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$16,944,040	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$21,257,624	RevenueAmt
Desc	SEE SCHEDULE O.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$3,681,933	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$2,921,718	RevenueAmt
Desc	THERE ARE 3 RURAL HEALTH CLINICS: 1 RURAL HEALTH CLINIC WITHIN THE SAME COMMUNITY WHERE THE HOSPITAL RESIDES, AND 2 RURAL HEALTH CLINICS LOCATED IN 2 SMALLER NEARBY COMMUNITIES. THE RURAL HEALTH CLINICS REPORTED 15,223 VISITS FROM 4/1/22 THROUGH 3/31/23 WHICH IS A 3% INCREASE FROM THE PREVIOUS YEAR. PROVIDERS FOR THE RURAL HEALTH CLINICS LIVE AND WORK IN THE SAME COMMUNITY AND ARE ACTIVELY INVOLVED IN COMMUNITY ACTIVITIES, OFFERING A LARGE VARIETY OF EDUCATIONAL SERVICES AS WELL AS CLINICAL SERVICES SUCH AS PROVIDING 2 LOCAL HIGH SCHOOLS SPORTS PHYSICALS AT LITTLE TO NO CHARGE.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$1,361,626	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$1,016,914	RevenueAmt
Desc	A HOSPITAL BASED HOME HEALTH AND HOSPICE AGENCY PROVIDES IN-HOME NURSING AND REHABILITATION CARE TO JACKSON COUNTY AND SURROUNDING COUNTY RESIDENTS. THE VISITS TOTALED 3,061 VISITS FROM 4/1/2022 TO 3/31/2023, HOSPICE SERVICES TOTAL 3,031 HOSPICE PATIENT DAYS FOR THE SAME PERIOD.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$21,987,599	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	false	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	29	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	224	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	8	GoverningBodyVotingMembersCnt
Independent Voting Member	6	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	KS	StatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	BART KENTON	PersonNm
Phone	7853649636	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1110 COLUMBINE DRIVE	AddressLine1Txt
City	HOLTON	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	66436	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd
CLINT COLBERG
PHYSICIAN, MD	40.0	0.0	Yes (X)	$333,181	$0	$36,812
MALIA WARNER
PHYSICIAN, MD	40.0	0.0	Yes (X)	$322,864	$0	$37,462
LADONA SCHMIDT
DIRECTOR/CHIEF OF MED STAFF	40.0	0.0		$299,048	$0	$31,112	Yes (X)
GARY PETRY
PHYSICIAN, MD	40.0	0.0	Yes (X)	$261,436	$0	$15,198
CARRIE SAIA
CHIEF EXECUTIVE OFFICER	40.0	0.0		$204,695	$0	$19,717		Yes (X)
JOSHUA C MOULIN
PHYSICIAN'S ASSISTANT	40.0	0.0	Yes (X)	$172,886	$0	$32,185
MICHAEL ENGELKEN
PHYSICIAN, MD	30.0	0.0	Yes (X)	$153,532	$0	$23,857
BART KENTON
CHIEF FINANCIAL OFFICER	40.0	0.0		$146,283	$0	$25,648		Yes (X)
BOBBI MCGRATH
DIRECTOR/BOARD CHAIR	1.0	0.0		$0	$0	$0	Yes (X)	Yes (X)
CHAD BONTRAGER
DIRECTOR/BOARD SECY/TREASURER	1.0	0.0		$0	$0	$0	Yes (X)	Yes (X)
DAN BRENNER
DIRECTOR/VICE CHAIR	1.0	0.0		$0	$0	$0	Yes (X)	Yes (X)
GLORIA STAVROPOULOS
DIRECTOR	1.0	0.0		$0	$0	$0	Yes (X)
HEATHER SCHRICK
DIRECTOR	1.0	0.0		$0	$0	$0	Yes (X)
MARILYN WATKINS
DIRECTOR	1.0	0.0		$0	$0	$0	Yes (X)
MARK AESCHLIMAN
DIRECTOR	1.0	0.0		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,893,925	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$221,991	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	28	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
PSYCHIATRIC MEDICAL CARE LLC
8 CADILLAC DRIVE 230	NASHVILLE	TN	66606	PHYSICIAN CONSULTING	$437,076
MOSS ANETHESIA LLC
8401 NW US HWY 75	TOPEKA	KS	66618	ANESTHESIA SERVICES	$350,004
ATHENAHEALTH
311 ARSENAL STREET	WATERTOWN	MA	02472	SUPPORT/SOFTWARE	$794,552
PREMIER SPECIALTY NETWORK
1835 E REPUBLIC RD	SPRINGFIELD	MO	65804	SPECIALTY PHYSICIAN	$564,249
RURAL PARTNERS IN MEDICINE LLC
8181 ARISTA PLACE	BROOMFIELD	CO	80021	SPECIALTY PHYSICIAN	$690,086

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	9	CntrctRcvdGreaterThan100KCnt
Government Grants	$739,241	GovernmentGrantsAmt
All Other Contributions	$278,405	AllOtherContributionsAmt
Total Contributions	$1,017,646	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	622110	$23,531,564	$23,531,564
340B REVENUE	623000	$1,574,748	$1,574,748
MEDICAID PROVIDER ASSESSMENT INCOME	622110	$89,944	$89,944

Field	Value	IRS element (for citing)
Total Program Service Revenue	$25,196,256	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$90,344	TotalRevenueColumnAmt
Exclusion	$90,344	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,000	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,000	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,000	TotalRevenueColumnAmt
Exclusion	$1,000	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$45,978	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$52,484	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$6,506	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$6,506	TotalRevenueColumnAmt
Exclusion	-$6,506	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
REBATE INCOME	623000	$95,510	$95,510
CAFETERIA	623000	$20,686	$20,686
All Other Misc Revenue	623000	$38,664	$38,664

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$38,664	TotalRevenueColumnAmt
Exclusion	$38,664	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$154,860	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$26,453,600	TotalRevenueColumnAmt
Related Or Exempt Func Income	$25,196,256	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$239,698	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$748,728	TotalAmt
Program Services	$546,842	ProgramServicesAmt
Management And General	$201,886	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$35,241	TotalAmt
Program Services	$35,241	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$10,636,720	TotalAmt
Program Services	$8,544,541	ProgramServicesAmt
Management And General	$2,092,179	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$340,246	TotalAmt
Program Services	$80,838	ProgramServicesAmt
Management And General	$259,408	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,667,831	TotalAmt
Program Services	$1,268,682	ProgramServicesAmt
Management And General	$399,149	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$851,596	TotalAmt
Program Services	$681,805	ProgramServicesAmt
Management And General	$169,791	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$7,749	TotalAmt
Management And General	$7,749	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$93,708	TotalAmt
Management And General	$93,708	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$4,589,762	TotalAmt
Program Services	$3,895,853	ProgramServicesAmt
Management And General	$693,909	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$56,865	TotalAmt
Program Services	$4,335	ProgramServicesAmt
Management And General	$52,530	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$298,826	TotalAmt
Program Services	$150,451	ProgramServicesAmt
Management And General	$148,375	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$932,410	TotalAmt
Program Services	$717,956	ProgramServicesAmt
Management And General	$214,454	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$348,443	TotalAmt
Program Services	$78,630	ProgramServicesAmt
Management And General	$269,813	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$196,216	TotalAmt
Program Services	$184,715	ProgramServicesAmt
Management And General	$11,501	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$413,235	TotalAmt
Program Services	$301,811	ProgramServicesAmt
Management And General	$111,424	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,673,884	TotalAmt
Program Services	$1,222,540	ProgramServicesAmt
Management And General	$451,344	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$208,911	TotalAmt
Program Services	$57,852	ProgramServicesAmt
Management And General	$151,059	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$3,245,280	$3,245,280
BAD DEBT EXPENSE	$794,060	$794,060
REPAIRS AND MANTENANCE	$157,453	$131,883	$25,570
DUES & SUBSCRIPTIONS	$81,620	$20,187	$61,433

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$65,078	TotalAmt
Program Services	$24,097	ProgramServicesAmt
Management And General	$40,981	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$27,443,862	TotalAmt
Program Services	$21,987,599	ProgramServicesAmt
Management And General	$5,456,263	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,014,036	BOYAmt
EOY	$113,579	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$5,364,967	BOYAmt
EOY	$2,163,914	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$69,000	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$3,223,487	BOYAmt
EOY	$4,045,565	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$169,352	BOYAmt
EOY	$295,577	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$175,143	BOYAmt
EOY	$198,795	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$25,402,126	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$8,735,384	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$18,213,843	BOYAmt
