2024-06-11T08:59:38-05:00 2023-07-31 481026809 Wendling Noe Nelson & Johnson LLC 623 SW 10th Ave Suite 300 Topeka KS 66612 990 2022-08-01 742842747 West Central Kansas Association Inc WEST 7854833131 200 S Main Russell KS 67665 David Caudill CEO 7854833131 2024-06-05 1 David Caudill 999009999 0 Heather R Eichem P01515553 7852334226 2024-06-05 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z Russell Regional Hospital David Caudill 200 S Main Russell KS 67665 21193837 0 X www.russellhospital.org X 1997 KS Dedicating our lives to improving yours. 8 8 255 23 0 0 418744 669082 17935044 20087544 20469 76935 325489 360276 18699746 21193837 0 0 0 0 12850670 12831998 0 0 0 8298554 9710160 21149224 22542158 -2449478 -1348321 9092329 8301768 9092329 8301768 0 0 Dedicating our lives to improving yours. 0 0 20269192 20351796 Russell Regional Hospital provides a variety of health care services including acute inpatient care, swingbed inpatient care, outpatient care, rural health clinic, and long-term care services to patients in need of care. 20269192 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 22 0 1 255 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 X X David Caudill CEO 7854833131 200 S Main Russell KS 67665 Vance Ruggels Chair 1.00 X X 0 0 0 John O Farmer IV Vice Chair 1.00 X X 0 0 0 Pam Gudenkauf Secretary/Treasurer 1.00 X X 0 0 0 Mallory Davis Director 1.00 X 0 0 0 Michael Shaf Holland Director (Thru Oct 2022) 1.00 X 0 0 0 Gaylon Walter Director 1.00 X 0 0 0 Jake Windscheffel Director 1.00 X 0 0 0 Brad Wagner Director (Begin Nov 2022) 1.00 X 0 0 0 Jenna Dempewolf Director (Begin Mar 2023) 1.00 X 0 0 0 David Caudill CEO 40.00 X 208024 0 27154 Kenton Fisher CFO 40.00 X 74423 0 7831 John Whitehead Physician 40.00 X 576766 0 515 Tyrel Somers Physician 40.00 X 587771 0 34627 James Anderson Physician 40.00 X 389953 0 21300 Teal Sander Physician 40.00 X 201952 0 28360 Galen Slough APRN 40.00 X 263087 0 27521 2301976 0 147308 14 0 1 0 CPSI PO Box 850309 Mobile AL 36685 Computer Support Services 324160 JP Medical Consulting PO Box 185 Hardtner KS 67057 Consulting services 240000 Quest Diagnostics PO Box 14730 St Louis MO 631504730 Lab services 232033 Osama Ismael 209 Limestone Pass Cottage Grove WI 53527 Professional Services/ER Coverage 215785 Potter Plastic & Reconstruction 217 E 32nd Street Hays KS 67601 Professional Fees 182000 8 232436 436646 669082 Patient service revenue 622110 17885572 17885572 340b retail pharmacy 456110 2201972 2201972 20087544 71935 71935 7333 0 7333 7333 7333 5000 0 5000 5000 5000 Contracted rheumatology 622110 183535 183535 Cafeteria sales 722210 88691 88691 Contracted therapies 622110 42550 42550 38167 38167 352943 21193837 20351796 0 172959 X 388042 388042 10532041 9828344 703697 93637 85274 8363 1109730 1033562 76168 708548 639799 68749 57108 57108 2864491 2528032 336459 47176 47176 126667 28971 97696 190809 151412 39397 13243 7291 5952 26328 6529 19799 395466 349908 45558 155661 78316 77345 340b drug program expen 1854820 1854820 Pharmacy drugs 1666681 1666681 Medical supplies 918840 918840 Repairs and maintenance 693362 606268 87094 699508 485145 214363 22542158 20269192 2272966 0 3830175 715957 350760 2485353 1989991 2119244 328411 338326 116205 126731 7238047 5057968 1497513 2180079 979274 336078 9092329 8301768 1293323 1179212 491853 333901 7307153 6788655 9092329 8301768 X 0 0 9092329 8301768 X -1348321 -3346 1351667 X 0 1 X 0 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 3499 0 0 0 3499 0 Part II-B, Line 1: West Central Kansas Association, Inc. is a member of the Kansas Hospital Association and the American Hospital Association. Both of these organizations engage in lobbying activities for hospital and general health care interests as part of the services provided to members. 5575814 3867396 1708418 1662233 1190572 471661 2180079 Estimated third-party payor settlements 59739 Due to lessor 5842725 Accrued Interest 281 Advances 885910 6788655 X 21190491 -3346 -3346 21193837 0 21193837 22542158 0 22542158 0 22542158 Part X, Line 2: Management is not aware of any uncertainties in income tax positions. 