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LINDSBORG COMMUNITY HOSPITAL ASSOCIATION: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
LINDSBORG COMMUNITY HOSPITAL ASSOCIATION (EIN 48-0545183)
Tax period
2018-10-01 to 2019-09-30
Filed
2020-08-03
IRS object ID
202032169349300753
Schema version
2018v3.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2020-08-03T12:41:32-05:00ReturnTs
Tax Period End2019-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Eide Bailly LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1800 Nicollet Mall Ste 1300AddressLine1Txt
CityMinneapolisCityNm
State AbbreviationMNStateAbbreviationCd
ZIP554027033ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN480545183EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Lindsborg Community Hospital AssociationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLINDBusinessNameControlTxt
Phone7852273308PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1605 West LincolnAddressLine1Txt
CityLindsborgCityNm
State AbbreviationKSStateAbbreviationCd
ZIP674562328ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLarry Van Der WegePersonNm
Person TitleAdministratorPersonTitleTxt
Phone7852273308PhoneNum
Signature2020-07-31SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKim Hunwardsen CPAPreparerPersonNm
PTINP00484560PTIN
Phone6122536500PhoneNum
Preparation2020-07-31PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address216.147.181.49IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-07-31IPDt
IP Tm15:16:14IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id5755687E6BF8D8D10BDE3B83E6631EF3D64C584DAtSubmissionCreationDeviceId
At Submission Filing Device IdEFC25E59FA7409AE560978A003AFB9E955B778C6AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-11-19 02:30:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLarry Van Der WegePrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1605 West LincolnAddressLine1Txt
CityLindsborgCityNm
State AbbreviationKSStateAbbreviationCd
ZIP674562328ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$11,714,911GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.lindsborghospital.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1944FormationYr
Legal Domicile StateKSLegalDomicileStateCd
Activity Or MissionOperation of critical access hospital.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers17TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$67,716PYContributionsGrantsAmt
CY Contributions Grants$112,625CYContributionsGrantsAmt
PY Program Service Revenue$11,847,394PYProgramServiceRevenueAmt
CY Program Service Revenue$11,593,250CYProgramServiceRevenueAmt
PY Investment Income$11,947PYInvestmentIncomeAmt
CY Investment Income$9,036CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$11,927,057PYTotalRevenueAmt
CY Total Revenue$11,714,911CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$7,150,757PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,892,500CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$6,631CYTotalFundraisingExpenseAmt
PY Other Expenses$4,609,268PYOtherExpensesAmt
CY Other Expenses$4,418,079CYOtherExpensesAmt
PY Total Expenses$11,760,025PYTotalExpensesAmt
CY Total Expenses$11,310,579CYTotalExpensesAmt
PY Revenues Less Expenses$167,032PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$404,332CYRevenuesLessExpensesAmt
Total Assets BOY$10,538,270TotalAssetsBOYAmt
Total Assets EOY$11,896,628TotalAssetsEOYAmt
Total Liabilities BOY$529,196TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,486,710TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$10,009,074NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$10,409,918NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionPartners caring for the health of the Smoky Valley communities.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant ChangeYes (1)SignificantChangeInd
Expense$8,280,681ExpenseAmt
Grant$0GrantAmt
Revenue$11,593,250RevenueAmt
DescLindsborg 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. 1,924 emergency room patients were seen in the 2019 fiscal year. 441 urgent care visits, 302 privately paid home health visits were made, and 299 cardiac rehab visits improved the health of community members. 13,708 visits were made in the Family Health Care Clinic to provide acute treatment, manage chronic conditions, or provide preventive care. 3,892 meals on wheels were supplied to community members. Education was provided to the Smoky Valley Community through Stepping On, Safe Sitter, and Chronic Disease Self-Management Program education. 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.Desc
