2024-08-14T16:12:51-05:00 2023-09-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2022-10-01 480545183 Lindsborg Community Hospital Association LIND 7852273308 605 West Lincoln Lindsborg KS 674562328 Larry Van Der Wege Administrator 7852273308 2024-08-07 1 1 Kim Hunwardsen CPA P00484560 6122536500 2024-07-17 2022 2024-08-08 14:25:15Z Larry Van Der Wege 605 West Lincoln Lindsborg KS 674562328 16531643 0 X www.lindsborghospital.org X 1944 KS Operation of critical access hospital. 9 9 0 9 0 0 486207 327863 14690703 16156592 4986 47188 0 0 15181896 16531643 32072 53554 0 0 7642085 9171379 0 0 0 5292087 5577472 12966244 14802405 2215652 1729238 17444515 17977240 2069461 872094 15375054 17105146 X Partners caring for the health of the Smoky Valley communities. 0 0 10698575 53554 16156592 Lindsborg Community Hospital (LCH) operates a critical access hospital in a community qualifying for such designation under federal law. The facilities are adequate for treatment or care of individuals suffering from mental or physical illness, disease, injury or deformity in an acute care, skilled nursing care, outpatient or emergency room setting. LCH cares for residents of the Smoky Valley with the operation of a 24/7 emergency room. 1,676 emergency room patients were seen in the 2023 fiscal year. 3,983 urgent care visits and 175 cardiac rehab visits improved the health of community members. 10,757 visits were made in the Family Health Care Clinic to provide acute treatment, manage chronic conditions, or provide preventive care. 5,763 meals on wheels and 3,210 frozen meals were supplied to community members. Education was provided to the Smoky Valley Community through print, digital forums and on-site in 2023. Employees of LCH partner with community groups such as Lindsborg Ad-Hoc and Strategic Alliance to enhance the Lindsborg experience. Staff also provide leadership with the Sunflower Health Network, KHA Board of Directors, and the Sunflower (Kansas) HFMA Chapter. 10698575 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 X 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 1 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 0 X Laraine Gengler 7852273308 605 West Lincoln Lindsborg KS 674562328 X Charles Oleen President 0.50 0.00 X X 0 0 0 Michael Rose Vice President 0.50 0.00 X X 0 0 0 Judy Neuschafer Secretary 0.50 0.00 X X 0 0 0 Thomas Buffington Treasurer 0.50 0.00 X X 0 0 0 Ryan Biegert Director 0.50 0.00 X 0 0 0 Laura Hultquist Director 0.50 0.00 X 0 0 0 Eric Kruckenberg Director (Beg 01/2023) 0.10 0.00 X 0 0 0 Gregory Lindholm PA-C Director 0.50 0.00 X 0 0 0 Denise Peterson Director 0.50 0.00 X 0 0 0 Mary Ann Carlson Director (End 12/2022) 0.50 0.00 X 0 0 0 Larry Van Der Wege Administrator 40.00 0.25 X 0 0 0 Laraine Gengler Chief Financial Officer 40.00 0.25 X 0 0 0 Wendy Dinkel DO 36.00 0.00 X 272701 0 36781 Benjamin Dolezal MD 36.00 0.00 X 277315 0 34371 Teresa Pearson ARNP 36.00 0.00 X 164969 0 16561 Luke Rosebraugh MD 40.00 0.00 X 230833 0 36652 Lisa Warren PA-C 36.00 0.00 X 176528 0 17252 1122346 0 141617 5 0 1 1 Salina Regional Health Center 400 S Santa Fe Salina KS 67401 Payroll and other reimbursement 2599103 Rehabvisions 11623 Arbor St Ste 201 Omaha NE 68144 Therapy Services 768069 Integrated Solutions PO Box 871854 Kansas City MO 64187 Professional Services 124784 Qualivis LLC Dept 3847 Dallas TX 75312 Contract Labor 117669 Power Construction PO Box 334 Lindsborg KS 67456 Contractor 106785 5 327863 327863 Patient Revenue 621400 13946621 13946621 Pharmacy Revenue 621400 1611254 1611254 Sales Tax Revenue 900099 498443 498443 100274 100274 16156592 46965 46965 223 0 223 223 223 16531643 16156592 0 47188 X 45000 45000 8554 8554 440281 440281 93577 93577 7156200 5478940 1677260 227054 184157 42897 760446 605684 154762 493821 379574 114247 95917 95917 15168 15168 2550 2550 2110017 1822418 287599 16458 16458 284300 132933 151367 321780 127949 193831 87144 2400 84744 10591 3470 7121 14620 11648 2972 4731 4731 677560 146420 531140 46046 46046 Medical and Patient Sup 1638599 1635375 3224 Food Costs 80820 1026 79794 Dues, Licenses, and Tax 50637 9758 40879 Recruitment and Retenti 9658 1926 7732 110876 485 110391 14802405 10698575 4103830 0 169013 118119 1800089 1738362 185078 290227 211194 298501 12929207 8512058 4442201 4417149 1186754 1220282 9450186 9894600 17444515 17977240 781331 872094 1288130 0 2069461 872094 X 15160992 16891084 214062 214062 15375054 17105146 17444515 17977240 X 1729238 854 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2550 2550 0 Part II-B, Line 1: Line i includes the portion of annual dues paid to hospital and medical associations attributed to lobbying activities by the associations. 