2020-02-05T15:33:53-08:00 2019-03-31 GEORGE BOWERMAN & NOEL PA 301 N MAIN SUITE 1350 WICHITA KS 67202 990 2018-04-01 481020227 Community HealthCare System Inc COMM 7858895036 120 WEST 8TH STREET ONAGA KS 66521 TODD WILLERT Chief Executive Officer 7858895036 2019-08-14 true Paul R Bowerman P00468450 3162626277 72.204.192.48 2020-02-05 15:33:43 PS 480525202003602fczv5 2020-02-05 P 7D6232A9A8EBAB0527354DAD5338870525FA2852 7D6232A9A8EBAB0527354DAD5338870525FA2852 2018 2020-11-19 02:30:22Z Community HealthCare System Inc Todd Willert 120 WEST 8TH ST ONAGA KS 66521 38156786 false X http://www.chcsks.org X 1986 KS Community HealthCare System,in partnership with our medical staff, has a long standing tradition in providing quality and compassionate health care to rural communities of NE Kansas and all our patients. Our mission is to enrich the health and lives of the people we serve. 7 7 585 0 0 0 12664 178936 37140268 37444670 56817 70915 393828 462265 37603577 38156786 0 0 23144878 23218643 0 98120 13530470 13812810 36675348 37031453 928229 1125333 10646282 11244063 7062126 6534574 3584156 4709489 Community HealthCare System,in partnership with our medical staff, has a long standing tradition in providing quality and compassionate health care to rural communities of NE Kansas and all our patients. Our mission is to enrich the health and lives of the people we serve. false false 25123866 0 37666906 RURAL HOSPITAL PROVIDING MEDICAL CARE ON BOTH AN INPATIENT AND OUTPATIENT BASIS TO AREA RESIDENTS. SERVICES PROVIDED INCLUDE EMERGENCY, OBSTETRICS, SURGICAL, RADIOLOGY, REHABILITATION, RURAL HEALTH CLINIC, HOME HEALTH CARE, AND LONG TERM CARE 25123866 true false false true false false false false false false true false false true true false true false false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false false true 0 0 true 585 true false false false false false false false false false false false false false X 7 7 true false false false false false false true true false false false true true true true true true true false X MONICA HOLTHAUS 7858895036 120 W 8TH STREET ONAGA KS 66521 JUSTIN BOSWELL CHAIRMAN 2.00 X 3819 0 0 ALAN FISCHER SECRETARY 2.00 X 1254 0 0 KAREN HARDER VICE CHAIRMAN 2.00 X 1729 0 0 ROBERT LADNER DIRECTOR 2.00 X 1695 0 0 JEREMY HEIT DIRECTOR 2.00 X 755 0 0 TIM KITE DIRECTOR 2.00 X 1600 0 0 Melisa Wegner Director 2.00 X 1218 0 0 TODD WILLERT CEO 40.00 X 183374 0 9733 MINDY OLBERDING CNO 40.00 X 110545 0 7744 MONICA HOLTHAUS CFO 40.00 X 123317 0 2141 ROSALIND LEWIS Director of Ancillary Services 40.00 X 115299 0 8231 DR DAVID ALLEN PHYSICIAN 40.00 X 394785 0 16051 DR THOMAS WALSH PHYSICIAN 40.00 X 296340 0 12284 DR MARCUS WEISER PHYSICIAN 40.00 X 493001 0 16128 Dr David Cancelada Surgeon 40.00 X 352061 0 2640 Dr Nancy Zidek Physician 40.00 X 277767 0 9651 Lorraine Meyer Risk/COO 40.00 X 107491 0 10262 MELISSA TALLEY CPMO 40.00 X 105343 0 7639 2571393 0 102504 26 false true false ANESTHESIA PROFESSIONALS 2017 W HARBORLIGHT C WICHITA KS 67204 ANESTHESIA SERVICES 384000 STORMONT-VAIL HLTH CARE 1500 SW 10TH STREET TOPEKA KS 66604 MEDICAL SERVICES 305873 MARY K CUMMINS 2194 JADE ROAD AURORA KS 67417 CONTRACT STAFFING 146303 Cerner Corporation 2800 Rockcreek Parkway Kansas City MO 64117 EHR computer system/maintenance 1095028 GEORGE BOWERMAN & NOEL PA 12001 E 13TH ST N WICHITA KS 67206 AUDIT AND COST REPORT SERVICES 176023 7 178936 178936 NET PATIENT SERVICE REVENUE 621990 34270600 0 0 TAX SUBSIDY 621990 3174070 0 0 37444670 70915 0 70915 Other 900099 240029 0 0 240029 EHR Meaningful use 621990 222236 222236 0 0 462265 38156786 37666906 0 310944 757440 574971 182469 0 19217065 14861126 4282190 73749 112139 87496 24643 0 1764041 1183633 572876 7532 1367958 1045836 317023 5099 69751 51637 14114 4000 78248 53095 24813 340 3183868 188480 2995388 0 115388 85778 29610 0 105114 10749 94365 0 1048010 775527 272483 0 344044 197869 146175 0 Property tax 11441 10546 895 0 Leased equipment 155119 118081 37038 0 Miscellaneous 132116 13495 115321 3300 Dues and subscriptions 699181 324726 373455 1000 7870530 5540821 2326609 3100 37031453 25123866 11809467 98120 210100 1932894 296055 716990 3821174 4112225 745411 624255 476220 405936 18904857 16169942 3680072 2734915 1417250 716848 10646282 11244063 3413822 3937306 94969 0 3459693 2503626 93642 93642 7062126 6534574 X 3574111 4699444 10045 10045 3584156 4709489 10646282 11244063 1125333 X false true X false false X 0 0 0 0 0 false false false false false false false false true 5311 5311 Pt II-B Line 1 Lobbying portion of Kansas Hospital Association dues. 0 379620 379620 0 6368072 5245419 1122653 0 12157165 10924523 1232642 2734915 DUE FROM THIRD PARTY PAYER 364361 DEFERRED FINANCING COSTS 352487 716848 DUE TO COMMUNITY HOSPITAL DISTRICT 93642 93642 38156786 38156786 38156786 37031453 37031453 37031453 true true true X true X true true true false false 165987 165987 0.00450 1940223 1387403 552820 0.01490 0 0.00000 2106210 1387403 718807 0.01940 271130 167750 103380 0.00280 0 0.00000 13432472 10646401 2786071 0.07520 0 0 0.00000 13703602 10814151 2889451 0.07800 15809812 12201554 3608258 0.09740 129876 974232 X true true 1 1 COMMUNITY HOSPITAL ONAGA 120 WEST 8TH ONAGA KS 66521 17-1354 X COMMUNITY HOSPITAL, ONAGA Pt V Line 6b Pottawatomie County Health Department COMMUNITY HOSPITAL, ONAGA Pt V Line 19e The System assists those patients who are uninsured or have non-covered services by providing a 20% discount for the hospital, emergency room, anesthesia, clinic, home health and for medically needed durable medical equipment. Further, discounts are also available under the System's financial assistance policy. COMMUNITY HOSPITAL, ONAGA Pt V Line 5 Town hall type meetings were held in the communities of Onaga and St. Marys to obtain input from citizens regarding the health needs and issues in the communities. These meetings were promoted in advance through local chambers of commerce groups, posters throughout the communites served, local newspapers, and employees of the System. In addition, interactive presentations were held with the Onaga, Wheaton, and Havensville chambers of commerce and with System medical staff. At each meeting there was a discussion of quantitative data, current CHNA efforts and future focus. 6 Eastridge Nursing Facility 600 1st Street Centralia KS 66415 Long-term Care Downtown Medical Clinic 112 East 2nd Street Frankfort KS 66427 Rural Health Clinic Holton Family Health Clinic 1603 West 4th Street Holton KS 66536 Rural Health Clinic Westmoreland Medical Clinic 208 North 1st Street Westmoreland KS 66549 Medical Clinic Family Practice Medical Clinic 6221 5th Street Corning KS 66417 Medical Clinic Centralia Medical Clinic 606 1st Street Centralia KS 66415 Medical Clinic Pt I Line 7 The total cost to charge ratio derived from the Medicare cost report was applied to gross charges to compute the community benefit expense for charity care and unreimbursed Medicaid. The community benefit expense for community health improvement services and subsidized health services was obtained from the total costs per Worksheet B on the Medicare cost report with adjustments made to exclude amounts otherwise included as charity care, bad debts or unreimbursed Medicaid. Pt I Line 7g Subsidized health services include the cost attibutable to physician clinics operated in rural communities and designated as Rural Health Clinics. Pt III Line 2 The total cost to charge ratio derived from the Medicare cost report was applied to the gross charges written off (net of collections) to compute the community benefit expense for bad debts. Pt III Line 3 The cost of providing services to those with the inability to pay or where collection efforts are not successful are included as community benefit expense to represent the full costs of providing services to the community. Pt III Line 4 From Financial Statement Footnote-If the patient is unable to pay the full amount at the time the patient is billed, the System negotiates a payment plan whereby monthly payments are made by the patient on the account. Accounts are considered delinquent and subsequently written off as bad debts based on individual credit evaluation and specific circumstances of the account. If future default rates on accounts receivable differ from those currently anticipated, the System may have to adjust its allowance for doubtful accounts, which would affect earnings in the period the adjustments are made. Pt III Line 8 Medicare allowable cost per the Medicare cost report. Costs are apportioned to the Medicare program based on departmental cost to charge ratios for ancillary services and patient days for inpatient and swing bed services. Pt III Line 9b If collection efforts determine that a patient may qualify for financial assistance, the financial assistance process is initiated including attempts to obtain the documentation required under the policy. Collection and financial assistance policies are consistently applied to all patients. Indigent patient's balances adjusted according to Medicare bad debt policies. Pt VI Line 2 Informal needs assessment performed on an ongoing basis. Hospital personnel identify needs based on admissions and discharge data. Needs are also identified by requests from surrounding rural communities. Formal needs assessment is in process. Pt VI Line 3 The availability of financial assistance is stated in collection letters sent to patients. Collections staff also inform uninsured patients of financial assistance available and policies are addressed verbally at admission with clinic patients. Pt VI Line 4 The System provides inpatient, outpatient, swing bed, physician clinic, home health, and long-term nursing care to patients primarily as sole provider to rural areas in the Pottawatomie, Jackson and Nemaha counties area. Pt VI Line 5 All of the Organization's governing body is comprised of individuals who reside in the Organization's primary services area. The System is a non-profit organization created by the Board of Directors of, and is considered a component unit of Community Hospita District No. 1 of Pottawatomie, Jackson, and Nemaha counties, Kansas to operate, control, and manage all matters concerning healthcare services in its service area pursuant to a lease agreement between the Hospital District and the System. The Hospital District Board appoints the members of the Board of Directors of the System. The Hospital District Board is elected. The System's responsiveness to the community is demonstrated by the operation of Rural Health/Physician clinics in surrounding rural communities to provide access to care at the request from the surrounding communities or as a result of identified needs. The System participates in all government sponsored health care programs (Medicare, Medicaid, CHAMPUS, Tricare) and serves all persons regardless of ability to pay. The System operates LifeCare fitness centers in an effort to enhance community health thereby reducing total health care cost. The System extends medical staff privileges to qualified physicians in the community. true false false false true false false false false false TODD WILLERT 183674 0 0 0 0 0 1700 0 8033 0 193407 0 0 0 DR DAVID ALLEN 394785 0 0 0 0 0 4002 0 12048 0 410835 0 0 0 DR THOMAS WALSH 296340 0 0 0 0 0 2646 0 9638 0 308624 0 0 0 DR MARCUS WEISER 493001 0 0 0 0 0 4555 0 11573 0 509129 0 0 0 Dr David Cancelada 352061 0 0 0 0 0 0 0 2640 0 354701 0 0 0 Dr Nancy Zidek 277767 0 0 0 0 0 2818 0 6833 0 287418 0 0 0 Pt I Line 5a Physician compensation based, in part, on patient clinic charges Pt VI, Line 2 Dr. Tom Walsh/Marcia Walsh, COO - Spouse Pt VI, Line 11b Reviewed by the Chairman of the Board prior to filing and available to other Board members upon request. Pt VI, Line 12c Required to disclose conflict of interest upon hire/appointment to Board and also update and report changes thereafter. Pt VI, Line 15a CEO compensation is reviewed annually by the Board of Directors. Pt VI, Line 15b Other officer and key employee compensation is reviewed by CEO utilizing information obtained from sources such as the Kansas Hospital Association, Bureau of Labor and Kansas Department of Labor. Form 990, Part IX, Line 24e Education expense 102548. 75188. 26460. 900. Form 990, Part IX, Line 24e Minor equipment 304150. 239764. 64386. 0. Form 990, Part IX, Line 24e Contract labor 2055971. 1553983. 501988. 0. Form 990, Part IX, Line 24e Professional fees 737167. 38546. 697521. 1100. Form 990, Part IX, Line 24e Supplies 3213434. 2939525. 272809. 1100. Form 990, Part IX, Line 24e Repair and maintenance 1415866. 655480. 760386. 0. Form 990, Part IX, Line 24e Freight 41394. 38335. 3059. 0. COMMUNITY HOSPITAL DISTRICT NO 1 OF POTTAWATOMIE JACKSON AND NEMAHA COUNTIE 120 WEST 8TH STREET ONAGA KS 66521 486089515 HOSPITAL DISTIRCT KS NA false false false false false false false false false false true false false false false false false false false COMMUNITY HOSPITAL DISTRICT NO 1 OF POTTAWATOMIE JACKSON AND NEMAHA COUNTIE K ACTUAL