2019-11-14T12:12:33-06:00 2018-12-31 BKD LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2018-01-01 480577658 HIAWATHA HOSPITAL ASSOCIATION INC % SHARESE MOSER HIAW 7857422131 300 UTAH STREET HIAWATHA KS 66434 JOHN BROBERG CEO 7857426210 2019-05-15 true April Arnold CPA P01559426 8162216300 167.68.126.162 43372220193185000046 2019-11-14 P 9BE06DDFD50455A577351B2AE93FCCD964ABA3DE 24A25F96CD56D018CC75619D9A740E0E456521D2 2018 2020-03-31 21:24:44Z HIAWATHA COMMUNITY HOSPITAL JOHN BROBERG 300 UTAH STREET HIAWATHA KS 66434 27636650 false X WWW.HCH-KS.ORG X 1945 KS AS A RURAL COMMUNITY HOSPITAL, HIAWATHA HOSPITAL'S PRIMARY GOAL IS TO PROVIDE MODERN, RELIABLE, AFFORDABLE HEALTH CARE THAT BEST MEETS THE NEEDS OF OUR COMMUNITY. 10 9 308 9 0 0 48615 109693 26424535 27271995 -32888 19322 120281 104753 26560543 27505763 7834 1964 0 0 15294127 15125860 0 0 1719 12074735 13106284 27376696 28234108 -816153 -728345 18759941 16410817 9917785 8297006 8842156 8113811 X TO DELIVER EXCEPTIONAL PATIENT CARE WITH AN EMPHASIS ON PATIENT SAFETY, CONSUMER SATISFACTION, AND QUALITY OUTCOMES. false true 24469853 1964 27271995 HIAWATHA COMMUNITY HOSPITAL'S PRIMARY GOAL IS TO PROVIDE QUALITY, MODERN, AFFORDABLE HEALTHCARE TO OUR COMMUNITY. IN 2018, WE PROVIDED SERVICE FOR 3,421 INPATIENT DAYS, 91 INPATIENT SURGERIES AND 848 OUTPATIENT SURGERIES. WE DELIVERED 95 BABIES AND PROVIDED OUTPATIENT SERVICES TO 27,695 PATIENTS. BY PROVIDING SERVICES LIKE OBSTETRICS AND 24 HOUR EMERGENCY SERVICES THAT NOT ALL SMALL RURAL HOSPITALS PROVIDE, EVEN THOUGH THE PROGRAMS ARE NOT ALWAYS PROFITABLE FOR THE HOSPITAL, WE STRONGLY FEEL THAT THESE SERVICES PROVIDE NECESSARY CARE TO ADDRESS OUR COMMUNITY'S OVERALL HEALTH WHILE PROMOTING OUR MISSION AS A CHARITABLE ORGANIZATION. ORGANIZATION. 24469853 true true false true false false false false false false true false false false true false true false false false false false false false false false true true false false true true false false false false false false false false true false false false false false false true true false false false true 26 0 true 308 true false false false false false false false false false false false false X 10 9 true false false false false false false true true false false true true true true true true true true false KS X SHARESE MOSER 7857426431 300 UTAH STREET HIAWATHA KS 66434 X ERIK MADESEN SEC/TREASURER/TRUSTEE 0.3 0.0 X X 0 0 0 NICK HRENCHER TRUSTEE 0.25 0.0 X 0 0 0 ANDY DELANEY PRESIDENT/TRUSTEE 0.5 0.0 X X 0 0 0 BRIAN LILLIE TRUSTEE 0.25 0.0 X 0 0 0 MANDY GRAHAM TRUSTEE 0.25 0.0 X 0 0 0 GREG RODVELT VICE PRESIDENT/TRUSTEE 0.3 0.0 X X 0 0 0 ANDREA KELLER TRUSTEE 0.25 0.0 X 0 0 0 STAN REMINGTON TRUSTEE 0.25 0.0 X 0 0 0 WILLIE GEISENDORF TRUSTEE 0.25 0.0 X 0 0 0 DR JULIE ROSA CHIEF