2021-06-10T07:44:29-05:00 2020-07-31 481026809 Wendling Noe Nelson & Johnson LLC 623 SW 10th Ave Suite 300 Topeka KS 66612 990 2019-08-01 742842747 West Central Kansas Association Inc WEST 7854833131 200 S Main Russell KS 67665 Kevin Kreutzer CFO 7854833131 2021-06-09 1 Heather R Eichem P01515553 7852334226 2021-06-09 2019 2022-09-23 18:48:47Z Russell Regional Hospital Kevin Kreutzer 200 S Main Russell KS 67665 17097082 0 X www.russellhospital.org X 1997 KS Dedicating our lives to improving yours. 5 5 237 5 0 0 14448 138651 17394019 16626328 54483 30589 316823 283998 17779773 17079566 0 0 0 0 11705421 11359821 0 0 0 6308735 5974197 18014156 17334018 -234383 -254452 5332963 10799516 5332963 10799516 0 0 Dedicating our lives to improving yours. 0 0 15639965 16850565 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. 15639965 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 8 0 1 237 1 0 0 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 1 1 1 0 X X Kevin Kreutzer CFO 7854832323 200 S Main Russell KS 67665 Morris Krug President 1.00 X X 0 0 0 Mallory Davis Vice Chair 1.00 X X 0 0 0 John O Farmer IV Treasurer 1.00 X X 0 0 0 Vance Ruggles Secretary 1.00 X X 0 0 0 Michael Shaf Holland Director 1.00 X 0 0 0 Kevin Kreutzer CFO 40.00 X 35023 0 3749 Sharon Collins CEO 40.00 X 123076 0 21430 Earl Merkel Physician 40.00 X 294677 0 25492 Tyrel Somers Physician 40.00 X 392691 0 41451 James Anderson Physician 40.00 X 391915 0 17421 Sambhundh Panichabhongse Physician 40.00 X 224951 0 25567 Thomas Kriley Physician 40.00 X 313750 0 1942 1776083 0 137052 13 0 1 0 Sunflower Physician Services 1659 S Tamarisk Dr Wichita KS 67230 Physician services 355280 CPSI PO Box 850309 Mobile AL 366850309 Software and technical support 185109 Shared Medical Services Inc 209 Limestone Pass Cottage Grove WI 53714 MRI services 165075 JP Medical Consulting PO Box 185 Hardtner KS 67057 Consulting services 164000 Quest Diagnostics PO Box 14730 St Louis MO 631504730 Lab services 139399 5 100000 38651 138651 Net patient service revenue 622110 15272614 15272614 340b retail pharmacy 446110 1353714 1353714 16626328 48105 48105 5295 0 5295 5295 5295 17516 -17516 -17516 -17516 Contracted rheumatology 622110 188778 188778 Cafeteria sales 722210 54466 54466 Purchase discounts 900099 21883 21883 13576 13576 278703 17079566 16850565 0 90350 248468 248468 9450740 8843490 607250 102347 95435 6912 952067 888186 63881 606199 553970 52229 8910 8910 1176669 951782 224887 17334 17 17317 143685 24916 118769 163034 129278 33756 1415 1415 29857 25944 3913 211789 177860 33929 186251 99627 86624 Pharmacy drugs 1550897 1550897 0 340b drug program expen 771153 771153 Repairs and maintenance 594429 525268 69161 Medical supplies 562931 562931 555843 439211 116632 17334018 15639965 1694053 0 1659421 7240656 1566 1463 1668196 1720468 301148 283704 123578 137061 4902173 4252887 875490 649286 703564 766878 5332963 10799516 1099275 1051822 677715 529477 1859877 3555973 7358340 5332963 10799516 X 0 0 5332963 10799516 X -254452 254452 X 0 1 X 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 4410 0 0 0 4410 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. 3673087 3098062 575025 1229086 1154825 74261 649286 Estimated third-party payor settlements 301663 Other receivables 465215 766878 Estimated third-party payor settlements 45581 Due to lessor 3237761 Accrued Interest 602 Advances 4074396 7358340 X 17079566 0 17079566 0 17079566 17334018 0 17334018 0 17334018 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 161503 127501 34002 0.00200 1501330 1540553 0 0.00000 1662833 1668054 34002 0.00200 6036 6036 0.00030 4268099 3306075 962024 0.05550 300 300 0.00000 4274435 3306075 968360 0.05580 5937268 4974129 1002362 0.05780 1 588149 6199844 6209101 -9257 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 17 1 0 1 1 X www.russellhospital.org X 1 17 1 www.russellhospital.org 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, Russell County Health Department, Russell County Economic Development/CVB, Russell County Emergency Preparedness, City of Russell, and city law enforcement. 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 2017 tax year (fiscal year ended 07/31/2018), which is the second year of a three year cycle for the assessment and strategy. The Russell Regional Hospital Community Health Needs Assessment for 7/31/2018 (tax year 2017) showed seven issues the community wanted to address. The seven issues are (1) Improve Mental Health Screenings/Placement, (2) Local Healthcare Collaboration & Communication, (3) Address Drugs/Alcohol & Placement, (4) Increase Access to Day Care Services, (5) Expand Healthcare Transportation Out of County, (6) Provide Social Services Assistance, and (7) Housing (Safe/Accessible/Affordable).Number 1 Turning Point Professional Counseling Service out of Hays is seeing patients in our specialty clinic by appointment. We have discussed the need to provide mental health services 1 to 2 days per week. In addition, Russell Regional Hospital (RRH) is utilizing the Avera eEmergency system for acute mental health issues in the ER. We also continue to utilize ITV Services with High Plains Mental Health of Hays, KS. Number 2 & 6 combined RRH continues to list all healthcare services and specialists on the hospital webpage. The RRH web page and Facebook page are used to update the community on upcoming healthcare events and highlight services that we offer. They are used to educate the public about healthcare concerns. RRH is also in the process of setting up lunch & learns to educate the community on Heath and Wellness practices/Social Service Programs.Number 3 The Russell County Sheriff 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 4 USD 407 has set up an afterschool program until 5:00pm. In addition, they have future plans to set up a preschool.Number 5The City bus, taxi and Uber drivers are currently available to transport patients to and from the hospital for appointments. In addition the police department will take patients home. Due to the relaxed regulations during the Coronavirus Pandemic, the hospital, clinic and specialty clinic have been offering telehealth services to patients who can't or choose not to physically come to the hospital for their appointment. The hospital also hires a transport service to transfer patients that have been in our ER for mental health services and subsequently require services at another facility that can provide a higher level of care. Number 7 Ten middle income town homes have been constructed in Russell. Four more town homes are in the construction phase. 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 $2,762,027. Part III, Line 4: See Note A-3 (page 6) of the audited financial statements regarding the allowance for uncollectible accounts.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 07/31/2020. The total amount of shortfall between Medicare revenue received and related allowable costs is 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 4,500 & 7,000 individuals respectively. The average Russell household annual income is approximately $45,000. Approximately 14.4% 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. All local physicians have admitting privileges at the Hospital. X X 0 0 0 0 0 0 0 0 0 Earl Merkel Physician 194227 0 100450 0 0 0 0 0 25492 0 320169 0 0 0 Tyrel Somers Physician 290600 0 102050 0 41 0 3669 0 37782 0 434142 0 0 0 James Anderson Physician 391710 0 0 0 205 0 5852 0 11569 0 409336 0 0 0 Sambhundh Panichabhongse Physician 169427 0 55500 0 24 0 0 0 25567 0 250518 0 0 0 Thomas Kriley Physician 225000 0 88750 0 0 0 1385 0 557 0 315692 0 0 0 Clarissa Schneider Daughter-in-law of Sharon Collins, officer 34801 Employment 0 Brian Schneider Son of Sharon Collins, officer 74731 EmploymentEmployment 0 Audrey Owens Daughter of Sharon Collins, officer 37195 Employment 0 Sarah Depiesse Daughter of Sharon Collins, officer 31459 Employment 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 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 XI, line 9: Transfer from lessor Change in amount due to lessor 254,452.