2022-07-15T07:55:30-05:00 2021-09-30 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2020-10-01 480545183 Lindsborg Community Hospital Association LIND 7852273308 605 West Lincoln Lindsborg KS 674562328 Larry Van Der Wege Administrator 7852273308 2022-07-11 1 Larry Van Der Wege 999009999 Kim Hunwardsen CPA P00484560 6122536500 2022-07-07 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z Larry Van Der Wege 605 West Lincoln Lindsborg KS 674562328 14859311 0 X www.lindsborghospital.org X 1944 KS Operation of critical access hospital. 9 9 0 9 0 0 486447 1310067 11026521 13492822 -3283 56422 0 0 11509685 14859311 1500 2000 0 0 7186769 7725332 0 0 2015 4108618 4596584 11296887 12323916 212798 2535395 14784279 14763463 4157748 1603985 10626531 13159478 X Partners caring for the health of the Smoky Valley communities. 0 0 9057505 2000 13492822 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. 1,578 emergency room patients were seen in the 2021 fiscal year. 6,346 urgent care visits and 286 cardiac rehab visits improved the health of community members. 10,623 visits were made in the Family Health Care Clinic to provide acute treatment, manage chronic conditions, or provide preventive care. 6,850 meals on wheels and 2,959 frozen meals were supplied to community members. Education was provided to the Smoky Valley Community through print and digital forums due to COVID in 2021.Employees of the LCH partner with various community groups to provide assistance to the Midsummer's Committee, Hyllningsfest Committee, Chamber of Commerce, and Strategic Alliance to name a few. Staff also provide leadership with the Sunflower Health Network, KHA Board of Directors, and the Sunflower (Kansas) HFMA Chapter. 9057505 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 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 Chuck Oleen President 0.50 0.00 X X 0 0 0 Mike Rose Vice President 0.50 0.00 X X 0 0 0 Judy Neuschafer Secretary 0.50 0.00 X X 0 0 0 Tom Buffington Treasurer 0.50 0.00 X X 0 0 0 Denise Peterson Director 0.50 0.00 X 0 0 0 Ryan Biegert Director 0.50 0.00 X 0 0 0 Gretchen Norland Director 0.50 0.00 X 0 0 0 Mary Ann Carlson Director 0.50 0.00 X 0 0 0 Kenneth Johnson DVM Director 0.50 0.00 X 0 0 0 Larry Van Der Wege Administrator 40.00 0.25 X 0 0 0 Laraine Gengler CFO 40.00 0.25 X 0 0 0 Wendy Dinkel DO 36.00 0.00 X 0 0 0 Benjamin Dolezal MD 36.00 0.00 X 0 0 0 Luke Rosenbraugh MD 36.00 0.00 X 0 0 0 Teresa Pearson APP 42.00 0.00 X 0 0 0 Lisa Warren APP 39.00 0.00 X 0 0 0 0 0 0 0 0 0 0 Salina Regional Health Center 400 S Santa Fe Salina KS 67401 Payroll and other reimbursement 15620234 Rehabvisions 11623 Arbor St STE 201 Omaha NE 68144 Therapy Services 755572 2 6555 1242182 61330 1310067 Patient Revenue 621400 12010823 12010823 Pharmacy Revenue 621400 1030079 1030079 Sales Tax Revenue 900099 381447 381447 70473 70473 13492822 56422 56422 14859311 13492822 0 56422 X 2000 2000 363184 363184 69968 69968 6035789 4971660 1064129 228448 191498 36950 596447 468953 127494 431496 334769 96727 11102 11102 15000 15000 2468 2468 1701888 1491874 210014 13203 13203 330715 185037 145678 233402 88133 145269 72451 2200 70251 4371 954 3417 13521 6744 6777 894690 189439 705251 53466 15728 37738 Medical and Patient Sup 1031239 1026503 4736 Food Costs 65074 652 64422 Dues, Licenses, and Tax 38484 7943 30541 Recruitment and Retenti 6263 735 5528 109247 247 106985 2015 12323916 9057505 3264396 2015 138255 66028 1113148 1403839 163360 164419 165881 163567 12216974 7335209 5327612 4881765 1157962 1250721 6718061 6833124 14784279 14763463 700505 760672 3457243 0 0 843313 4157748 1603985 X 10412469 12945416 214062 214062 10626531 13159478 14784279 14763463 X 2535395 -2448 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2468 2468 0 Part II-B, Line 1: The portion of annual dues paid to hospital and medical associations attributed to lobbying activities by the associations. 10442 10442 5968995 2650058 3318937 5901404 4416913 1484491 336133 268238 67895 4881765 Other Assets 104523 Receivable from Salina Regional Health Center 6728601 6833124 Settlement 843313 843313 X 14853656 0 14853656 5655 5655 14859311 14300123 1979414 1979414 12320709 3207 3207 12323916 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: Reclassification of revenue/expense accounts, net 1,192. Auxiliary revenue 4,463. Part XII, Line 4b - Other Adjustments: Reclassification of revenue/expense accounts, net 1,192. Auxiliary expense 2,015. 