OF STAFF 0.2 0.0 X 162598 0 4554 JEFFREY SHELTON CEO 40.0 0.0 X 187994 0 39819 DR PETE ROSA PHYSICIAN 40.0 0.0 X 384672 0 46245 DR CROSBY GERNON RADIOLOGIST 40.0 0.0 X 427640 0 50454 DR BRYON BIGHAM PHYSICIAN 40.0 0.0 X 283152 0 48912 DR JESSICA JARVIS PHYSICIAN 40.0 0.0 X 286191 0 28418 JEAN ABEITA PHARMACIST 40.0 0.0 X 141475 0 42002 DUSTIN WILLIAMS APRN 40.0 0.0 X 203532 0 43980 DR STEFFEN SHAMBURG PHYSICIAN 40.0 0.0 X 269435 0 17157 DR LOWELL SEARIGHT PHYSICIAN 40.0 0.0 X 200592 0 14133 DANIELLE JAGELS APRN 40.0 0.0 X 161973 0 42782 2709254 0 378456 13 false true false STEVEN H GUNNELLS ANESTHESIA 2561 LINDEN AVENUE HIAWATHA KS 66434 CRNA 751480 STARS INC 509 N 2ND HIAWATHA KS 66434 THERAPY SERVICES 616041 ROCK PORT TELEPHONE COMPANY PO BOX 147 ROCK PORT MO 64482 IT CONTRACT SERVICES 322664 ICE TECHNOLOGIES INC 411 SE 9TH STREET PELLA IA 50219 EMR SUPPORT HOSTING 264863 MISSOURI NETWORK ALLIANCE LLC 2005 W BROADWAY BDLG A SUITE 215 COLUMBIA MO 65203 INFORMATION SERVICES 129913 6 109693 109693 PATIENT SERVICE REVENUE 621110 25126867 25126867 OTHER PATIENT REVENUE 621110 54071 54071 340B PHARMACY 446110 2091057 2091057 27271995 12630 12630 0 0 15060 22579 -7519 0 -7519 -7519 115000 108308 6692 6692 6692 0 0 0 0 0 0 0 0 0 CAFETERIA INCOME 722514 112272 112272 112272 27505763 27271995 124075 1964 1964 0 0 0 1950649 1717802 232847 0 10588005 9227481 1360524 407953 352004 55949 1373634 1139057 234577 805619 692881 112738 0 5826 5826 91308 91308 4963 4963 0 0 2954271 2597288 355264 1719 103302 89507 13795 589871 439959 149912 203846 102225 101621 0 566706 395740 170966 79568 59562 20006 0 0 207852 20698 187154 0 1432612 1076787 355825 186067 116977 69090 BAD DEBT EXPENSE 2812030 2812030 REPAIRS & MAINTENANCE 729838 694533 35305 DUES & SUBSCRIPTIONS 283039 206171 76868 MEDICAL SUPPLIES 2641975 2633960 8015 213210 93227 119983 28234108 24469853 3762536 1719 1163 286 2229434 2152581 56775 56775 4888407 3984478 0 0 0 0 0 0 434940 434452 263102 190231 30075876 20677862 10886120 9398014 0 0 0 0 0 0 0 0 0 194000 18759941 16410817 2313639 1925430 0 0 0 0 5051952 4633391 0 0 0 0 574194 338185 0 0 1978000 1400000 9917785 8297006 X 8778128 8049783 64028 64028 0 0 8842156 8113811 18759941 16410817 -728345 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4963 4963 28229145 28234108 1000000 250000 1000000 1000000 1000000 1000000 4000000 6000000 6763 7865 4760 4963 24351 250000 250000 250000 250000 1000000 1500000 6763 7865 4760 4963 24351 4963 0 784309 784309 0 17417749 10962020 6455729 0 10612676 8770002 1842674 0 1261142 945840 315302 9398014 0 Line of Credit 1400000 1400000 24733058 39325 39325 24693733 2812030 2812030 27505763 25436457 14379 14379 25422078 2812030 2812030 28234108 SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D