10442 10442 6217324 3302282 2915042 6365308 4925714 1439594 336133 284062 52071 4417149 Other Assets 95233 Receivable from SRHC 9587807 Estimated Third-Party Payor Settlements 211560 9894600 X 16532497 0 16532497 -854 -854 16531643 16604285 1801880 1801880 14802405 0 14802405 Part X, Line 2: Lindsborg Community Hospital Assoication believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The organization would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalities are incurred. Part XI, Line 4b - Other Adjustments: Auxiliary -854. Part XII, Line 2d - Other Adjustments: In-kind expenses 1,801,880. 1 1 X 1 X 1 X 1 1 1 0 0 104000 104000 0.00700 538800 190266 348534 0.02350 642800 190266 452534 0.03050 8 17981 92842 42001 50841 0.00340 2 53 29245 21621 7624 0.00050 3 46 4839098 1647716 3191382 0.21560 4 251 53962 0 53962 0.00360 17 18331 5015147 1711338 3303809 0.22310 17 18331 5657947 1901604 3756343 0.25360 1 497806 6891321 6931890 -40569 X 1 1 1 1 Lindsborg Community Hospital Association 605 W Lincoln St Lindsborg KS 67456 www.lindsborghospital.org H059001 X X X X Lindsborg Community Hospital 1 0 0 1 X X X X X X X X X 21 1 1 1 1 X See Narrative for line 7d in Section C X 1 21 1 See Narrative for line 7d in Section C 0 1 X 200.000000000000 300.000000000000 X X X X X X 1 1 X X X 1 X www.lindsborghospital.org/patients/financial-assistance/ X www.lindsborghospital.org/patients/financial-assistance/ X www.lindsborghospital.org/patients/financial-assistance/ X X X X X 1 X 0 X X X X 1 X 0 0 Lindsborg Community Hospital Part V, Section B, Line 5: The leadership of McPherson Hospital in McPherson, Lindsborg Community Hospital in Lindsborg, Mercy Hospital in Moundridge, and the McPherson County Health Department collaborated to create an electronic survey which was made available to the public in May 2022. A group receiving specific invitation to complete the survey was STEP (Steps to End Poverty) MC. STEP MC advocates for and meets regularly with the medically underserved and low income populations in the county. Lindsborg Community Hospital Part V, Section B, Line 6a: McPherson Hospital, McPherson, Kansas Mercy Hospital, Moundridge, Kansas Lindsborg Community Hospital Part V, Section B, Line 6b: McPherson County Public Health Department Lindsborg Community Hospital Part V, Section B, Line 7d: www.lindsborghospital.org/community-health-needs-assessment-chna/ Lindsborg Community Hospital Part V, Section B, Line 11: In the FY2022 CHNA the following needs were identified: obesity, drug abuse, aging issues, high blood pressure, and mental health issues. While the most recent survey results indicated that cancer was slightly more significant than drug abuse as a priority health need, the focus group felt that drug abuse was still significant enough to warrant continued focus.Obesity The facility has taken the following actions to address obesity. Obesity is a by-product of two other issues, poor eating habits and lack of exercise. Poor eating habits often occur from a basic lack of knowledge of what foods and food preparation techniques are better than others. The Dietician and Food Service Manager have put together recipes and information on how to utilize food received from the local food bank. They have also communicated how to call the LCH Food Service Department for assistance with questions regarding food preparation. To add to the exercise and wellness opportunities, LCH resumed pre-pandemic hours in the Wellness Center. It is available to the public at no cost. LCH donated $25,000 in the prior fiscal year to the construction of the Frederickson Family Fitness Park, which is available 24/7 365 days at no cost for use. The park has equipment designed to assist in improving/maintaining balance, also reducing fall risks.Aging Issues The facility has taken the following actions to address falls. Lindsborg Community Hospital (LCH) has offered four sessions of Stepping On classes. Stepping On provides education in fall prevention strategies and teaches exercises. There has also been discussions with Lindsborg EMS/AMR and the City of Lindsborg for a possible paramedicine program. Falls are the second leading cause of ER visits at LCH. The facility has taken the following action to address dementia. The Family Health Care Clinic is participating in the Cognitive Care Network with the University of Kansas Health System. The Network has provided education to LCH providers and staff on the diagnosis and management of dementia. It has also provided