1 1 X 1 X 1 X 1 1 0 0 50000 50000 0.00410 508414 16992 491422 0.03990 558414 16992 541422 0.04400 7 21118 88562 47577 40985 0.00330 3 48 25468 22954 2514 0.00020 4339187 1638332 2700855 0.21920 7 266 19571 19571 0.00160 17 21432 4472788 1708863 2763925 0.22430 17 21432 5031202 1725855 3305347 0.26830 1 439540 0 5584452 5529160 55292 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 18 1 1 1 1 X See Line 10a X 1 18 1 www.lindsborghospital.org/about/message_from_ceo.php 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.php X www.lindsborghospital.org/patients/financial_assistance.php X www.lindsborghospital.org/patients/financial_assistance.php 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 McPherson County Health Needs Assessment data collection process included gathering opinions from county sources using a survey and quantitative data from secondary sources. The survey instrument utilized in past assessments was reviewed with changes suggested by a team of focus group members from throughout the county.On March 28, 2019, the electronic survey (along with an offered printable format) was made available to the general public. The publicized date for completion was April 12, but results continued to come in after that date. Publicity included local radio and newspaper announcements, social media pages, county hospital and public health websites, links sent to specific groups such as area businesses, senior populations, and personal invitations to individuals representing a broad spectrum of the population based on professional affiliations, interests and community engagement. Also included in the group receiving a specific invitation to complete the survey was an organization called Step MC who advocates for and meets regularly with medically underserved and low income populations in the county. "Step" stands for "Steps to End Poverty and their mission is to walk alongside those in the program to foster connections and create pathways to help them out of poverty. The survey was shared with the participants in the program who were encouraged to participate. The various other organizations who were provided links shared the link and encouraged their constituents to participate as well. All respondents were anonymous to survey administrators and paper copies were available as stated clearly in the communication process. 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 11: The needs identified in the most recent CHNA were barriers to access, risky behaviors, and health problems.Barriers to Access:In the current year the facility has taken the following actions to address barriers to access. An Orthopedic Surgeon from Salina Regional Orthopedic Clinic continues to perform rounds on acute and skilled care patients as needed at LCH. The orthopedic clinic provides sports medicine consultation and treatment at Bethany College and Smoky Valley High School.A rheumatology specialty clinic has been developed for LCH with patients being seen one day per month beginning February 2021. The demand for rheumatology services has been very high, as the clinic has been scheduled out several months in advance. Services are also available through telemedicine, which should improve speed of access. Veridian Behavioral Health is available to our community, albeit in Salina or through telemedicine. The general surgery specialty clinic had some fluctuations as the physician reduced his surgical practice and discontinued his outreach clinic at LCH. A new physician started his surgical practice in Salina and at LCH in August of this year, continuing the weekly presence. He has rapidly increased the number of procedures performed here at LCH. We will explore the possibilities of expansion of the types of procedures performed at LCH.Throughout 2021, primary care telemedicine visits have continued, although at a lower volume. As nursing home access has fluctuated, these types of visits have become crucial to maintain care inside those long-term facilities.During 2021, the Urgent Care area has continued to be used for the exam and treatment of acutely ill ambulatory patients where COVID-19 is suspected or at least needs to be ruled out. Two of the Urgent Care rooms have even been made negative air, so the safety to patients and staff is increased.LCH has continued to provide monoclonal antibody treatments for individuals with COVID-19. Criteria as approved by the FDA were developed and are