CHANGE IN FOUNDATION NET ASSETS $ 24,946 RENTAL EXPENSES 22,579 GRANT REVENUE (8,200) ------------ TOTAL $ 39,325 SCHEDULE D, PART XI, LINE 4B BAD DEBT EXPENSE $ 2,812,030 SCHEDULE D, PART XII, LINE 2D RENTAL EXPENSES $ 22,579 GRANT REVENUE (8,200) ------------- TOTAL 14,379 SCHEDULE D, PART XII, LINE 4B BAD DEBT EXPENSE $ 2,812,030 true true X true X true X true false true true 315840 293530 22310 0.00090 5557061 1758583 3798478 0.14930 718230 228047 490183 0.01930 6591131 2280160 4310971 0.16950 20396 20396 0.00080 81986 81986 0.00320 239813 42070 197743 0.00780 342195 42070 300125 0.01180 6933326 2322230 4611096 0.18130 4633 4633 0.00020 2492 2492 0.00010 13272 13272 0.00050 20397 20397 0.00080 false 2812030 198600 8874618 10683067 -1808449 X true true 1 1 HIAWATHA COMMUNITY HOSPITAL 300 UTAH STREET HIAWATHA KS 66434 HCH-KS.ORG H007001 X X X X HIAWATHA HOSPITAL ASSOCIATION INC D false false true X X X X X X X X X 16 true false false true X SEE PART V, SECTION C X true 16 true SEE PART V, SECTION C false true X 150. 200. X X X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 WE CHOSE INDIVIDUALS WHO WOULD HAVE UNIQUE UNDERSTANDING OF THE DIFFERENT POPULATIONS IN OUR COMMUNITY TO BE ON THE COMMITTEE. THE COMMITTEE HELPED FORMULATE THE SURVEY TO TAKE TO OUR COMMUNITY AND GAVE SIGNIFICANT FEEDBACK AND DIRECTION ABOUT WHAT SPECIFIC POPULATION NEEDS WERE. INCLUDED ON THE COMMITTEE: - THE NURSING DIRECTOR FOR BROWN COUNTY HEALTH DEPARTMENT - DR. PETE ROSA WAS NOT ONLY THE DIRECTOR OF THE MEDICAL STAFF WHEN WE DID THE SURVEY, BUT ALSO SERVED ON THE LOCAL SCHOOL BOARD - LOCAL LAW ENFORCEMENT - LOCAL GOVERNMENT - AREA AGENCY ON AGING - LYNN DIERKING, RN, IS THE DIRECTOR OF OUR HOME HEALTH AGENCY SCHEDULE H, PART V, SECTION B, LINE 7A www.hch-ks.org/docs/Hiawatha_CHNARound2_2016_FINAL.pdf SCHEDULE H, PART V, SECTION B, LINE 10A http://www.hch-ks.org/docs/CHNA_Impl_Plan_HCH_2016.pdf SCHEDULE H, PART V, SECTION B, LINE 11 WE PROVIDE MEDICALLY-RELATED TRANSPORTATION AT NO COST TO THE PUBLIC, PROVIDE MENTAL HEALTH SCREENINGS AND PROMOTE THE LOCAL PARKS AND REC AND WALKING TRAILS. WE WORK ON OBTAINING COMMUNITY-WIDE GRANTS TO IMPROVE LOCAL HABITS THAT RESULT IN HEALTHY OUTCOMES. SCHEDULE H, PART V, SECTION B, LINES 16A, B & C www.hch-ks.org/getpage.php?name=FAP 3 HIAWATHA COMMUNITY HOSPITAL HOME HEALTH 300 UTAH STREET HIAWATHA KS 66434 HOME HEALTH HIAWATHA COMM HOSP FAM PRACTICE CLINIC 300 OREGON STREET 2ND FLOOR HIAWATHA KS 66434 RURAL HEALTH CLINIC HIAWATHA COMM HOSPITAL HIGHLAND CLINIC 415 S MAIN STREET HIAWATHA KS 66434 RURAL HEALTH CLINIC SCHEDULE H, PART I, LINE 3C IN ADDITION TO FPG, THE ORGANIZATION USES ASSET LEVEL, INSURANCE STATUS, RESIDENCY, MEDICAL INDIGENCY, AND UNDERINSURANCE STATUS AS FACTORS IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE. SCHEDULE H, PART I, LINE 7 THE HOSPITAL USES THE COST-TO-CHARGE RATIO. THIS METHOD WAS USED TO CALCULATE THE FIGURES IN THE TABLE AND WAS DETERMINED BY COMPARING PATIENT CARE COST TO PATIENT CARE CHARGES. SCHEDULE H, PART I, LINE 7, COLUMN F THE AMOUNT OF BAD DEBT EXPENSE REMOVED FROM TOTAL EXPENSES FOR CALCULATING THE NET COMMUNITY BENEFIT EXPENSE PERCENTAGE WAS $2,812,030. SCHEDULE H, PART II, LINES 1-10 LITTLE HANDS DAYCARE IS A NOT FOR PROFIT DAYCARE THAT PROVIDES LICENSED, RELIABLE, QUALITY DAYCARE AND EDUCATION TO CHILDREN IN THE COMMUNITY. ONE OF THE ISSUES CITED BY LOCAL EMPLOYERS WHEN RECRUITING WORK WAS A LACK OF OPENINGS WITH LOCAL DAYCARE PROVIDERS. LITTLE HANDS WAS STARTED TO ADDRESS THAT NEED. HIAWATHA HOSPITAL'S CONTRIBUTIONS IN TIME AND SUPPLIES HAS HELPED THEM TO BE ABLE TO PROVIDE QUALITY SERVICES WHILE OPERATING ON MINIMAL MARGINS. HIAWATHA COMMUNITY HOSPITAL LEARNED THROUGH OUR COMMUNITY BENEFIT STUDY THAT TRANSPORTATION IS A BARRIER FOR MANY CITIZENS TO OBTAINING HEALTHCARE. SO WE BEGAN OPERATING A FREE MEDICAL TRANSPORT VAN THAT CAN BE USED WITHOUT COST TO GET PEOPLE TO MEDICAL APPOINTMENTS OR BACK FROM STAYS AT HOSPITALS IN LARGER COMMUNITIES. SCHEDULE H, PART III, SECTION A, LINE 2 ALL APPLICABLE INSURANCE CONTRACT DISCOUNTS, SELF-PAY CONTRACT DISCOUNTS, AND CHARITY CARE SLIDING SCALE DISCOUNTS ARE APPLIED PRIOR TO BALANCE BEING ELIGIBLE TO BE WRITTEN OFF AS BAD DEBT. ONCE THE ACCOUNT IS ELIGIBLE, THE ACCOUNT IS FORWARDED TO THE BOARD OF TRUSTEES FOR CONSIDERATION. ONLY AFTER BOARD APPROVAL IS GRANTED IS THE ACCOUNT WRITTEN OFF TO BAD DEBT. SCHEDULE H, PART III, SECTION A, LINE 3 BEFORE MAKING ACCOUNTS ELIGIBLE FOR BAD DEBT, WE RUN ALL ACCOUNTS THROUGH A COMPANY TO CHECK TO SEE IF THEY WOULD LIKELY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. THOSE WHO COME BACK AS PROBABLE ARE CONTACTED AND ASKED AGAIN TO COMPLETE A FAP APPLICATION. MANY INDIVIDUALS ARE NOT WILLING TO COMPLETE THE APPLICATION. AT THAT POINT THEY ARE GRANTED PRESUMPTIVE FINANCIAL ASSISTANCE STATUS AND THEIR BALANCES ARE WRITTEN OFF TO CHARITY CARE INSTEAD OF BAD DEBT. WHILE WE FEEL THAT WE WORK VERY DILIGENTLY TO PROVIDE FINANCIAL ASSISTANCE TO THOSE WHO QUALIFY, WE CANNOT GUARANTEE A PERFECT SYSTEM. SO THE ABOVE FIGURE IS AN ESTIMATION OF THE BALANCES THAT MAY HAVE NOT BEEN CAUGHT BY OUR SYSTEM. SCHEDULE H, PART III, SECTION A, LINE 4 THE FOOTNOTE IS FOUND ON PAGE 9 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, LINE 8 MEDICARE WITHHELD 2% FROM OUR SETTLEMENT THAT REPRESENTS THE SEQUESTRATION AMOUNT. THIS YEAR THAT AMOUNT IS $169,170. THAT 2% REDUCES OUR REIMBURSEMENT TO LESS THAN COSTS. HCH CONSIDERS THIS FULL AMOUNT AS COMMUNITY BENEFIT AS THE HOSPITAL IS PROVIDING SERVICES NOT JUST BELOW THE AGREED UPON RATE WITH MEDICARE, BUT AT A LOSS. SCHEDULE H, PART III, SECTION B, LINE 9B CHARITY CARE APPLICATIONS ARE MADE AVAILABLE TO ALL PATIENTS AT THE TIME OF REGISTRATION, ON STATEMENTS, AND ON THE WEBSITE. 120 DAYS AFTER THE FIRST POST DISCHARGE STATEMENT IS MADE ON AN ACCOUNT, IF PAYMENT ISN'T MADE AND A CHARITY CARE APPLICATION ISN'T COMPLETED THE PATIENT'S NAME IS RUN THROUGH A COMPANY TO CHECK FOR PRESUMPTIVE CHARITY CARE. IF THEY QUALIFY, THEY ARE OFFERED AN APPLICATION AGAIN. IF THEY FAIL TO COMPLETE THE APPLICATION, THEY ARE WRITTEN OFF TO CHARITY CARE UNDER OUR PRESUMPTIVE CHARITY CARE PROGRAM. IF THEY DO NOT QUALIFY FOR CHARITY CARE, AND HAVE NOT RESPONDED TO OUR REQUESTS FOR PAYMENTS FOR 120 DAYS, THEN THE ACCOUNT IS PUT ON A LIST FOR APPROVAL BY THE BOARD OF TRUSTEES. ONCE AN ACCOUNT IS GRANTED APPROVAL BY THE BOARD, IT IS SENT TO THE COLLECTION AGENCY. WE GIVE THE COLLECTION AGENCY SEVERAL MONTHS TO COLLECT THE DEBT. IF THEY ARE UNSUCCESSFUL, THE ACCOUNT IS RETURNED TO THE HOSPITAL AND WRITTEN OFF. SCHEDULE H, PART VI, LINE 2 NOT ONLY DID WE SEEK FEEDBACK FROM COMMITTEE MEMBERS REPRESENTING LESSER-HEARD VOICES FROM OUR COMMUNITY, BUT WE MADE AN ONLINE SURVEY AVAILABLE, WE PUT HARD COPIES OF THE SURVEY IN MULTIPLE PLACES INCLUDING ALL OF THE TOWNS IN OUR SERVICE AREA. WE COMBINED THAT FEEDBACK WITH STATISTICAL INFORMATION FROM RELIABLE SOURCES TO IDENTIFY PRIORITIES. SCHEDULE H, PART VI, LINE 3 WE POST INFORMATION ABOUT OUR FAPS EXISTENCE IN PROMINENT LOCATIONS. WE MAKE COPIES OF THE FAP AVAILABLE DURING REGISTRATION, IN INPATIENT ROOMS, ONLINE, AND ON OUR BILLING CORRESPONDENCE. SCHEDULE H, PART VI, LINE 4 THE HOSPITAL SERVES A GEOGRAPHIC AREA THAT ENCOMPASSES ATCHISON, BROWN, DONIPHAN, JACKSON AND NEMAHA COUNTIES IN KANSAS, AND RICHARDSON COUNTY IN NEBRASKA. OF THOSE PATIENTS, 85% ARE FROM BROWN AND DONIPHAN COUNTIES. THESE ARE MOSTLY RURAL COMMUNITIES. 88% OF THE POPULATION OF THE BROWN AND DONIPHAN COUNTIES THAT IS 25 YEARS OR OLDER HAS A MINIMUM OF A HIGH SCHOOL DIPLOMA, 16% HAS A BACHELORS DEGREE OR HIGHER. THE AVERAGE MEDIAN HOUSEHOLD INCOME IS $41,300 COMPARED TO THE STATE WIDE MEDIAN HOUSEHOLD INCOME OF $50,594. 16% OF THE POPULATION LIVES IN POVERTY; 19% FOR BROWN COUNTY ALONE. 16% OF THE POPULATION IN BROWN AND DONIPHAN COUNTIES DOES NOT HAVE HEALTH INSURANCE. SCHEDULE H, PART VI, LINE 5 WE SUPPORT A WIDE ARRAY OF PROGRAMS AND PROJECTS IN OUR COMMUNITY. MANY OF OUR KEY EMPLOYEES SERVE ON MULTIPLE BOARDS THAT HAVE A POSITIVE IMPACT ON VARIOUS ASPECTS OF THE COMMUNITY. WE PROVIDE DONATIONS OF BOTH TIME AND MONEY TO VARIOUS SERVICE ORGANIZATIONS. SCHEDULE H, PART VI, LINE 6 N/A SCHEDULE H, PART VI, LINE 7 KANSAS X true true X X X false false false true false false false false false JEFFREY SHELTON CEO 161906 0 25313 0 775 0 1698 0 38121 0 227813 0 DR JULIE ROSA CHIEF OF STAFF 124757 0 37841 0 0 0 4554 0 0 0 167152 0 DR PETE ROSA PHYSICIAN 252099 0 132573 0 0 0 9289 0 36956 0 430917 0 DR CROSBY GERNON RADIOLOGIST 381031 0 28071 0 18538 0 14577 0 35877 0 478094 0 DR BRYON BIGHAM PHYSICIAN 258229 0 24923 0 0 0 9399 0 39513 0 332064 0 DR JESSICA JARVIS PHYSICIAN 234032 0 52159 0 0 0 8630 0 19788 0 314609 0 JEAN ABEITA PHARMACIST 139850 0 1625 5205 36797 183477 DUSTIN WILLIAMS APRN 192532 11000 0 7024 36956 247512 DR STEFFEN SHAMBURG PHYSICIAN 210424 59011 0 8523 8634 286592 DR LOWELL SEARIGHT PHYSICIAN 198967 0 1625 923 13210 214725 DANIELLE JAGELS APRN 123669 38304 0 4694 38088 204755 SCHEDULE J, PART I, LINE 1A JEFFREY SHELTON, CEO, RECEIVED EMPLOYER PROVIDED HOUSING IN THE AMOUNT OF $775.00 AS A TAXABLE BENEFIT. THE AMOUNT WAS INCLUDED IN HIS W-2. SCHEDULE J, PART I, LINE 5A THE DOCTORS ARE PAID A PERFORMANCE BONUS BASED ON PRODUCTIVITY AND CONSIDERATION OF REVENUES AND EXPENSES. A CITY OF HIAWATHA KANSAS 486025665 428545CN5 2014-09-29 6440000 SEE PART VI false false false A 1690000 0 6440000 301476 0 0 115920 0 0 0 6324080 0 2011 true false true true A false false true true false 0 false false false true A false true true false false false 0 false 0 false true A true PART I, LINE A, COLUMN F THE BONDS WERE ISSUED TO REFUND THE SERIES 2007 BONDS (ISSUED 03/29/2007) AND REFUND THE TAXABLE BANK LOANS. SEE PART V SCHEDULE L, PART V A) DR. JULIE ROSA B) DR. JULIE ROSA, A PHYSICIAN AT HIAWATHA COMMUNITY HOSPITAL, IS THE SPOUSE OF DR. PETER ROSA, A KEY EMPLOYEE OF THE HOSPITAL C) $ 167,152 D) COMPENSATION E) NO FORM 990, PART III, LINE 1 HIAWATHA COMMUNITY HOSPITAL'S HIGHEST PRIORITY IS THE PROVISION OF QUALITY HEALTH CARE TO OUR PATIENTS THROUGHOUT NORTHEAST KANSAS. COMPREHENSIVE SERVICES INCLUDE PRIMARY, SECONDARY, AND LONG-TERM CARE. TO CARRY OUT THIS MISSION, HEALTH PROFESSIONALS WITHIN THE HOSPITAL CONTINUALLY WORK TOGETHER TO IMPROVE PATIENT CARE AND EDUCATION. THIS TEAM APPROACH ASSURES THAT OUR PATIENTS WILL BENEFIT FROM THE MOST UP-TO-DATE MEDICAL PRACTICES AVAILABLE. THE HOSPITAL CAN ONLY CONTINUE TO EXIST TO SERVE ITS MISSION THROUGH SOUND FINANCIAL MANAGEMENT AND STRATEGIC PLANNING. THEREFORE, THE PRINCIPLES OF COST EFFECTIVENESS AND EFFICIENCY GOVERN THE DEVELOPMENT OF HEALTH CARE POLICY FOR THE HOSPITAL. EXTERNAL AND INTERNAL ASSESSMENTS ARE DONE TO DETERMINE EVOLUTIONARY NEEDS AND TO RESPOND TO THE DEMANDS OF EVER-CHANGING TECHNOLOGY. HIAWATHA COMMUNITY HOSPITAL FEELS A STRONG COMMITMENT TO ITS EMPLOYEES AND STRIVES ALWAYS TO TREAT THEM FAIRLY, RESPONSIBLY, AND WITH A SENSE OF CONCERN FOR THEIR WELL-BEING. THE PROVISION OF COMPREHENSIVE CONTINUING EDUCATION IS ESSENTIAL TO MAINTAIN ADEQUATE SKILL LEVELS AND