EOY	$16,666,742	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$106,733	BOYAmt
EOY	$1,523,676	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$28,267,561	BOYAmt
EOY	$25,076,848	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,692,594	BOYAmt
EOY	$1,484,645	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$686,403	BOYAmt
EOY	$21,617	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$16,071,139	BOYAmt
EOY	$15,685,971	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,169,587	BOYAmt
EOY	$227,039	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$19,619,723	BOYAmt
EOY	$17,419,272	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,601,572	BOYAmt
EOY	$7,541,960	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$46,266	BOYAmt
EOY	$115,616	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$8,647,838	BOYAmt
EOY	$7,657,576	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$28,267,561	BOYAmt
EOY	$25,076,848	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$990,262	ReconcilationRevenueExpnssAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$2,511	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$2,511	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1F	FormAndLineReferenceDesc
Explanation	THIS AMOUNT REPRESENTS THE PORTION OF THE DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION AND THE KANSAS HOSPITAL ASSOCIATION THAT ARE FOR LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$46,266	BeginningYearBalanceAmt
Investment Earnings Or Losses	$268	InvestmentEarningsOrLossesAmt
Other Expenditures	$268	OtherExpendituresAmt
End Year Balance	$46,266	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$46,266	BeginningYearBalanceAmt
Investment Earnings Or Losses	$267	InvestmentEarningsOrLossesAmt
Other Expenditures	$267	OtherExpendituresAmt
End Year Balance	$46,266	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$46,266	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,038	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,038	OtherExpendituresAmt
End Year Balance	$46,266	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$46,266	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,051	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,051	OtherExpendituresAmt
End Year Balance	$46,266	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$46,266	BeginningYearBalanceAmt
Investment Earnings Or Losses	$318	InvestmentEarningsOrLossesAmt
Other Expenditures	$318	OtherExpendituresAmt
End Year Balance	$46,266	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,983	OtherCostOrOtherBasisAmt
Book Value	$9,983	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,806,682	OtherCostOrOtherBasisAmt
Depreciation	$4,425,122	DepreciationAmt
Book Value	$13,381,560	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$858,661	OtherCostOrOtherBasisAmt
Depreciation	$616,386	DepreciationAmt
Book Value	$242,275	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,878,181	OtherCostOrOtherBasisAmt
Depreciation	$3,155,737	DepreciationAmt
Book Value	$2,722,444	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$848,619	OtherCostOrOtherBasisAmt
Depreciation	$538,139	DepreciationAmt
Book Value	$310,480	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$16,666,742	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM THIRD PARTY	$1,215,000
RIGHT OF USE ASSETS	$203,993
OTHER ASSETS	$70,687
DEFERRED FINANCING COSTS	$33,996

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$1,523,676	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
DUE TO THIRD PARTY	$47,359
OPERATIING LEASE LIABILITY	$179,680

Field	Value	IRS element (for citing)
Total Liability	$227,039	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$25,659,540	TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal	$25,659,540	RevenueSubtotalAmt
Other Revenues Not Included	$794,060	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$794,060	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$26,453,600	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$26,649,802	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$26,649,802	ExpensesSubtotalAmt
Other Expenses Not Included	$794,060	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$794,060	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$27,443,862	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4	THE PERMANENTLY RESTRICTED DONOR ENDOWMENT ONLY ALLOWS THE ORGANIZATION TO USE INTEREST INCOME FOR OPERATIONS.
SCHEDULE D, PART X, LINE 2	MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
SCHEDULE D, PART XI AND PART XII, LINE 4B	PROVISION FOR UNCOLLECTIBLE ACCOUNTS $ 794,060

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$57,529	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$57,529	NetCommunityBenefitExpnsAmt
Total Expense	0.00220	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,038,713	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$704,443	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,334,270	NetCommunityBenefitExpnsAmt
Total Expense	0.05010	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,096,242	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$704,443	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,391,799	NetCommunityBenefitExpnsAmt
Total Expense	0.05230	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,631	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,631	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$277,942	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$277,942	NetCommunityBenefitExpnsAmt
Total Expense	0.01040	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,361,626	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,016,914	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$344,712	NetCommunityBenefitExpnsAmt
Total Expense	0.01290	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,381	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,381	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,663,580	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,016,914	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$646,666	NetCommunityBenefitExpnsAmt
Total Expense	0.02420	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,759,822	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,721,357	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,038,465	NetCommunityBenefitExpnsAmt
Total Expense	0.07650	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$794,060	BadDebtExpenseAmt
Bad Debt Expense Attributable	$128,190	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$11,739,523	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$12,681,725	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$942,202	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HOLTON COMMUNITY HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1110 COLUMBINE DRIVE	AddressLine1Txt
City	HOLTON	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	66436	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.HOLTONHOSPITAL.COM	WebsiteAddressTxt
State License	H043001	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	HOLTON COMMUNITY HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200.	FPGFamilyIncmLmtDscntCarePct
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	HOLTON COMMUNITY HOSPITAL LEADERSHIP ALONG WITH JACKSON COUNTY HEALTH DEPARTMENT STARTED OFF BY ESTABLISHING A TIMELINE AND ROLES FOR THE CHNA. A CONSULTANT WAS HIRED TO ASSIST IN THE PROCESS. THIS GROUP THEN DEVELOPED A LIST OF INDIVIDUALS AND ENTITIES WITHIN JACKSON COUNTY THAT WOULD CONNECT WITH THE MAJORITY OF THE POPULATION OF JACKSON COUNTY. THE LIST INCLUDED PHYSICIANS, PUBLIC HEALTH OFFICIALS, OTHER HEALTHCARE PROVIDERS, CLERGY, COMMUNITY AND CIVIC LEADERS, EDUCATION STAFF, FAMILY CARE-GIVERS, AND MEMBERS OF AT-RISK POPULATIONS. A SURVEY WAS THEN CREATED CONSISTING OF 17 QUESTIONS TO ASSESS AREAS OF NEED WITHIN JACKSON COUNTY AND EMAILED TO THE LIST. PRESS RELEASES AND EMAIL REMINDERS WERE SENT TO HELP ENCOURAGE PARTICIPATION IN THE SURVEY PROCESS. A TOWN HALL MEETING WAS SET UP TO GET ADDITIONAL INPUT FROM THE COMMUNITY. THE DATE AND TIME WAS POSTED IN THE LOCAL NEWSPAPER AND FLYERS WERE PUT IN LOCAL BUSINESSES. SURVEY DATA WAS PRESENTED AT THE TOWN HALL MEETING WHICH WAS ATTENDED BY 36 INDIVIDUALS. IN ADDITION TO THE HOSPITAL AREAS OF HEALTHCARE REPRESENTED AT THE TOWN HALL MEETING WERE PROFESSIONALS IN THE AREAS OF FAMILY MEDICINE, VISION, MENTAL HEALTH, COMMUNITY HEALTH, AND LONG-TERM CARE. OTHERS ATTENDING WERE REPRESENTATIVES FROM THE LOCAL SCHOOLS, NEWSPAPER, BANKS, SEVERAL CIVIC ORGANIZATIONS AS WELL AS COMMUNITY MEMBERS. THROUGH INPUT FROM THE ATTENDEES INCLUDING A VOTING PROCESS BY EACH INDIVIDUAL, THE LIST OF NEEDS WAS NARROWED DOWN TO 8 ITEMS.
SCHEDULE H, PART V, SECTION B, LINE 6B	NEK MULTI-COUNTY HEALTH DEPARTMENTS KANZA MENTA HEALTH SERVICES NEKCAP-NORTHEAST KANSAS COMMUNITY ACTION PROGRAM JACKSON COUNTY CITY OF HOLTON
SCHEDULE H, PART V, SECTION B, LINE 7A	THE COMPLETE CHNA CAN BE FOUND AT: HTTPS://HOLTONHOSPITAL.COM/ABOUT/COMMUNITY-HEALTH/
SCHEDULE H, PART V, SECTION B, LINE 7D	COPIES ARE ALSO AVAILABLE AT OTHER HEALTHCARE PROVIDERS IN THE COUNTY.
SCHEDULE H, PART V, SECTION B, LINE 10A	THE IMPLEMENTATION STRATEGY CAN BE FOUND AT: HTTPS://HOLTONHOSPITAL.COM/ABOUT/COMMUNITY-HEALTH/
SCHEDULE H, PART V, SECTION B, LINE 11	DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT OF 2021 - FISCAL YEAR 2022. THE FOLLOWING WERE IDENTIFIED AS THE TOP CHALLENGES TO RESIDENTS OF JACKSON COUNTY: 1) AWARENESS OF HC SERVICES 2) MENTAL HEALTH (DIAGNOSIS, PLACEMENT, AFTERCARE, PROVIDERS) 3) TEEN HEALTH (EDUCATION) 4) ADEQUATE HOUSING 5) DRUG/SUBSTANCE ABUSE 6) CHILDCARE (UNDER 18 MONTHS) 7) OBESITY (NUTRITION/EXERCISE) 8) DENTAL SERVICES TAKING MEDICAID A FOLLOW-UP MEETING WAS CONDUCTED TO FINALIZE AN IMPLEMENTATION STRATEGY TO ADDRESS THE IDENTIFIED NEEDS. ATTENDING WERE REPRESENTATIVES FROM THE JACKSON COUNTY PUBLIC HEALTH DEPARTMENT, KANZA MENTAL HEALTH SERVICES, NEKCAP- NORTHEAST KANSAS COMMUNITY ACTION PROGRAM, AND JACKSON COUNTY COMMISSION DURING THE PROCESS, IT WAS FIRST DETERMINED WHETHER THE NEED WAS PART OF HOLTON COMMUNITY HOSPITALS MISSION OF CRITICAL OPERATIONS. AFTER THAT IT WAS THEN DETERMINED IF THE SPECIFIC ACTIONS IDENTIFIED TO ADDRESS EACH NEED WOULD BE PERFORMED BY HOLTON COMMUNITY HOSPITAL AND IF THE HOSPITAL WOULD ALLOCATE FUNDS TO THE ACTION. IN ADDITION TO THE ITEMS LISTED BELOW, THERE ARE SEVERAL COMMUNITY RELATED SPECIFIC ACTIONS THAT ARE LISTED ON OUR CHNA STRATEGIC PLAN. THE FOLLOWING ITEMS ARE DIRECTLY RELATED TO ACTIONS THAT THE HOSPITAL WILL ADDRESS AND DOLLAR AMOUNTS ALLOCATED TO THE SPECIFIC ACTIONS. 1) AWARENESS OF HC SERVICES A. CONTINUE HCH MARKETING ACTIVITIES. PROMOTE EXISTING HEALTHCARE SERVICES, FACILITIES AND SPECIALISTS. INCREASE MARKETING ACTIVITIES TO GENERATE COMMUNITY INTEREST AND AWARENESS. EDUCATE COMMUNITY ABOUT EXISTING HC SERVICES USING DIGITAL TOOLS (FACEBOOK / WEBSITE). ADVERTISE ON THE RADIO AND IN THE NEWSPAPERS B. CONTINUE USING AND UPDATING THE COMPREHENSIVE JACKSON COUNTY RESOURCE GUIDE ON DEDICATED COMMUNITY WEBSITE. CREATE OPTIONS TO SET APPOINTMENTS / SEE OPENINGS. C. SEND HOSPITAL LEADERSHIP AND STAFF TO LOCAL EVENTS, ACTIVITIES, AND PROGRAMS TO PROMOTE AND PUBLICIZE FACILITIES AND SERVICES. ORGANIZE WHO GOES WHERE AND WHEN. $500 D. CONTINUE TO HOST "LUNCH AND LEARNS" WHERE HEALTHCARE STAFF ARE ABLE TO DESCRIBE THEIR SERVICES TO A DIFFERENT DEMOGRAPHIC OF INDIVIDUALS THAN THOSE THAT WOULD BE ABLE TO ATTEND AN EVENING DINNER. (CONSIDER BREAKFAST OPTIONS AS WELL) $300 E. START A REFERENCE LINK THAT ALLOWS PATIENTS TO UTILIZE ALL HEALTHCARE SERVICES LOCALLY. PROMOTE PHONE NUMBERS & TEXTING TO MAKE APPOINTMENTS. 2) MENTAL HEALTH (DIAGNOSIS, PLACEMENT, AFTERCARE, PROVIDERS) A. CONTINUE COMMUNITY EDUCATION. COLLABORATE WITH COMMUNITY ELEMENTARY, MIDDLE, AND HIGH SCHOOLS TO EDUCATE STUDENTS ON MENTAL HEALTH (DE-STIGMATIZE MENTAL HEALTH CONDITIONS, SUICIDE PREVENTION AND SOCIAL MEDIA BULLYING). B. CONTINUE TO INCREASE DEPRESSION SCREENINGS BY PRIMARY CARE PHYSICIANS. ADD TRAUMA ASSESSMENT FOR PEDIATRICS AND OTHER MH ISSUES. C. CONTINUE TO PROVIDE MENTAL HEALTH SERVICE "FIRST AID" TRAINING FOR LAW ENFORCEMENT, SCHOOLS, AND OTHER FIRST RESPONDERS IN THE COMMUNITY. D. RECRUIT AND RETAIN MENTAL HEALTH PROVIDERS TO MEET SPECIFIC MENTAL INVENTORY NEEDS AS IDENTIFIED. CONSIDER RECRUITMENT OF LOCUM OR VISITING PROVIDER. E. CONTINUE SUICIDE PREVENTION TRAINING AT SCHOOLS. DEVELOP AND SPONSOR AN ANTI-SUICIDE CAMPAIGN FOR LOCAL COMMUNITY MEMBERS. F. CONTINUE TO EXPLORE / DEVELOP RELATIONSHIPS WITH KEY COMMUNITY PARTNERS IN THE AREA OF MENTAL HEALTH FOR COLLECTIVE IMPACT. LOOK INTO PARTNERING WITH LOCAL CHURCHES FOR ADDITIONAL SUPPORT. G. CONTINUE TO ENCOURAGE AREA PROVIDERS TO USE / ESTABLISH BH TELE- HEALTH OPTIONS IN THE COMMUNITY. H. CONTINUE TO INVESTIGATE GRANT WRITING TO FUND MENTAL HEALTH AND DEPRESSION. USE GRANT FUNDING TO SUPPORT MENTAL HEALTH CARE AND MENTAL HEALTH PREVENTION. $13,674 I. CONTINUE TO UTILIZE A 24-HOUR CRISIS HOTLINE (STATEWIDE NUMBER: 800-273-8255), 1-800-784-2433). HIGH PLAINS CRISIS LINE/SCREENINGS 3) TEEN HEALTH (EDUCATION) A. ASSIST SCHOOLS ON THEIR EFFECTS TO EDUCATE YOUTH ON THE DANGERS OF SMOKING / TOBACCO USE, AS WELL AS VAPING. FILL IN GAPS IN PROGRAMMING AND USE SOCIAL MEDIA. B. CONTINUE TO BUILD RELATIONSHIPS WITH K-12 SCHOOLS AND SCHOOL NURSES TO PROVIDE EDUCATION TO STUDENTS AND FAMILIES ABOUT HEALTHY EATING STRATEGIES AND FITNESS EDUCATION. (USE JCCTC) $1,200 C. CREATE YOUTH HEALTH PROGRAMS TO EDUCATE ON MOST COMMON DISEASES / PREVENTION METHODS. MARKET THIS PROGRAM THROUGH WEBSITE, SOCIAL MEDIA, RADIO, AND/OR NEWSPAPER. $4,300 D. EDUCATE & EXPAND YOUTH PHYSICAL ACTIVITY PROGRAMS. CREATE AFTER SCHOOL PROGRAMS TO KEEP YOUTH ACTIVE THROUGH PARKS AND REC. $400 E. EDUCATE STUDENTS ON SAFE SEX PROGRAMS INCLUDING STD'S. CONTINUE UTILIZING NURSE SPEAKERS TO COME INTO SCHOOLS TO SPEAK TO STUDENTS (DOH) F. EMPHASIZE HEALTH EDUCATION WITH FOCUS ON CHRONIC HEALTH, SMOKING/TOBACCO/VAPING, INCREASED SEAT BELT USAGE, EXERCISE, NUTRITION, AND SEX EDUCATION. $1,200 4) ADEQUATE HOUSING (THIS HEALTH NEED IS NOT PART OF THE HOSPITAL MISSION OF CRITICAL OPERATIONS. WILL PARTNER WITH OTHERS AS APPROPRIATE) A. CREATE A JACKSON COUNTY HOUSING DEVELOPMENT PLAN THAT WOULD ADDRESS AFFORDABLE SAFE HOUSING FOR COMMUNITY RESIDENTS. $500 B. EXPLORE THE IDEA OF ESTABLISHING A RE-HOME STORE FOR LOW COST RENOVATION ITEMS. PARTNER WITH LOCAL BUSINESSES FOR APPLIANCE DONATION OPTIONS. C. CONTINUE EXPLORING THE AREA AND BUILDING A NEW APARTMENT COMPLEXES FOR YOUNG FAMILIES AND POTENTIALLY THE ELDERLY AS TWO SEPARATE DEVELOPMENTS. D. OFFER RENTAL TENANT SUPPORT RESOURCES SUCH A UNIQUE PAYMENT PLANS. - MINISTRY E. ENCOURAGE LOCAL BANKERS TO ALLOW LOANS WHICH AID IN IMPROVEMENT OF EXISTING HOUSING. 5) DRUG/SUBSTANCE ABUSE A. CONTINUE TO MONITOR PRESCRIPTION DRUG (KTRACS) ABUSE. SUPPORT AREA PHYSICIANS IN DISCOURAGING PRESCRIPTION DRUG ABUSE. B. SUPPORT SUBSTANCE ABUSE COUNSELING FOR COMMUNITY MEMBERS. EDUCATE THE SCHOOLS AND LOCAL COMMUNITY ORGANIZATIONS ON SIGNS OF DRUG ABUSE. ESTABLISH RESOURCE LIST AVAILABLE FOR ADDICTION TREATMENT. C. EXPAND SCREENING BRIEF INTERVENTION REFERRAL AND TREATMENT (SBIRT). EXPAND OUTPATIENT PROGRAMS FOR SUBSTANCE ABUSE. D. ESTABLISH / PROMOTE DISCARDING OLD PRESCRIPTIONS AT LOCAL POLICE DEPARTMENTS, ESPECIALLY OPIOIDS. E. CONTINUE AND EXPAND TO OFFER / CREATE MEANINGFUL COMMUNITY YOUTH ACTIVITIES TO KEEP YOUTH ENGAGED AND ACTIVE. RESEARCH PREVALENT ISSUES LEADING TO DRUG ABUSE BY ADOLESCENTS. (UTILIZING JCCTC). F. CONTINUE TO SEEK ALCOHOL & DRUG ABUSE GRANT FUNDING. EXPAND "NO DRINKING" SCHOOL EDUCATIONAL PROGRAM. G. CONTINUING AA PROGRAM THAT MEETS MONTHLY. HELP SUPPORT PROGRAM THROUGH ADDITIONAL FUNDING OR COMMUNICATION OF INFORMATION TO COMMUNITY MEMBERS. H. CONTINUE WITH HEALTH CLASSES IN AREA SCHOOLS AND HOST SPEAKERS (DARE). SUPPORT USD POST-GRADUATION / POST-PROM PARTIES FINANCIALLY $200 6) CHILDCARE (UNDER 18 MONTHS) (This health need is not part of the hospital mission of critical operations. Will partner with others as appropriate) A. CONDUCT CHILD CARE SUPPORT EDUCATION I.E., TEEN BABYSITTING CLASSES ETC. CONTINUE TO PROVIDE SUPPORT FOR LICENSURE I.E., CPR CLASSES. CONTINUE TO PROVIDE CONTINUING EDUCATION AND TRAINING TO PARENTS. INVESTIGATE ADDING INFANT, TODDLER, AND PRE-SCHOOL CHILD CARE $170 B. EDUCATE YOUNG FAMILIES ON CHILD CARE COMMUNITY OPTIONS/RESOURCES. UTILIZE ADVERTISING AND MEDIA OUTLETS TO KEEP THE COMMUNITY AWARE OF CHILDCARE AVAILABLE. C. PROVIDE EDUCATION / INFORMATION ABOUT GRANT OPPORTUNITIES TO HELP FUND CHILD CARE AND TO HELP EXISTING BUSINESSES. D. ENHANCE PARTNERSHIPS AMONG THE PARENTS AND SCHOOL DISTRICTS FOR ADDITIONAL CHILD CARE PROGRAMS. 