Total Program Service Expenses$8,280,681TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Laraine GenglerBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7852273308PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1605 West LincolnAddressLine1Txt
CityLindsborgCityNm
State AbbreviationKSStateAbbreviationCd
ZIP674562328ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Chuck Oleen
President0.500.00Yes (X)Yes (X)$0$0$0
Mike Rose
Vice President0.500.00Yes (X)Yes (X)$0$0$0
Judy Neuschafer
Secretary0.500.00Yes (X)Yes (X)$0$0$0
Tom Buffington
Treasurer0.500.00Yes (X)Yes (X)$0$0$0
Denise Peterson
Director0.500.00Yes (X)$0$0$0
Ryan Biegert
Director0.500.00Yes (X)$0$0$0
Gretchen Norland
Director0.500.00Yes (X)$0$0$0
Robyn Johnson
Director (Oct-Dec 2018)0.100.00Yes (X)$0$0$0
Mary Ann Carlson
Director0.500.00Yes (X)$0$0$0
Kenneth Johnson DVM
Director (Jan-Sept 2019)0.500.00Yes (X)$0$0$0
Larry Van Der Wege
Administrator40.000.25Yes (X)$0$0$0
Laraine Gengler
CFO40.000.25Yes (X)$0$0$0
Wendy Dinkel
DO36.000.00$0$0$0Yes (X)
Benjamin Dolezal
MD36.000.00$0$0$0Yes (X)
Luke Rosenbraugh
MD36.000.00$0$0$0Yes (X)
Teresa Pearson
PA42.000.00$0$0$0Yes (X)
Amy Fitzgerald
ARNP39.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Salina Regional Health Center
400 S Santa FeSalinaKS67401Payroll and other reimbursement$12,930,000
Simpson Construction
1831 S AnnaWichitaKS672771088Construction$1,955,948
Rehabvisions
11623 Arbor StOmahaNE68144Therapy Services$678,702
Integrated Solutions
3030 Cortland Circle Ste 200SalinaKS67104IT Infrastructure$224,315
Smart Cabling
1205 N Winchester Ste KOlatheKS66061IT Infrastructure$121,245
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
All Other Contributions$112,625AllOtherContributionsAmt
Total Contributions$112,625TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net patient revenue621400$10,699,590$10,699,590
Pharmacy revenue621400$444,692$444,692
Sales Tax Revenue900099$379,064$379,064

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$69,904TotalRevenueColumnAmt
Related Or Exempt Func Income$69,904RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$11,593,250TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,682TotalRevenueColumnAmt
Exclusion$7,682ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$1,354OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$1,354OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,354TotalRevenueColumnAmt
Exclusion$1,354ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,714,911TotalRevenueColumnAmt
Related Or Exempt Func Income$11,593,250RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$9,036ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$306,435TotalAmt
Management And General$306,435ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$57,071TotalAmt
Program Services$57,071ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,347,907TotalAmt
Program Services$4,509,118ProgramServicesAmt
Management And General$838,789ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$200,693TotalAmt
Program Services$172,610ProgramServicesAmt
Management And General$28,083ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$603,443TotalAmt
Program Services$465,498ProgramServicesAmt
Management And General$137,945ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$376,951TotalAmt
Program Services$297,041ProgramServicesAmt
Management And General$79,910ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,258TotalAmt
Management And General$3,258ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$12,835TotalAmt
Management And General$12,835ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$2,533TotalAmt
Program Services$2,533ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,339,941TotalAmt
Program Services$1,144,436ProgramServicesAmt
Management And General$195,505ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$25,426TotalAmt
Management And General$25,426ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$459,068TotalAmt
Program Services$151,373ProgramServicesAmt
Management And General$307,695ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$242,668TotalAmt
Program Services$103,591ProgramServicesAmt
Management And General$139,077ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$82,997TotalAmt
Program Services$2,400ProgramServicesAmt
Management And General$80,597ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$14,457TotalAmt
Program Services$7,711ProgramServicesAmt
Management And General$6,746ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$13,598TotalAmt
Program Services$8,340ProgramServicesAmt
Management And General$5,258ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,280TotalAmt