followed as to who qualifies for treatment. It has been administered with success and with increasing frequency.Another COVID-19 access point has been vaccines. Vaccine planning commenced late in 2020 and vaccine administration to employees began late in 2020 and to the general public in early 2021. LCH has provided over 2,500 doses of COVID-19 vaccine, with full vaccination of approximately 1,500 individuals. The LCH Administrator has also participated in advocacy events with Kansas State Legislative senators and representatives to discuss the expansion of Medicaid in Kansas. In working with the Kansas Hospital Association, we believe a solution can be developed to responsibly expand KanCare (Medicaid) to those in our service area who have been unable to afford health insurance. This advocacy effort will continue. For those requiring COVID-19 testing and/or treatment and do not have insurance, LCH has submitted the billing to a federal COVID-19 program for payment versus billing the patient.Risky Behaviors:Drug and alcohol abuse typically go hand in hand. Part of the action plan is to continue to perform alcohol and drug screening in the clinic and Emergency Department with referral to the Central Kansas Foundation or other facilities as needed. Standardized evaluation tools in the electronic medical record improve the consistency of screening for these behaviors. These screenings have and will continue to be performed, despite COVID-19.Another current nationwide challenge is the abuse of opioid medications. The Family Health Care Clinic has adopted policies to monitor and reduce the number of opioids prescribed, as per Center for Disease Control (CDC) guidelines. Improved standardization and policies have been developed in the Emergency Department as well. Health Problems:LCH continues to utilize the services of Prairie View Mental Health services for emergency screening through telemedicine. By using an iPad on a secure application, the mental health screening can be performed from a distance, thus saving the time of a screener to drive to Lindsborg. LCH will continue to utilize their relationships with Prairie View Mental Health and Veridian Behavioral Health to provide mental health care to its patients. Central Kansas Foundation is also utilized to assist those benefitting from a referral for alcohol or drug treatment.Throughout 2021, our educational offerings were limited. We were able to resume our CNA classes and a Safe Sitter Class all off-site. It is anticipated that we should be able to resume fall prevention classes, even if off-site. 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 $732,387 and costs of $2,466,629 were included for a net community benefit of $1,734,242. 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 pages 18 and 19. 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 of individuals who reside within the Smoky Valley service area with members from Assaria, Lindsborg, Marquette, and Galva.Medical Staff privileges are extended to all qualified physicians in the community who apply. Surplus funds are utilized to provide home health services, health and education through the Lindsborg News-Record and the Marquette Tribune, Stepping On classes, Safe Sitter classes and frozen meals for purchase. 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 916 CNA students over the last 19 years through a partnership with 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. Kalli Weibert Daughter of Laraine Gengler, CFO 69968 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. For tax year 2020, SRHC paid the following salaries and benefits to the individuals listed in Part VII: Larry Van Der Wege $265,676 Laraine Gengler $131,545 Wendy Dinkel $331,499 Benjamin Dolezal $319,941 Luke Rosebraugh $275,094 Lisa Warren $196,243 Teresa Pearson $186,381 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 was last completed in 2021. 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 1,401,474. Management and general expenses 202,908. Fundraising expenses 0. Total expenses 1,604,382. Service Contracts: Program service expenses 90,400. Management and general expenses 7,106. Fundraising expenses 0. Total expenses 97,506. Form 990, Part XI, line 9: Auxiliary net income -2,448. Lindsborg Community Health Care Foundation Inc 605 W Lincoln Lindsborg KS 67456 480947732 Hospital support KS 501(c)(3) Line 7 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0