7) OBESITY (NUTRITION/EXERCISE) A. EXPAND AND ENHANCE COMMUNITY ACTIVITIES THAT PROMOTE PHYSICAL FITNESS/EXERCISE FOR THE ENTIRE FAMILY SUCH AS: "WALK WITH A DOC". SPONSOR A COMMUNITY-WIDE "FITNESS CHALLENGE" ALL AGES. $1,500 B. EXPAND DIABETIC EDUCATIONAL SERVICES. PARTNER WITH PROVIDERS AND H.D. TO ENHANCE THIS SERVICE. HAVE PROVIDERS SPEAK AT SCHOOLS. C. CONTINUE TO PROVIDE EDUCATION TO EMPLOYERS THROUGH WORK-SITE HEALTH FAIRS AND EDUCATIONAL PROGRAMS, INCLUDING VARIOUS SCREENINGS. D. PARTNER WITH THE CITY PARKS AND RECREATION DEPT TO ENCOURAGE ADDITIONAL OPPORTUNITIES THROUGHOUT PSA. E. CONTINUE TO INCREASE ACCESS TO HEALTHY FOODS IN SCHOOLS FOR YOUTH AND NURSING HOMES FOR SENIORS. PROVIDE HEALTHIER SCHOOL VENDING OPTIONS. $250 F. SPONSOR A PROGRAM TO TEACH PEOPLE HOW TO SHOP ON A BUDGET AND EAT HEALTHY. 8) DENTAL SERVICES TAKING MEDICAID (This health need is not part of the hospital mission of critical operations. Will partner with others as appropriate) A. REQUEST ALL AREA DENTISTS TO SEE MEDICAID PATIENT 1 DAY A MONTH - COMMUNITY SERVICE. B. CONTINUE TO SUPPORT KHA'S POLITICAL ADVOCACY INITIATIVES TO EXPAND KS MEDICAID COVERAGE WITH A SPECIAL FOCUS ON DENTAL COVERAGE. Grant Funds $3,000 - $5,000 C. CONTINUE TO REQUEST LOCAL DENTAL PROVIDERS TO TAKE MEDICAID PATIENTS. D. EXPLORE GRANTS TO ASSIST IN DENTAL CARE FOR THOSE UNINSURED / UNDERINSURED
SCHEDULE H, PART V, SECTION B, LINE 16A	THE FAP CAN BE FOUND AT: https://holtonhospital.com/hospital-care/patient-financial-assistance-info rmation/
SCHEDULE H, PART V, SECTION B, LINE 16B	THE FAP APPLICATION CAN BE FOUND AT: https://holtonhospital.com/hospital-care/patient-financial-assistance-info rmation/
SCHEDULE H, PART V, SECTION B, LINE 16C	THE FAP PLAIN LANGUAGE SUMMARY CAN BE FOUND AT: https://holtonhospital.com/hospital-care/patient-financial-assistance-info rmation/

Field	Value	IRS element (for citing)
Facility	3	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
FAMILY PRACTICE ASSOCIATES - HOLTON
1100 COLUMBINE DRIVE	HOLTON	KS	66436	RURAL HEALTH CLINIC
FAMILY PRACTICE ASSOCIATES - HOYT
117 W 3RD	HOYT	KS	66440	RURAL HEALTH CLINIC
FAMILY PRACTICE ASSOCIATES - WETMORE
323 SECOND STREET	WETMORE	KS	66550	RURAL HEALTH CLINIC

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C	INSURANCE STATUS AND UNDERINSURANCE STATUS ARE OTHER FACTORS USED IN THE ELIGIBILITY CRITERIA EXPLAINED IN THE FAP FOR PROVIDING FREE AND DISCOUNTED CARE.
SCHEDULE H, PART I, LINE 7	THE COSTING METHODOLOGY USED TO CALCUATE THE AMOUNT CONTAINED IN THE TABLE OF SCHEDULE H, PART I, LINE 7 IS THE COST-TO-CHARGE RATIO.
SCHEDULE H, PART I, LINE 7, COLUMN F	THE AMOUNT OF BAD DEBT EXPENSE REMOVED FROM TOTAL EXPENSES FOR CALCUATING THE NET COMMUNITY BENEFITS EXPENSE PERCENTAGE WAS $794,060.
SCHEDULE H, PART III, SECTION A, LINE 2	THE HOSPITAL REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HOSPITAL BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN ACCORDANCE WITH A PREDETERMINED PAYMENT PLAN BASED ON THE VALUE OF THE PATIENT'S BALANCE. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBT BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT.
SCHEDULE H, PART III, SECTION A, LINE 3	BAD DEBT EXPENSE (AT COST) IDENTIFIED THE PROVISION FOR UNCOLLECTIBLES FROM 3/31/23 AUDITED STATEMENT OF OPERATIONS. MULTIPLIED THAT AMOUNT BY THE COST TO CHARGE RATIO. CHARITY CARE (AT COST): LOGS MAINTAINED BY CASH COLLECTOR. LOG CONTAINS DATA OF THE DOLLAR AMOUNT TURNED TO BAD DEBT WHERE A CHARITY CARE APPLICATION WAS SENT BUT NOT RETURNED AND WHEN CHARITY CARE APPLICATION WAS RETURNED BUT PATIENT DID NOT FULFILL FINANCIAL OBLIGATION. SUBSEQUENTLY, MULTIPLIED THAT AMOUNT BY THE COST-TO-CHARGE RATIO IDENTIFIED IN SCHEDULE H, PART I.
SCHEDULE H, PART III, SECTION B, LINE 4	SEE PAGE 17 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, SECTION B, LINE 8	SERVING PATIENTS WITH GOVERNMENT HEATH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY.