Program Services$251ProgramServicesAmt
Management And General$2,029ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$815,134TotalAmt
Program Services$175,980ProgramServicesAmt
Management And General$639,154ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$39,785TotalAmt
Program Services$13,841ProgramServicesAmt
Management And General$25,944ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical and Patient Sup$737,326$704,801$32,525
Bad Debt$448,265$448,265
Food Costs$64,459$1,997$62,462
Dues, Licenses, and Tax$31,339$11,396$19,943

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$82,710TotalAmt
Program Services$2,428ProgramServicesAmt
Management And General$73,651ManagementAndGeneralAmt
Fundraising$6,631FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$11,310,579TotalAmt
Program Services$8,280,681ProgramServicesAmt
Management And General$3,023,267ManagementAndGeneralAmt
Fundraising$6,631FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$37,973BOYAmt
EOY$186,151EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,189,502BOYAmt
EOY$3,116,327EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$150,925BOYAmt
EOY$150,899EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$121,128BOYAmt
EOY$160,135EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$11,621,409LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,631,035LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,851,892BOYAmt
EOY$5,990,374EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,126,905BOYAmt
EOY$1,138,961EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,059,945BOYAmt
EOY$1,153,781EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$10,538,270BOYAmt
EOY$11,896,628EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$413,194BOYAmt
EOY$668,811EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$116,002BOYAmt
EOY$57,002EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$760,897EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$529,196BOYAmt
EOY$1,486,710EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,748,520BOYAmt
EOY$10,202,171EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$260,554BOYAmt
EOY$207,747EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,009,074BOYAmt
EOY$10,409,918EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,538,270BOYAmt
EOY$11,896,628EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$404,332ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$3,488OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$2,533OtherActivitiesAmt
Total Lobbying Expenditures$2,533TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationThe portion of annual dues paid to hospital and medical associations attributed to lobbying activities by the associations.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,442OtherCostOrOtherBasisAmt
Book Value$10,442BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,763,832OtherCostOrOtherBasisAmt
Depreciation$2,012,187DepreciationAmt
Book Value$3,751,645BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,581,031OtherCostOrOtherBasisAmt
Depreciation$3,364,816DepreciationAmt
Book Value$2,216,215BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$266,104OtherCostOrOtherBasisAmt
Depreciation$254,032DepreciationAmt
Book Value$12,072BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,990,374TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
Other Assets$161
Receivable from Salina Regional Health Center$1,153,620
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,153,781TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescEstimated Third-Party Payor SettlementsDesc
Amt$760,897Amt
FieldValueIRS element (for citing)
Total Liability$760,897TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$11,249,102TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$11,249,102RevenueSubtotalAmt
Other Revenues Not Included$465,809OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$465,809RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$11,714,911TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$12,647,968TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$1,799,710DonatedServicesUseFcltsAmt
Expenses Not Reported$1,799,710ExpensesNotReportedAmt
Expenses Subtotal$10,848,258ExpensesSubtotalAmt
Other Expenses Not Included$462,321OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$462,321ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$11,310,579TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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:Bad Debts 448,265. Reclassification of revenue/expense accounts, net 7,425. Auxiliary revenue 10,119.