resources to affected patients and families. High Blood Pressure Through the EMR, provider and staff receive lists of patients with blood pressure measurements outside of acceptable limits. Medication management and other interventions are attempted to reduce the number of patients with high blood pressure. The Chronic Care Management program in the FHCC is also providing home blood pressure monitoring devices.Drug Abuse Quite often, acute or chronic pain is the cause for susbtance use and abuse. In May of 2023, LCH began a partnership with Holistic Pain Management to provide clinical exams and procedures for pain management. Relieving pain addresses one of the root causes for the substance abuse. The organization will not address the need of mental health issues beyond our work with Prairie View and referrals to Veridian, CKF Addiction Treatment, and other mental health and/or substance abuse treatment centers as needed. A further action plan in this area is not developed at this time as resources are limited across the healthcare spectrum. Lindsborg Community Hospital Part V, Section B, Line 13h: The methodology used to determine eligibility for financial assistance takes into consideration income, net assets, family size and resources available to pay for care. In addition, presumptive charity care may be applied in situations where all other avenues have been exhausted. Lindsborg Community Hospital Part V, Section B, Line 24: The hospital financial assistance policy does not cover elective procedures. The hospital may have charged FAP eligible patients gross charges for services that are not covered under the financial assistance policy. 2 1 - Family Health Care Clinic 605 W Lincoln St Lindsborg KS 67456 Physician clinic 2 - Lindsborg Community Hospital Urgent Care 605 W Lincoln St Lindsborg KS 67456 Urgent care Part I, Line 3c: The methodology used to determine eligibility for financial assistance takes into consideration income, net assets, family size and resources available to pay for care. In addition, presumptive charity care may be applied in situations where all other avenues have been exhausted. Part I, Line 7: Charity care expense was converted to cost on line 7a based on an overall cost-to-charge ratio addressing all patient segments. Amounts on lines 7e, 7f, and 7i are from the actual general ledger. Lines 7b and 7g were calculated utilizing the cost reports. Part I, Line 7g: Two provider based clinics are included in subsidized health services. Net revenues of $580,569 and costs of $2,927,575 were included for a net community benefit of $2,347,006. Part III, Line 2: The amount on line 2 represents implicit price concessions. The Organization determines its estimate of implicit price concession based on its historical collection experience with this class of patients. Part III, Line 4: The footnote to the Organization's financial statements that describes implicit price concession is located in the audited financial statement report on page 16. Part III, Line 8: The payments are compared to the actual cost of providing the service as arrived at through the Medicare cost reports. Medical services are provided to patients with Medicare coverage regardless of whether or not a surplus or deficit is realized. Providing Medicare services promotes access to healthcare services which are vitally needed by our community. Part III, Line 9b: LCH will not engage in extraordinary collection activities prior to making reasonable efforts to determine if a patient is eligible for financial assistance. The notification period for reasonable efforts starts with the date care is provided and ends 120 days after the date of the first statement. Statements and a final notice during the 120 days meet the reasonable efforts standard. Extraordinary collections activities may include referral to a collection agency and/or legal action. Collection/legal action may be used to collect amounts due if the responsible party refuses to cooperate in the financial assistance determination process and make and follow suitable payment arrangements. Failure to cooperate includes failure to submit required data and/or failure to submit required data within the specified time period. In addition, collection/legal action may be used to collect amounts due that remain after financial assistance determinations have been made and the responsible person fails to make and follow suitable payment arrangements. Part VI, Line 2: In addition to the CHNA process, LCHA participates in Strategic Alliance meetings which are held every 1-2 months. The Alliance consists of businesses and organizations in Lindsborg with the purpose of discussing strategic needs of the community and identifying where synergies can be developed. LCHA also participates in weekly meetings called the Ad Hoc RoundTable. This group meets to discuss activities and needs in the community. LCHA participates in a county Behavioral Health Task Force that meets every 2-3 months. The task force members include McPherson hospital administration and physicians, Prairie View Behavioral Health staff, law enforcement, the McPherson mayor and McPherson County Attorney, the Lindsborg Chief of Police, and LCHA's administrator.Medical Staff meets monthly to discuss clinical management of LCHA. Clinic providers and management meet monthly to discuss the operations of the Family Health Care Clinic. In both meetings, issues concerning needs of the community are discussed and addressed or at least brought to the attention of administration for development of an action plan.LCHA has a Patient and Family Advisory Council (PFAC) which is made up primarily of community members who are patients or family members of patients. The group meets monthly to discuss quality and other projects that LCHA is performing. As a part of the regular agenda, community members are given an opportunity to voice comments and concerns about needs of the community. Part VI, Line 3: The Hospital's charity care policy is posted in patient waiting rooms in a three-ring note book. Hospital employees have been instructed to direct anyone with questions regarding assistance to the Hospital's business office. Patients are educated by the financial services staff and social services staff who are able to provide assistance upon request and through policies posted to our website. Part VI, Line 4: The Organization serves the Smoky Valley Area including Lindsborg, Marquette, Falun, Roxbury, Gypsum, Assaria and other areas including McPherson, Salina, Smolan, Canton, and Galva. Approximately 8% of the Hospital's patients are uninsured or Medicaid patients. The community served by the Hospital is also served by two other hospitals, plus a Federally Qualified Health Center in Salina. Part VI, Line 5: The organization's governing body is comprised primarily of persons who reside in the organization's primary service area who are neither employees nor contractors of the organization nor family members thereof. The organization extends medical staff privileges to qualified physicians in its community for some or all of its departments. Surplus funds of the organization are returned to the organization to improve patient care through updated equipment and technology and care team member education. The organization operates an emergency room that is available 24/7 regardless of ability to pay. Through the assistance of a donor, the organization has trained 991 CNA students over the last 20 years through a partnership with Hutchinson Community College, Bethany Home, and The Cedars. The students receive the training at no cost. The organization makes available to the surrounding area a wellness center open seven days a week without fees. Part VI, Line 6: Lindsborg Community Hospital is an affiliate of Salina Regional Health Center. The hospital has a management and operating agreement. SRHC provides marketing services which reach the community members of the Smoky Valley, our service area. This may include marketing the hospital's services as well as those offered by SRHC and marketing the hospital's providers as well as SRHC providers. 1 Lindsborg Community Health Care Foundation Inc 605 West Lincoln Lindsborg KS 674562328 480947732 501(c)3 45000 0 General assistance 1 0 Scholarships 11 8554 Part I, Line 2: The Administrator and CFO monitor the use of funds provided to Lindsborg Community Health Care Foundation through their close relationship with the Foundation. Scholarships are directed to the school of the recipient's choosing. Funds are returned by the school if the student doesn't enroll. 0 0 0 0 0 0 0 0 0 Benjamin Dolezal MD 259815 0 17500 0 0 0 12111 0 24541 0 313967 0 0 0 Wendy Dinkel DO 249201 0 23500 0 0 0 11027 0 27991 0 311719 0 0 0 Luke Rosebraugh MD 219333 0 11500 0 0 0 11284 0 26603 0 268720 0 0 0 Lisa Warren PA-C 170938 0 5590 0 0 0 6344 0 11038 0 193910 0 0 0 Teresa Pearson ARNP 159369 0 5600 0 0 0 7825 0 8849 0 181643 0 0 0 Schedule J, Part III Benjamin Dolezal, Wendy Dinkel, Luke Rosebraugh, Lisa Warren, and Teresa Pearson were paid by an unrelated organization, Salina Regional Health Center, for medical services performed. See Schedule J, Part II, and Form 990, Part VII for the amounts paid for these services. Kalli Weibert Daughter of Laraine Gengler, CFO 93577 Employment 0 Form 990, Part V, Line 1a, Number reported in Box 3 of Form 1096: Lindsborg Community Hospital Association has independent contractors, however, Salina Regional Health Center, the management company, pays all the independent contractors directly. The actual expense of each independent contractor is directly charged to the assigned entity. Form 990, Part V, Line 2a, Number of employees on W-3: Under a management agreement, Salina Regional Health Center (SRHC) is responsible for the daily management and operation of the hospital, including employment of all staff. All payroll and benefits are paid by SRHC and payroll reporting is done by SRHC. Allocable compensation by individual is charged to Lindsborg Community Hospital Association and is shown on lines 5-7 of Part IX. Form 990, Part VI, Section A, line 3 The Hospital entered into a management and operating agreement with Salina Regional Health Center (SRHC) effective October 1, 2012. Under the agreement, SRHC is responsible for the daily management and operation of the Hospital, including the employment of all staff needed to manage and operate Lindsborg Community Hospital Association. For calendar year 2022, SRHC paid the following salaries and benefits to the individuals listed in Part VII: Larry Van Der Wege $263,097 Laraine Gengler $167,754 Form 990, Part VI, Section A, line 6 Lindsborg Community Health Care Foundation, Inc. a not-for-profit, 501c3 organization, is the sole member of Lindsborg Community Hospital. Form 990, Part VI, Section A, line 7a Lindsborg Community Health Care Foundation, Inc. being the sole member of Lindsborg Community Hospital, has the right to elect all board members. Form 990, Part VI, Section A, line 7b Lindsborg Community Health Care Foundation, Inc. is the sole member, and has the right to approve Lindsborg Community Hospital's by laws, articles of incorporation, and Board of Directors. Form 990, Part VI, Section A, line 8b There are no committees with broad authority to act on behalf of the governing body. Form 990, Part VI, Section B, line 11b The 990 is reviewed internally, and the Form 990 is made available to the board for review prior to filing. Form 990, Part VI, Section B, line 12c At the time of hire or election (in the case of directors) and annually thereafter, the officers, directors, and key employees provide the applicable conflict of interest disclosures which are completed to identify any relationships, positions, or circumstances in which it is believed a conflict may arise. If a conflict arises, the officer or director abstains from the vote of the conflicted position. The annual monitoring and review is part of the Organization's compliance plan. If a conflict is identified, it is either addressed by the board or referred to the management company for resolution. A report is submitted to the executive board concerning any interest disclosed. Form 990, Part VI, Section B, line 15a The Organization's process for determining Administrator's compensation begins with an initiative lead by the Executive Compensation Committee (ECC) of Salina Regional Health Center (SRHC). The ECC compares compensation and salary data provided by Integrated Health Strategies (IHS) for overall reasonableness of base compensation and total compensation for all SRHC executive staff. The ECC reviews the data and makes a recommendation to the SRHC board of trustees in a closed executive meeting. The process is completed on an annual basis. Lindsborg Community Hospital's Administrator's salary is then set by the President/CEO of SRHC. The Lindsborg Community Hospital CFO's salary is set by Salina Regional Hospital Vice President of Finance using an annual salary survey and is increased using the same percentage as all other employees. Form 990, Part VI, Section C, line 19 The Organization makes its governing documents and conflict of interest policy available to the public upon written request. Form 990, Part IX, line 11g Contract Labor: Program service expenses 1,670,016. Management and general expenses 277,672. Fundraising expenses 0. Total expenses 1,947,688. Service Contracts: Program service expenses 152,402. Management and general expenses 9,927. Fundraising expenses 0. Total expenses 162,329. Form 990, Part XI, line 9: Auxiliary Net Income/(Loss) 854. Lindsborg Community Health Care Foundation Inc 605 W Lincoln Lindsborg KS 67456 480947732 Hospital support KS 501(c)(3) Line 7 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1 0 0