SCHEDULE H, PART III, SECTION C, LINE 9B	FOR INDIVIDUALS WHO HAVE FINANCIAL DIFFICULTIES, THE HOSPITAL USES REASONABLE EFFORTS TO DETERMINE FINANCIAL ASSISTANCE ELIGIBILITY. THESE EFFORTS INCLUDE PROVIDING THE INDIVIDUAL WITH A PLAIN LANGUAGE SUMMARY (BROCHURE) OF THE FINANCIAL ASSISTANCE PROGRAM, A NOTICE ON ALL PATIENT BILLING STATEMENTS AND OTHER WRITTEN COMMUNICATIONS REGARDING BILLINGS, ORAL COMMUNICATIONS REGARDING AMOUNT DUE, AND OTHER MEANS AVAILABLE TO THE HOSPITAL TO IDENTIFY INDIVIDUALS WHO MAY BE ELIGIBLE FOR INSURANCE COVERAGE OR FINANCIAL ASSISTANCE. THE HOSPITAL WILL NOT ENGAGE IN EXTRAORDINARY COLLECTIONS ACTIONS (ECA) AGAINST AN INDIVIDUAL UNTIL IT IS DETERMINED THAT THE INDIVIDUAL HAS THE INCOME TO PAY OR THE INDIVIDUAL HAS NOT COOPERATED IN AN EFFORT TO ESTABLISH FINANCIAL ASSISTANCE ELIGIBILITY. IF A FINANCIAL ASSISTANCE APPLICATION HAS NOT BEEN SUBMITTED BY THE 120TH DAY AFTER THE HOSPITAL PROVIDED THE INDIVIDUAL WITH THE FIRST PATIENT BILLING STATEMENT, THE HOSPITAL MAY ENGAGE IN EXTRAORDINARY COLLECTIONS ACTIONS (ECA). IF AN APPLICATION IS SUBMITTED WITHIN THE 240TH DAY AFTER THE FIRST PATIENT BILLING STATEMENT, THE HOSPITAL WILL DISCONTINUE ECA UNTIL IT IS DETERMINED IF THE INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE.
SCHEDULE H, PART VI, LINE 2	OUR CURRENT 14-BED HOSPITAL IS LOCATED WITHIN THE OUTER REGION OF THE HOLTON CITY LIMITS. OUR EXPANDED FACILITIES ALLOW US TO PROVIDE A BROAD RANGE OF HEALTHCARE SERVICES TO ALL MEMBERS OF OUR COMMUNITY WITHOUT REGARD TO AGE, RACE, SEX OR FINANCIAL CONSTRAINTS. WE REGULARLY EVALUATE THE SERVICES WE PROVIDE TO SEE IF THEY ARE BEING UTILIZED AND TO SEE WHAT ADDITIONAL SERVICES CAN BE PROVIDED. WE UTILIZE OUR COMMUNITY HEALTH NEEDS ASSESSMENT AND PATIENT FAMILY ADVISORY COMMITTEE INPUT TO DETERMINE IF ADDITIONAL SERVICES NEED TO BE PROVIDED. WE ARE COMMITTED TO PROVIDING QUALITY HEALTHCARE TO ALL MEMBERS OF OUR COMMUNITY. BECAUSE WE ARE A SMALL TOWN HOSPITAL, A MAJORITY OF OUR PATIENTS HAVE A STRONG BOND WITH OUR STAFF. THIS ALLOWS US TO PROVIDE CARE THAT EXTENDS BEYOND JUST MEDICAL NEEDS. THE COST AND DIFFICULTY IN SEEKING CARE IN OTHER AREAS FOR OUR ELDERLY AND POOR POPULATION REINFORCES THE NEED FOR A STRONG COMMUNITY HOSPITAL. WE STRIVE TO MEET THIS NEED BY PROVIDING ALL SERVICES POSSIBLE. WE HAVE BEEN DISTRIBUTING PATIENT SATISFACTION SURVEYS THROUGHOUT OUR SURGICAL, INPATIENT, OUTPATIENT, RURAL HEALTH CLINIC, EMERGENCY ROOM AND REHABILITATION SERVICES FOR APPROXIMATELY 8 YEARS. THE RESULTS OF THESE SURVEYS ARE COMPILED MONTHLY AND ARE USED TO BETTER OUR PATIENT SERVICES. WE HAVE ALSO ESTABLISHED A SURGICAL OVERSIGHT COMMITTEE THAT MEETS MONTHLY ON HOW TO IMPROVE SERVICES AND PROCESSES IN THE SURGERY DEPARTMENT. LISTED BELOW ARE SOME OF THE SERVICES PROVIDED BY HOLTON COMMUNITY HOSPITAL. HOLTON COMMUNITY HOSPITAL IS PROUD TO BE A CERTIFIED 'STROKE READY' FACILITY. OUR REHABILITATION SERVICES DEPARTMENT PROVIDES A FULL-COMPLIMENT OF OCCUPATIONAL AND PHYSICAL THERAPIES, INCLUDING A LYMPHEDEMA MANAGEMENT PROGRAM AND SPEECH THERAPY. OUR CARDIOVASCULAR SERVICES DEPARTMENT PROVIDES CARDIAC REHAB, AS WELL AS PERFORMS PULMONARY FUNCTION PROCEDURES AND STRESS TESTS, AND PROVIDES ONE-ON-ONE CERTIFIED DIABETES EDUCATION AND TOBACCO CESSATION COUNSELING. THE SURGERY DEPARTMENT PROVIDES 24/7 SURGICAL SERVICES. WE HAVE A LARGE VARIETY OF SPECIALTY PHYSICIANS WHO TREAT PATIENTS IN THE FACILITY AS WELL AS PERFORM NUMEROUS SURGICAL PROCEDURES. THE RADIOLOGY DEPARTMENT PROVIDES NUCLEAR MEDICINE TESTING ON SITE. THE FACILITY ALSO CONTRACTS WITH SHARED MEDICAL SERVICES, INC. TO PROVIDE ON-SITE MOBILE MRI TESTING. THE RADIOLOGY DEPARTMENT IS ALSO VERY PROUD TO HAVE A 32-SLICE CT SCANNER WHICH PROVIDES HIGH RESOLUTION IMAGES. WE ALSO INSTALLED A STATE-OF-THE-ART 3D MAMMOGRAPHY UNIT TO HELP WITH EARLY DIAGNOSIS OF BREAST CANCER. OUR HOSPITAL OFFERS A FULL-SERVICE, 24-7 EMERGENCY DEPARTMENT WITH A PHYSICIAN AVAILABLE AT ALL TIMES. WE HAVE TRANSFER AGREEMENTS WITH SURROUNDING HOSPITALS FOR THOSE PATIENTS WHO PRESENT TO THE HOSPITAL EMERGENCY DEPARTMENT AND REQUIRE CARE BEYOND OUR CAPABILITIES. OUR 14-BED IN-PATIENT UNIT PROVIDES CARE TO MEDICAL-SURGICAL PATIENTS, SUB-ACUTE PATIENTS, PEDIATRICS AND GERIATRICS. WE ARE ALSO LICENSED TO PROVIDE SWINGBED SERVICES. THIS ALLOWS PATIENTS TO RECEIVE TRANSITIONAL INPATIENT REHABILIATION AND RECOVERY SERVICES. HOLTON COMMUNITY HOSPITAL HAS A FULL-SERVICE HOME HEALTH AND HOSPICE PROGRAM. OUR AWARD-WINNING HOSPICE DELIVERS END OF LIFE CARE TO PATIENTS OF PROVIDERS THROUGHOUT NORTHEAST KANSAS. OUR RURAL HEALTH CLINIC (FAMILY PRACTICE ASSOCIATES) HAS THREE LOCATIONS IN HOLTON, HOYT AND WETMORE, KANSAS. OUR MIX OF SIX PHYSICIANS, TWO PHYSICIAN ASSISTANTS AND EIGHT ADVANCED REGISTERED NURSE PRACTITIONERS ALLOWS OUR COMMUNITY MEMBERS TO FIND A PROVIDER THAT BEST SERVES THEIR HEALTH CARE NEEDS. WE ALSO OFFER LOW-COST OR FREE SPORTS PHYSICALS TO LOCAL JUNIOR HIGH AND HIGH SCHOOL STUDENTS TWO EVENINGS EACH YEAR.
SCHEDULE H, PART VI, LINE 3	HOLTON COMMUNITY HOSPITAL POSTS SIGNS AT ITS REGISTRATION LOCATIONS REGARDING THE AVAILABILITY OF OUR FINANCIAL ASSISTANCE PROGRAM. THE FAP POLICY IS ALSO AVAILABLE AT SEVERAL LOCATIONS IN THE COMMUNITY. THE AVAILABILITY OF A FINANCIAL ASSISTANCE PROGRAM IS ALSO IDENTIFIED ON ALL HOSPITAL PATIENT SERVICE RELATED LETTERS AND GUARANTOR STATEMENTS. ONCE A PATIENT CALLS TO INQUIRE ABOUT THE FINANCIAL ASSISTANCE PROGRAM THE PATIENT FINANCIAL COUNSELOR WORKS ONE-ON-ONE WITH THE PATIENTS OUTLINING THE REQUIREMENTS, DOCUMENTS NEEDED AND EXPLAINS OUR FINANCIAL ASSISTANCE PROGRAM IN DETAIL.
SCHEDULE H, PART VI, LINE 4	JACKSON COUNTY IS LOCATED IN THE NORTHEASTERN PART OF KANSAS LOCATED ON US HIGHWAY 75. HOLTON COMMUNITY HOSPITAL AND FAMILY PRACTICE ASSOCIATES PHYSICIAN'S CLINIC ARE THE PREMIERE HEALTHCARE PROVIDERS IN OUR COUNTY. According to the 2021 Robert Woods Jackson County Health Rankings, Jackson County, KANSAS Average was ranked 30th in Health Outcomes,63rd in Health Factors, and 57th in Physical Environmental Quality out of the 105 Counties. Jackson County's population is 13,171 (based on 2019), with a population per square mile of approximately 20.5 persons. About seven percent (6.8%) of the population is under the age of 5, while the population that is over 65 years old is 19.4%. As of 2019, 3.1% of citizens speak a language other than English in their home. Children in single parent households make up a total of 23.0% compared to the rural norm of 16.8%, and 86.8% are living in the same house as one year ago. In Jackson County, the average per capita income is $29,558 while 10.9% of the population is in poverty. The severe housing problem was recorded at 10.6% compared to the rural norm of 10.7%. Those with food insecurity in Jackson County is 12.2%, and those having limited access to healthy foods (store) is 4.6%. Individuals recorded as having a long commute while driving alone is 39.4% compared to the norm of 26.0%. Children eligible for a free or reduced-price lunch in Jackson County is 41.4%. Roughly ninety-one percent (91.2%) of students graduated high school compared to the rural norm of 88.7%, and 21.4% have a bachelor's degree or higher. The percent of births where prenatal care started in the first trimester is 73.5% and 6.0% of births in Jackson County have a low birth weight. Continually, 79.1% (compared to 76.5% rural norm) of infants up to 24 months are receiving full immunization. The percent of mothers who were reported smoking during pregnancy is 12.2% compared to the rural norm of 11.6%. The Jackson County primary care service coverage ratio is 1 provider (county-based office physician who is a MD and/or DO) to 1,476 residents. The percentage of patients who gave their hospital a rating of 9 or 10 out of 10 is only 83.0%, while 82.0% of patients reported Yes, They Would Definitely Recommend the Hospital. The average (median) time patients spend in the emergency department before leaving was 102 minutes compared to the rural norm of 109.2 minutes. In Jackson County, 19.4% of the Medicare population has depression. The percent of Medicare Part D beneficiaries receiving an opioid day supply >10 Days is 39.6%. The average mentally unhealthy days last reported (2020) is 4.6 days in a one-week period, while the age-adjusted suicide mortality rate (per 100,000) is 15.9. Jackson County has an obesity percentage of 38.3% and a physical inactivity percentage is 25.5%. The percentage of adults who smoke is 20.9%, while the excessive drinking percentage is 19.5%. The Medicare hypertension percentage is 51.5%, while their heart failure percentage is 15.1%. Those with chronic kidney disease amongst the Medicare population is 23.0% compared to the rural norm of 18.6%. The percentage of individuals who were recorded with COPD was 12.3%. Jackson County recorded roughly seven percent of those having cancer (7.4%) among their Medicare population and 2.5% of individuals who have had a stroke. The adult uninsured rate for Jackson County is 10.1% (based on 2019) compared to the rural norm of only 13.0%. The life expectancy rate in Jackson County is seventy-eight years of age (77.9) for the entire general population in Jackson County. Alcohol-impaired driving deaths for Jackson County is 25.0% while age-adjusted Cancer Mortality rate per 100,000 is 128.9. The age-adjusted heart disease mortality rate per 100,000 is at 224.2. A recorded forty-nine percent of Jackson County has access to exercise opportunities. Those reported having diabetes is 14.7%. Continually, forty-six percent of women in Jackson County seek annual mammography screenings compared to the rural norm of 45.8%. Adults who reported having visited a doctor for a routine check-up within the past year is 75.5% compared to the rural norm of 75.2%.
SCHEDULE H, PART VI, LINE 5	HOSPITAL EMPLOYEES ARE ENCOURAGED TO PARTICIPATE IN LOCAL COMMUNITY ACTIVITIES. EMPLOYEES ARE MEMBERS OF THE LOCAL CHAMBER OF COMMERCE, SERVE AS BOARD MEMBERS WITH SEVERAL LOCAL ORGANIZATIONS, AND ARE BOARD MEMBERS OF A STATE ORGANIZATION PROMOTING THE PATIENT FINANCIAL SERVICES SEGMENT OF HEALTHCARE. EMPLOYEES ARE INVOLVED ON SEVERAL LEVELS WITH YOUTH PROGRAMS. EMPLOYEES PROVIDE IN-SERVICE TRAINING TO VARIOUS LOCAL AGENCIES ON HEALTH ORIENTED SUBJECTS SUCH AS MEDICAL ADMINISTRATION.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CARRIE SAIA
CHIEF EXECUTIVE OFFICER	$204,695	$0	$0	$0	$0	$0	$8,400	$0	$11,317	$0	$224,412	$0	$0	$0
LADONA SCHMIDT
DIRECTOR/CHIEF OF MED STAFF	$299,048	$0	$0	$0	$0	$0	$12,200	$0	$18,912	$0	$330,160	$0	$0	$0
BART KENTON
CHIEF FINANCIAL OFFICER	$146,283	$0	$0	$0	$0	$0	$6,236	$0	$19,412	$0	$171,931	$0	$0	$0
CLINT COLBERG
PHYSICIAN, MD	$333,181	$0	$0	$0	$0	$0	$12,200	$0	$24,612	$0	$369,993	$0	$0	$0
GARY PETRY
PHYSICIAN, MD	$261,436	$0	$0	$0	$0	$0	$10,514	$0	$4,684	$0	$276,634	$0	$0	$0
JOSHUA C MOULIN
PHYSICIAN'S ASSISTANT	$172,886	$0	$0	$0	$0	$0	$7,473	$0	$24,712	$0	$205,071	$0	$0	$0
MALIA WARNER
PHYSICIAN, MD	$322,864	$0	$0	$0	$0	$0	$12,200	$0	$25,262	$0	$360,326	$0	$0	$0
MICHAEL ENGELKEN
PHYSICIAN, MD	$153,532	$0	$0	$0	$0	$0	$6,445	$0	$17,412	$0	$177,389	$0	$0	$0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	SEE SCHEDULE L PART V	PersonNm

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART IV	FormAndLineReferenceDesc
Explanation	(A) BARBARA WHEELER (B) BARBARA WHEELER IS THE MOTHER OF BOARD MEMBER HEATHER SCHRICK. (C) $35,241 (D) BARBARA WHEELER IS AN EMPLOYEE OF RURAL HEALTH RESOURCES OF JACKSON COUNTY. (E) NO	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A	RURAL HEALTH RESOURCES OF JACKSON COUNTY (RHRJC) IS A 14-BED CRITICAL ACCESS HOSPITAL IN A SMALL RURAL COMMUNITY. RHRJC OFFERS A WIDE RANGE OF SERVICES INCLUDING PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, REGISTERED DIETICIAN SERVICES, MRI, MRA, NUCLEAR MEDICINE, CT SCAN ALONG WITH OTHER RADIOLOGY SERVICES, SURGERY (including Orthopedic), LABORATORY, A CERTIFIED DIABETIC EDUCATION PROGRAM, CARDIOVASCULAR SERVICES, CERTIFIED LYMPHEDEMA PROGRAM, OUTPATIENT GERIATRIC PSYCHOLOGY, AND ROUND CARE SERVICES AS WELL A VARIETY OF SPECIALTY PROVIDER SERVICES. THE HOSPITAL IS A CERTIFIED 'STROKE READY' FACILITY AND STAFF ARE TRAINED TO TEACH OUTREACH SERVICES UNDER THE NATIONAL ARTHRITIS FOUNDATION EXERCISE PROGRAM. THE HOSPITAL ALSO OFFERS HOME HEALTH AND HOSPICE SERVICES. THE HOSPITAL PROVIDED 24/7 EMERGENCY ROOM SERVICES WITH 3,601 EMERGENCY ROOM VISITS RECORDED FROM 4/1/22 THROUGH 3/31/23. EMERGENCY ROOM SERVICES ARE SUPPORTED BY STAFF TRAINED IN ADVANCED CARDIAC LIFE SUPPORT, CPR, EMERGENCY NURSING PEDIATRICS, TRAUMA NURSING CORE CURRICULUM, AND PEDIATRIC ADVANCED LIFE SUPPORT. THE HOSPITAL IDENTIFIED 12,576 INPATIENT HOURS, 16,512 swing Bed hours AND 6,881 OBSERVATION HOURS FROM 4/1/22 THROUGH 3/31/23.
FORM 990, PART VI, SECTION A, LINE 1A	THE CLASS C DIRECTOR SHALL BE THE CHIEF OF MEDICAL STAFF AND SERVE (1) YEAR TERM. THE CLASS C DIRECTOR SHALL BE ENTITLED TO PARTICIPATE AND VOTE ON ALL MATTERS EXCEPT FOR: (A) EMPLOYEE COMPENSATION AND (B) EMPLOYEE PERSONNEL MATTERS.
FORM 990, PART VI, SECTION B, LINE 11B	AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE FORM 990. THE 990 IS THEN REVIEWED BY THE CEO AND CFO OF RURAL HEALTH RESOURCES OF JACKSON COUNTY (RHRJC). ANY QUESTIONS OR CONCERNS THAT ARISE ARE ADDRESSED WITH THE ACCOUNTING FIRM AND CORRECTIONS, CLARIFICATIONS OR REVISIONS ARE MADE AS NECESSARY. THE FINAL 990 WITH ALL REQUIRED SCHEDULES IS THEN PROVIDED TO ALL VOTING MEMBERS OF THE BOARD OF RHRJC PRIOR TO FILING THE 990.
FORM 990, PART VI, SECTION B, LINE 12C	UPON HIRE (OR IN THE CASE OF ELECTION OF BOARD MEMBERS) AND ANNUALLY THEREAFTER, THE CEO OR DESIGNEE(S) SHALL PROVIDE TO THE BOARD, STAFF AND EMPLOYED PROVIDERS OF RURAL HEALTH RESOURCES OF JACKSON COUNTY (RHRJC) A COPY OF THE CONFLICT OF INTEREST POLICY AND THE APPLICABLE CONFLICT OF INTEREST DISCLOSURE FORM. THESE DOCUMENTS WILL BE COMPLETED TO IDENTIFY ANY RELATIONSHIPS, POSITIONS, OR CIRCUMSTANCES IN WHICH IT IS BELIEVED A CONFLICT MAY ARISE. THE ANNUAL MONITORING AND REVIEW PROCESS WILL BE PART OF RHRJC'S CORPORATE COMPLIANCE PLAN. ANY POTENTIAL CONFLICT OF INTEREST CONCERNS THAT ARISE SHALL BE REPORTED BY THE CEO TO THE BOARD CHAIR. SHOULD THE CONCERN INVOLVE THE BOARD CHAIR, THE BOARD VICE-CHAIR WILL BE INFORMED INSTEAD. EACH BOARD MEMBER, STAFF MEMBER OR EMPLOYED PROVIDER SHALL FULLY DISCLOSE ANY AND ALL ACTUAL OR POTENTIAL CONFLICTS, DUALITY OF INTEREST OR RESPONSIBILITY INVOLVING INDIVIDUAL, PERSONAL, OR BUSINESS ISSUES WHICH MAY EXIST. IF THERE IS A CONFLICT, THE CONFLICTED INDIVIDUALS ABSTAIN FROM VOTING.
FORM 990, PART VI, SECTION B, LINE 15A	ANNUALLY AT THE EMPLOYEE REVIEW PERIOD (USUALLY DURING AUGUST AND SEPTEMBER) THE BOARD OF DIRECTORS IS SUPPLIED WITH A SALARY SURVEY FROM THE KANSAS HOSPITAL ASSOCIATION FOR THE CURRENT YEAR. THE BOARD THEN EVALUATES THE CEO SALARY SURVEY TO DETERMINE IF THE CEO'S SALARY IS APPROPRIATE AND WHAT ANNUAL PAY ADJUSTMENT IS APPROPRIATE FOR THE CURRENT YEAR.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACT SERVICES TOTAL FEES:2683977
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:991288
FORM 990 PART IX LINE 11G	DESCRIPTION:ER PROVIDER SERVICES TOTAL FEES:393154
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER FEES FOR SERVICES TOTAL FEES:521343