1 1 1 X 70.000000000000 1 X 1 1 0 1 0 128820 114112 14708 0.00070 2805059 2061465 743594 0.03300 2933879 2175577 758302 0.03370 6103481 4284129 1819352 0.08070 6103481 4284129 1819352 0.08070 9037360 6459706 2577654 0.11440 1 532745 6829390 6864731 -35341 X 1 1 1 1 Russell Regional Hospital 200 South Main Street Russell KS 67665 X X X X Russell Regional Hospital 1 0 0 1 X X X X X X X X X 20 1 0 1 1 X www.russellhospital.org X 1 20 0 1 0 1 X 70.000000000000 200.000000000000 X X X 1 1 X X X 1 X http://www.russellhospital.org X http://www.russellhospital.org X http://www.russellhospital.org X X X X 1 X 0 X X X 1 X 0 0 Russell Regional Hospital Part V, Section B, Line 5: A priority of the CHNA was to solicit input from a broad cross section of the community, not simply members of the local healthcare sector, in an effort to represent the community as a whole. Steering Committee participants include representatives from these local organizations: Russell Regional Hospital (RRH), Russell County Health Department, Russell County Economic Development/CVB, City of Russell, city law enforcement, Russell County Hospital Board, RRH Management Board, Homestead of Russell, K-State Extension, and the City Manager of Russell. Russell Regional Hospital Part V, Section B, Line 6b: Russell County Health Department Russell Regional Hospital Part V, Section B, Line 11: The annual update below pertains to the CHNA and implementation strategy completed for the 2020 tax year (fiscal year ended 07/31/2021), which is the second year of a three-year cycle for the assessment and strategy.The Russell Regional Hospital Community Health Needs Assessment for 7/31/2021 (tax year 2020) showed seven issues the community wanted to address. The seven issues are (1) Mental Health (diagnosis, placement, aftercare, providers), (2) Child Care, (3) Housing, (4) Drug/Alcohol Abuse, (5) Economic Development, (6) Awareness of Healthcare Services, and (7) Obesity (nutrition & exercise). Number 1:The Hospital has added High Plains Mental Health Center to the rural health clinic. Private practice providers lease space from the hospital's specialty clinic to see mental health patients. In addition, the hospital also has an in-house licensed master social worker (LMSW).Number 2:The Hospital began exploring a partnership with USD 407 to establish a child care center owned and operated jointly by the two organizations. The Hospital continued the feasibility study for this idea and began surveying employees to assess the true need for a hospital-owned daycare.Number 3:The County is the main entity responsible for this project. There are housing grants available through the counties Economic Development department. Number 4: The Russell County Sheriff's Department provides education for middle school students on the risks of alcohol and drug abuse. A drop off point for discarding old prescriptions is now set up at the Russell County Health Department and Gregwire Drug Store. Number 5: The County Economic Development director continues to work with new and existing business to help grow Russell County. The Economic Development director also started a book club using the book "13 Ways to Kill Your Community" to help foster growth and stop negativity in the county. The Economic Development department also began hosting monthly community roundtables. Number 6:The Hospital began a rebranding that included updating and expanding advertisements with traditional media as well as expanding into the social media market. The hospital also began exploring a website update.Number 7:In addition to the family practice providers helping patients overcome obesity, the Hospital also has partnered with a dietitian to give dietary advice to patients. 