Part XII, Line 4b - Other Adjustments:Bad Debts 448,265. Reclassification of revenue/expense accounts, net 7,425. Auxiliary expense 6,631.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$49,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$49,000NetCommunityBenefitExpnsAmt
Total Expense0.00430TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$49,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$49,000NetCommunityBenefitExpnsAmt
Total Expense0.00430TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$71,095TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$42,235DirectOffsettingRevenueAmt
Net Community Benefit Expns$28,860NetCommunityBenefitExpnsAmt
Total Expense0.00260TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$34,047TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$26,158DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,889NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,276,762TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$922,892DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,353,870NetCommunityBenefitExpnsAmt
Total Expense0.29650TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,840TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,840NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,383,744TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$991,285DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,392,459NetCommunityBenefitExpnsAmt
Total Expense0.30000TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,432,744TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$991,285DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,441,459NetCommunityBenefitExpnsAmt
Total Expense0.30430TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served82PersonsServedCnt
Total Community Benefit Expns$3,748TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,748NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served35PersonsServedCnt
Total Community Benefit Expns$785TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$785NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served117PersonsServedCnt
Total Community Benefit Expns$4,533TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,533NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$448,265BadDebtExpenseAmt
Reimbursed By Medicare$5,116,532ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$5,148,489CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$31,957MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Lindsborg Community Hospital AssociationBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1605 W Lincoln StAddressLine1Txt
CityLindsborgCityNm
State AbbreviationKSStateAbbreviationCd
ZIP67456ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.lindsborghospital.orgWebsiteAddressTxt
State LicenseH059001StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Lindsborg Community HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Line 10aOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLwww.lindsborghospital.org/about/message_from_ceo.phpStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLwww.lindsborghospital.org/patients/financial_assistance.phpFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLwww.lindsborghospital.org/patients/financial_assistance.phpFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLwww.lindsborghospital.org/patients/financial_assistance.phpFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Lindsborg Community HospitalPart 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 HospitalPart V, Section B, Line 6a: McPherson Hospital, McPherson, Kansas Mercy Hospital, Moundridge, Kansas
Lindsborg Community HospitalPart V, Section B, Line 6b: McPherson County Public Health Department
Lindsborg Community HospitalPart V, Section B, Line 11: The community health needs assessment was completed during the tax year and as such the hospital has not taken specific actions with respect to the current implementation strategy. The following community health priority areas were identified: drug and alcohol abuse, mental health and obesity. The following actions will be taken by the hospital during future years:Drug and alcohol abuse typically go hand in hand. Part of the action plan is to continue to perform alcohol and drug screenings in the clinic and Emergency Department with referral to the Central Kansas Foundation or other facilities as needed. Standardized evaluation tools in the hospital and clinic EMRs will improve the consistency of screening for these behaviors.Another current nationwide challenge is the abuse of opioid medications. The Family Health Care Clinic has adopted policies to monitor and reduce the amount of opioids, as per Center for Disease Control (CDC) guidelines. A doctor has been certified in Suboxone treatment and has established care with patients to reduce opioid use. Improved standardization and policies have been developed in the Emergency Department as well. Mental Health treatment is a challenge throughout the state. Lindsborg Chief of Police and LCH Administrator participate in quarterly county-wide meetings with law enforcement and health care professionals to try and develop better options to care for those in our community suffering from a mental health crisis. We have seen an improvement in more timely access through discussion and collaboration with local mental health partners as well as the State facility in Larned. Also as a part of this, Prairie View Mental Health and LCH have partnered to provide 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 was also utilized to assist those benefitting from a referral to alcohol or drug treatment.LCH's Family Health Care Clinic offers supervised weight management services including special lab testing, dietary recommendations and chronic weight management. A fitness assessment is also available through the LCH physical therapy department to coincide with the program. LCH also has a registered dietition who provides dietary consultation for inpatient care and outpatient consultation.As part of managing the health of our clinic population, each patient's BMI will be recorded in the electronic medical record. For those patients whose BMI falls outside desired ranges, providers will be expected to address this health concern. Addressing it may take the form of education, consultation to a dietician or referral to the Medically Supervised Weight Management program.The organization will not address the following needs identified due to the priorities identified by the CHNA. These needs include risky behaviors (adults who smoke, physical inactivity, teen births, and STD) which have shown a reducing trend in McPherson County; access to food, especially for children, reflects a trend toward lower percentage of students approved for free lunches which mirrors the county's success in reducing the percentage of people and children in poverty; and the uninsured rate has fluctuated in the past five years with McPherson County historically seeing lower than average unemployment rates than the State of Kansas.
Lindsborg Community HospitalPart 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 HospitalPart 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.
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line11 - Family Health Care ClinicBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1605 W Lincoln StAddressLine1Txt
CityLindsborgCityNm
State AbbreviationKSStateAbbreviationCd
ZIP67456ZIPCd
FieldValueIRS element (for citing)
FacilityPhysician clinicFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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. Subsidized health services on line 7g were calculated utilizing the Medicare cost report.