FOSTER A SENSE OF PRIDE AND PROFESSIONALISM. AS A COMMUNITY HOSPITAL, HIAWATHA COMMUNITY HOSPITAL RECOGNIZES ITS RESPONSIBILITY TO PROVIDE PUBLIC HEALTH EDUCATION AND, AS SUCH, STRIVES TO SERVE AS A REGIONAL HEALTH RESOURCE CENTER. MEDICAL AND PROFESSIONAL STAFF ARE ENCOURAGED TO PARTICIPATE IN COMMUNITY ACTIVITIES AND EDUCATION. FORM 990, PART III, LINE 3 HOME HEALTH SERVICES WERE CLOSE ON MARCH 31, 2018. FORM 990, PART VI, SECTION A, LINE 2 DR. PETE ROSA AND DR. JULIE ROSA HAVE A FAMILY RELATIONSHIP FORM 990, PART VI, SECTION B, LINE 11B AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE 990 IS THEN REVIEWED BY THE ORGANIZATION'S OFFICERS AND ACCOUNTING PERSONNEL. ANY QUESTIONS OR CONCERNS THE ORGANIZATION'S OFFICERS AND ACCOUNTING PERSONNEL HAVE ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS THAT NEED TO BE MADE ARE MADE. THE FINAL FORM 990 WITH ALL REQUIRED SCHEDULES IS THEN PROVIDED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL EMPLOYEES AND DECISION MAKERS FOR THE HOSPITAL ARE COVERED UNDER THIS POLICY. CONFLICTS ARE EITHER REVIEWED BY THE CORPORATE COMPLIANCE OFFICER OR THE BOARD PRESIDENT. AT BOARD MEETINGS, THE BOARD CHAIR IS APPRAISED OF ALL CONFLICTS OF INTEREST AND THEN ASKS THE MEMBER TO ABSTAIN FROM DISCUSSING AND VOTING ON TOPICS OF CONFLICT. FORM 990, PART VI, SECTION B, LINE 15A THE DIRECTOR OF HUMAN RESOURCES PERIODICALLY PROVIDES THE PRESIDENT OF THE BOARD OF DIRECTORS WITH A COMPENSATION SURVEY COMPILED BY THE KANSAS HOSPITAL ASSOCIATION. THE SURVEY DELINEATES COMPENSATION PACKAGES FOR ADMINISTRATORS AT HOSPITALS THAT ARE SIMILAR TO HIAWATHA. BASED ON THAT SURVEY, THE ADMINISTRATOR'S PERFORMANCE, AND THE PERFORMANCE OF THE HOSPITAL, THE BOARD SETS THE ADMINISTRATOR'S SALARY. THE LAST EVALUATION WAS GIVEN IN 2017 WHILE WE WERE TRYING TO HIRE A NEW CEO. FORM 990, PART VI, SECTION B, LINE 15B AN ATTORNEY'S OFFICE THAT SPECIALIZES IN HEALTHCARE REVIEWED AND HELPED TO REVISE THE DOCTOR'S CONTRACTS STARTING IN DECEMBER OF 2016. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990 PART IX LINE 11G DESCRIPTION:ANESTHESIOLOGY TOTAL FEES:750520 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICAL THERAPY TOTAL FEES:388935 FORM 990 PART IX LINE 11G DESCRIPTION:EMR SERVICES TOTAL FEES:385922 FORM 990 PART IX LINE 11G DESCRIPTION:RESPIRATORY THERAPY TOTAL FEES:160971 FORM 990 PART IX LINE 11G DESCRIPTION:LAB SERVICES TOTAL FEES:169395 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER FEES FOR SERVICES TOTAL FEES:1098528 HIAWATHA HOPSITAL FOUNDATION 300 UTAH STREET HIAWATHA KS 66434 481223766 FUNDRAISING KS 501(C)(3) 12D HHA false CHARITABLE REMAINDER TRUST (1) TRUST KS HHA true false false true false false false false false false false false false false true true false false false false