2 1 - Russell Rgnl Hospital Physicians Clinin 200 South Main Street Building B Russell KS 67665 Rural health clinic 2 - Russell Rgnl Hospital - Main Street Man 200 South Main Street Russell KS 67665 Long-term care facility Part I, Line 7g: The costs of subsidized health services include costs attributable to a physician clinic in the amount of $2,565,929. Part III, Line 4: See Note B of the audited financial statements regarding the allowance for implicit price concessions.Part III, Line 2: The Hospital's bad debt at cost was determined by applying an overall ratio of cost to charges. Part III, Line 3: West Central Kansas Association, Inc. is unable to determine the amount of bad debt expense attributable to patients eligible under its charity care policy for the year covered by this return. Suggested methods for estimation were either not in place or proved to be unreliable. For example, the number of financial assistance applications distributed but not returned was not tracked. Using demographic data to estimate an amount did not provide reasonable results. Undoubtedly, there is bad debt expense attributed to patients who meet charity care guidelines. However, paperwork needed for approval of charity care was not returned or tracked. Rather than provide an estimate that cannot be substantiated, West Central Kansas Association, Inc. has chosen to report zero dollars as bad debt expense attributable to charity care patients. Part III, Line 8: The amounts were obtained from the cost report filed with Medicare for the period ending 07/31/2023. Any shortfalls between Medicare revenue received and related allowable costs are considered community benefit. Part III, Line 9b: Patients who are known to qualify for financial assistance are qualified for up to six months. After six months, patients must reapply for financial assistance. A patient who has qualified for partial financial assistance payments are subject to our normal collection procedures. Part VI, Line 3: Patients receive information regarding federal, state and charity care programs upon request. Part VI, Line 4: The Hospital is located in Russell County, Kansas in the city of Russell and serves the surrounding area. The Russell community is a predominately agricultural one. The city of Russell and Russell County have an approximate population of 4,400 & 6,700 individuals respectively. The average Russell household annual income is approximately $45,000. Approximately 22.1% of the residents in Russell County have an annual income below the federal poverty level. Other hospitals in the area are located in Hays, Hoisington, and Great Bend. The distance between the Hospital and these facilities is approximately 26, 29, and 40 miles respectively. Part VI, Line 5: The Hospital's governing body is comprised solely of local community members. X X 0 0 0 0 0 0 0 0 0 Tyrel Somers Physician 397191 0 190580 0 0 0 6100 0 28527 0 622398 0 0 0 John Whitehead Physician 576766 0 0 0 0 0 0 0 515 0 577281 0 0 0 James Anderson Physician 389953 0 0 0 0 0 4358 0 16942 0 411253 0 0 0 Galen Slough APRN 263087 0 0 0 0 0 0 0 27521 0 290608 0 0 0 David Caudill CEO 182599 0 25425 0 0 0 0 0 27154 0 235178 0 0 0 Teal Sander Physician 139289 0 62663 0 0 0 3315 0 25045 0 230312 0 0 0 Form 990, Part VI, Section B, line 11b The Form 990 is reviewed by the governing body prior to filing. It is distributed by email to all governing body Board Members for review. Any questions and/or comments are directed to management for further discussion. Form 990, Part VI, Section B, line 12c A conflict of interest disclosure form is provided with a copy of the current conflict of interest policy. This disclosure is completed by each member of the Board of Directors upon joining the board and annually thereafter. Form 990, Part VI, Section B, line 15 The compensation of the organization's officers is voted on and approved by the Board of Directors. Form 990, Part VI, Section C, line 19 The organization makes its governing documents, conflict of interest policy, and audited financial statements available to the public upon written request. Form 990, Part IX, line 11g Other: Program service expenses 6,255. Management and general expenses 202,451. Fundraising expenses 0. Total expenses 208,706. Purchased Services: Program service expenses 1,548,204. Management and general expenses 134,008. Fundraising expenses 0. Total expenses 1,682,212. Physician fees: Program service expenses 973,573. Management and general expenses 0. Fundraising expenses 0. Total expenses 973,573. Form 990, Part XI, line 9: Transfer from lessor 1,364,785. Change in amount due to lessor -13,118.