Part I, Line 7g:One provider based clinic is included in subsidized health services. Net revenues of $177,772 and costs of $2,196,634 were included for a net community benefit of $2,018,862.
Part I, Ln 7 Col(f):The bad debt expense included on Form 990, Part IX, line 25, Column (A), but subtracted for purposes of calculating the percentage in this column, is $448,265.
Part II, Community Building Activities:We provided health and education through the Lindsborg News-Record and the Marquette Tribune. We also provided support for the Smoky Valley Booster Club, Sandzen Memorial Gallery, Meet in the Middle Event, Midsummer Festival, sunscreen for the Lindsborg and Marquette swimming pools, Svensk Hyllingsfest and food support for the blood drive.
Part III, Line 2:Patient's AR are reduced by an allowance for doubtful accounts. In evaluating the collectability of the AR, the Hospital analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with self-pay patients, the Hospital records a provision for bad debts in the period of the service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts.
Part III, Line 4:The footnote to the Organization's financial statements can be found on page ten of the attached audited financial statements.
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 V, Line 7Description of failureType of failure: 501(r)(3) - The hospital did not to post its tax year 2018 Community Health Needs Assessment to their website on or before September 30, 2019.Cause of the failure: Hospital management did not realize the Community Health Needs Assessment had not been posted to their website and inadvertently did not meet the posting requirement. Facility or facilities where the failure occurred: The failure occurred at Lindsborg Community Hospital AssociationThe date(s) of the failure and its discovery: Failure: September 30, 2019Discovery: July 29, 2020Description of the correction of the failureMethod of correction: The Community Health Needs Assessment has been made available on the website.Date of correction: 07/30/2020Description of the practices or procedures put into placeThe Community Health Needs Assessment was posted on the website at: https://www.lindsborghospital.org/about/message_from_ceo.php
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 873 CNA students over the last 18 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:The role of Lindsborg Community Hospital is to provide primary care to the members of the Smoky Valley and to provide emergency care, urgent care, and inpatient care when it is within our care limits. We also provide swing-bed (skilled nursing) care and respite care, accepting patients from Salina Regional Health Center.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonKalli WeibertPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionDaughter of Laraine Gengler, CFORelationshipDescriptionTxt
Transaction$57,071TransactionAmt
TransactionEmploymentTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, line 3Home Health ceased in July 2019.
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 line 7 of Part IX.
Form 990, Part VI, Section A, line 3The 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 2018, SRHC paid the following salaries and benefits to the individuals listed in Part VII: Larry Van Der Wege $193,894 Laraine Gengler $112,541 Wendy Dinkel $331,570 Benjamin Dolezal $315,798 Luke Rosebraugh $255,992 Teresa Pearson $231,947 Amy Fitzgerald $207,357
Form 990, Part VI, Section A, line 6Lindsborg 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 7aLindsborg 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 7bLindsborg 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 8bThere are no committees with broad authority to act on behalf of the governing body.
Form 990, Part VI, Section B, line 11bThe 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 12cAt 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 15aThe 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 2019. 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 19The Organization makes its governing documents and conflict of interest policy available to the public upon written request.
Form 990, Part IX, line 11gContract Labor : Program service expenses 1,106,946. Management and general expenses 189,444. Fundraising expenses 0. Total expenses 1,296,390. Service Contracts : Program service expenses 37,490. Management and general expenses 6,061. Fundraising expenses 0. Total expenses 43,551.
Form 990, Part XI, line 9:Change in auxiliary -3,488.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Lindsborg Community Health Care Foundation IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1605 W LincolnAddressLine1Txt
CityLindsborgCityNm
State AbbreviationKSStateAbbreviationCd
ZIP67456ZIPCd
FieldValueIRS element (for citing)
EIN480947732EIN
Primary ActivitiesHospital supportPrimaryActivitiesTxt
Legal Domicile StateKSLegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity StatusLine 7PublicCharityStatusTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd