RURAL HEALTH RESOURCES OF JACKSON CO INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: RURAL HEALTH RESOURCES OF JACKSON CO INC (EIN 74-2826278)
Tax period: 2016-04-01 to 2017-03-31
Filed: 2018-02-15
IRS object ID: 201840469349301144
Schema version: 2016v3.1
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-02-15T13:11:42-06:00	ReturnTs
Tax Period End	2017-03-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1201 Walnut Suite 1700	AddressLine1Txt
City	Kansas City	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	641062246	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-04-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	742826278	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RURAL HEALTH RESOURCES OF JACKSON CO INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% BART KENTON	InCareOfNm
Business Name Control	RURA	BusinessNameControlTxt
Phone	7853642116	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1110 COLUMBINE DRIVE	AddressLine1Txt
City	HOLTON	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	66436	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	CARRIE SAIA	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	7853649636	PhoneNum
Signature	2018-02-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Michael J Engle	PreparerPersonNm
PTIN	P00482834	PTIN
Phone	8162216300	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	76.2.187.250	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	43372220180465000069	FederalOriginalSubmissionId
Federal Original Submission Id	2018-02-15	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	402283322F8CAD45E9D12A993EDCDD38A826EB18	AtSubmissionCreationDeviceId
At Submission Filing Device Id	B937BF114137470649B10DCCC1497B1F1517C7A8	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	HOLTON COMMUNITY HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	CARRIE SAIA	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1110 COLUMBINE DRIVE	AddressLine1Txt
City	HOLTON	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	66436	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$16,498,607	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.HOLTONHOSPITAL.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1997	FormationYr
Legal Domicile State	KS	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE HIGH QUALITY HEALTHCARE SERVICES TO ALL OF JACKSON COUNTY AND SURROUNDING COMMUNITIES WHILE CONSISTENTLY DEMONSTRATING PROFESSIONALISM WITH THE HOMETOWN TOUCH.	ActivityOrMissionDesc
Voting Members Governing Body	8	VotingMembersGoverningBodyCnt
Voting Members Independent	5	VotingMembersIndependentCnt
Total Employee	204	TotalEmployeeCnt
Total Volunteers	17	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$56,941	PYContributionsGrantsAmt
CY Contributions Grants	$51,868	CYContributionsGrantsAmt
PY Program Service Revenue	$14,565,878	PYProgramServiceRevenueAmt
CY Program Service Revenue	$15,242,505	CYProgramServiceRevenueAmt
PY Investment Income	$45,962	PYInvestmentIncomeAmt
CY Investment Income	$45,809	CYInvestmentIncomeAmt
PY Other Revenue	$304,141	PYOtherRevenueAmt
CY Other Revenue	$1,152,834	CYOtherRevenueAmt
PY Total Revenue	$14,972,922	PYTotalRevenueAmt
CY Total Revenue	$16,493,016	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$8,553,095	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$8,814,461	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$6,378,169	PYOtherExpensesAmt
CY Other Expenses	$7,480,999	CYOtherExpensesAmt
PY Total Expenses	$14,931,264	PYTotalExpensesAmt
CY Total Expenses	$16,295,460	CYTotalExpensesAmt
PY Revenues Less Expenses	$41,658	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$197,556	CYRevenuesLessExpensesAmt
Total Assets BOY	$10,975,383	TotalAssetsBOYAmt
Total Assets EOY	$10,378,568	TotalAssetsEOYAmt
Total Liabilities BOY	$5,355,586	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$4,561,215	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$5,619,797	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$5,817,353	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROVIDE PROFESSIONALISM, COMPASSION AND EXCELLENCE IN HEALTHCARE FOR A HEALTHIER COMMUNITY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$10,600,544	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$13,022,166	RevenueAmt
Desc	SEE SCHEDULE O.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$2,963,160	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$3,156,113	RevenueAmt
Desc	THERE ARE 3 RURAL HEALTH CLINICS: 1 RURAL HEALTH CLINIC WITHIN THE SAME COMMUNITY WHERE THE HOSPITAL RESIDES, AND 2 RURAL HEALTH CLINICS LOCATED IN 2 SMALLER NEARBY COMMUNITIES. THE RURAL HEALTH CLINICS REPORTED 16,360 VISITS FROM 4/1/16 THROUGH 3/31/17. PROVIDERS FOR THE RURAL HEALTH CLINICS LIVE AND WORK IN THE SAME COMMUNITY AND ARE ACTIVELY INVOLVED IN COMMUNITY ACTIVITIES; OFFERING A LARGE VARIETY OF EDUCATIONAL SERVICES AS WELL AS CLINICAL SERVICES SUCH AS PROVIDING 2 LOCAL HIGH SCHOOLS A SPORTS MEDICINE CLINIC AND COVERAGE BY PROVIDERS AT HOME SPORTING EVENTS.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$13,563,704	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	false	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	false	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	31	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	204	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	8	GoverningBodyVotingMembersCnt
Independent Voting Member	5	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	KS	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	BART KENTON	PersonNm
Phone	7853649636	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1110 COLUMBINE DRIVE	AddressLine1Txt
City	HOLTON	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	66436	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
CATHERINE E REED
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
J RICHARD LAKE
DIRECTOR/CHAIR	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
MARGARET PAGEL
DIRECTOR/SECRETARY	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
ALEX GILLILAND
DIRECTOR/TREASURER	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
BOBBI MCGRATH
DIRECTOR/VICE CHAIR	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
IRVIN SANDERSON
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
DAN BRENNER
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
DR MALIA WARNER
DIRECTOR/CHIEF OF MED STAFF	40.0	0.0	Yes (X)	$216,927	$0	$33,817
MICHAEL MOSIER
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
DR JOEL HUTCHINS
DIRECTOR/CHIEF OF MED STAFF	40.0	0.0	Yes (X)	$225,558	$0	$11,892
CARRIE SAIA
CHIEF EXECUTIVE OFFICER	40.0	0.0		$144,428	$0	$15,469	Yes (X)
BART KENTON
CHIEF FINANCIAL OFFICER	40.0	0.0		$104,694	$0	$5,559	Yes (X)
DR CLINT M COLBERG
PHYSICIAN	40.0	0.0		$280,658	$0	$30,644		Yes (X)
PHILLIP J WASSENBERG
PHYSICAL THERAPIST	53.5	0.0		$128,404	$0	$14,739		Yes (X)
WILLIAM E KINCADE III
PHYSICIAN'S ASSISTANT	40.0	0.0		$116,246	$0	$3,469		Yes (X)
DALLAS W DOOLEY
APRN	40.0	0.0		$122,149	$0	$19,593		Yes (X)
JOSHUA C MOULIN
PHYSICIAN'S ASSISTANT	40.0	0.0		$154,835	$0	$24,573		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,493,899	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$159,755	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	10	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

ServicesServicesDesc	CompensationCompensationAmt
ST FRANCIS HEALTH CENTERSCL HEALT
MGMT/LAB SERVICES	$250,487
GLENDAVNIC ANESTHESIA PLLC
ANESTHESIA SERVICES	$350,004
MEDHOST OF TENNESSEE INC
SUPPORT/SOFTWARE	$313,025
SHARED MEDICAL SERVICES
MRI SERVICES	$136,965
PREMIER SPECIALTY NETWORK
SPECIALTY PHYSICIAN	$183,767

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	5	CntrctRcvdGreaterThan100KCnt
Government Grants	$18,276	GovernmentGrantsAmt
All Other Contributions	$33,592	AllOtherContributionsAmt
Total Contributions	$51,868	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SERVICE REVENUE	Desc
Business	621110	BusinessCd
Total Revenue Column	$15,242,505	TotalRevenueColumnAmt
Related Or Exempt Func Income	$15,242,505	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$15,242,505	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$45,134	TotalRevenueColumnAmt
Exclusion	$45,134	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$6,266	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$5,591	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$675	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$675	TotalRevenueColumnAmt
Exclusion	$675	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
340B REVENUE	623000	$935,774	$935,774
CAFETERIA	623000	$19,965		$19,965
MEDICAL RECORDS	623000	$4,595		$4,595

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$192,500	TotalRevenueColumnAmt
Exclusion	$192,500	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,152,834	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16,493,016	TotalRevenueColumnAmt
Related Or Exempt Func Income	$16,178,279	RelatedOrExemptFuncIncomeAmt
Exclusion	$262,869	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$785,496	TotalAmt
Program Services	$652,100	ProgramServicesAmt
Management And General	$133,396	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$121,911	TotalAmt
Program Services	$121,911	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$6,581,718	TotalAmt
Program Services	$5,480,700	ProgramServicesAmt
Management And General	$1,101,018	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$125,196	TotalAmt
Program Services	$103,935	ProgramServicesAmt
Management And General	$21,261	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$656,168	TotalAmt
Program Services	$555,721	ProgramServicesAmt
Management And General	$100,447	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$543,972	TotalAmt
Program Services	$475,175	ProgramServicesAmt
Management And General	$68,797	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$410	TotalAmt
Management And General	$410	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$94,443	TotalAmt
Management And General	$94,443	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$2,380,831	TotalAmt
Program Services	$2,089,745	ProgramServicesAmt
Management And General	$291,086	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$46,619	TotalAmt
Program Services	$1,178	ProgramServicesAmt
Management And General	$45,441	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$628,290	TotalAmt
Program Services	$574,579	ProgramServicesAmt
Management And General	$53,711	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$516,994	TotalAmt
Program Services	$31,265	ProgramServicesAmt
Management And General	$485,729	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$335,079	TotalAmt
Program Services	$278,174	ProgramServicesAmt
Management And General	$56,905	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$54,091	TotalAmt
Program Services	$40,792	ProgramServicesAmt
Management And General	$13,299	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$106,097	TotalAmt
Program Services	$88,079	ProgramServicesAmt
Management And General	$18,018	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$728,357	TotalAmt
Program Services	$604,664	ProgramServicesAmt
Management And General	$123,693	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$114,845	TotalAmt
Program Services	$101,492	ProgramServicesAmt
Management And General	$13,353	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE	$775,900	$775,900
REPAIRS & MAINTENANCE	$283,631	$233,833	$49,798
MEDICAL SUPPLIES	$1,158,139	$1,158,139
DUES AND SUBSCRIPTIONS	$36,777	$18,683	$18,094

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$220,496	TotalAmt
Program Services	$177,639	ProgramServicesAmt
Management And General	$42,857	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$16,295,460	TotalAmt
Program Services	$13,563,704	ProgramServicesAmt
Management And General	$2,731,756	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$81,343	BOYAmt
EOY	$48,939	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$3,000,059	BOYAmt
EOY	$2,400,937	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,135,511	BOYAmt
EOY	$2,469,794	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$156,211	BOYAmt
EOY	$186,427	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$88,650	BOYAmt
EOY	$136,837	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$10,476,003	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$5,644,751	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$5,261,606	BOYAmt
EOY	$4,831,252	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$252,003	BOYAmt
EOY	$304,382	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$10,975,383	BOYAmt
EOY	$10,378,568	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$966,157	BOYAmt
EOY	$981,572	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,288,804	BOYAmt
EOY	$3,035,426	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$623,396	BOYAmt
EOY	$544,217	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$477,229	BOYAmt
EOY	$0	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$5,355,586	BOYAmt
EOY	$4,561,215	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,573,531	BOYAmt
EOY	$5,771,087	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$46,266	BOYAmt
EOY	$46,266	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$5,619,797	BOYAmt
EOY	$5,817,353	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$10,975,383	BOYAmt
EOY	$10,378,568	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$197,556	ReconcilationRevenueExpnssAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$2,751	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$2,751	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1F	FormAndLineReferenceDesc
Explanation	THIS AMOUNT REPRESENTS THE PORTION OF THE DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION AND THE KANSAS HOSPITAL ASSOCIATION THAT ARE FOR LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$46,266	BeginningYearBalanceAmt
Investment Earnings Or Losses	$374	InvestmentEarningsOrLossesAmt
Other Expenditures	$374	OtherExpendituresAmt
End Year Balance	$46,266	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$57,846	BeginningYearBalanceAmt
Investment Earnings Or Losses	$389	InvestmentEarningsOrLossesAmt
Other Expenditures	$11,969	OtherExpendituresAmt
End Year Balance	$46,266	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$57,846	BeginningYearBalanceAmt
Investment Earnings Or Losses	$289	InvestmentEarningsOrLossesAmt
Other Expenditures	$289	OtherExpendituresAmt
End Year Balance	$57,846	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$57,846	BeginningYearBalanceAmt
Investment Earnings Or Losses	$359	InvestmentEarningsOrLossesAmt
Other Expenditures	$359	OtherExpendituresAmt
End Year Balance	$57,846	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$57,846	BeginningYearBalanceAmt
Investment Earnings Or Losses	$521	InvestmentEarningsOrLossesAmt
Other Expenditures	$521	OtherExpendituresAmt
End Year Balance	$57,846	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,983	OtherCostOrOtherBasisAmt
Book Value	$9,983	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,595,590	OtherCostOrOtherBasisAmt
Depreciation	$2,086,814	DepreciationAmt
Book Value	$2,508,776	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$770,860	OtherCostOrOtherBasisAmt
Depreciation	$162,825	DepreciationAmt
Book Value	$608,035	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,227,416	OtherCostOrOtherBasisAmt
Depreciation	$2,350,485	DepreciationAmt
Book Value	$876,931	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,872,154	OtherCostOrOtherBasisAmt
Depreciation	$1,044,627	DepreciationAmt
Book Value	$827,527	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$4,831,252	TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt	$15,717,116	TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal	$15,717,116	RevenueSubtotalAmt
Other Revenues Not Included	$775,900	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$775,900	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$16,493,016	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$15,519,560	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$15,519,560	ExpensesSubtotalAmt
Other Expenses Not Included	$775,900	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$775,900	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$16,295,460	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4	THE PERMANENTLY DONOR RESTRICTED ENDOWMENT ONLY ALLOWS THE ORGANIZATION TO USE INTEREST INCOME FOR OPERATIONS.
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 AND PART XII, LINE 4B	PROVISION FOR UNCOLLECTIBLE ACCOUNTS $ 775,900

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,448	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$23,448	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,371,455	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$939,571	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$431,884	NetCommunityBenefitExpnsAmt
Total Expense	0.02780	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,394,903	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$939,571	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$455,332	NetCommunityBenefitExpnsAmt
Total Expense	0.02930	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,218	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,550	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,668	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$276,200	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$276,200	NetCommunityBenefitExpnsAmt
Total Expense	0.01780	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$416	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$416	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$318,834	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,550	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$304,284	NetCommunityBenefitExpnsAmt
Total Expense	0.01970	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,713,737	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$954,121	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$759,616	NetCommunityBenefitExpnsAmt
Total Expense	0.04900	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$377	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$377	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$343	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$343	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$132	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$132	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$852	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$852	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$775,900	BadDebtExpenseAmt
Reimbursed By Medicare	$6,394,068	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$6,321,292	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$72,776	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HOLTON COMMUNITY HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1110 COLUMBINE DRIVE	AddressLine1Txt
City	HOLTON	CityNm
State Abbreviation	KS	StateAbbreviationCd
ZIP	66436	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.HOLTONCOMMUNITYHOSPITAL.COM	WebsiteAddressTxt
State License	H043001	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	HOLTON COMMUNITY HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200.	FPGFamilyIncmLmtDscntCarePct
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	THE PLANNING COMMITTEE FOR THE JACKSON COUNTY CHNA DEVELOPED A LIST OF ENTITIES WITHIN JACKSON COUNTY THAT WOULD CONNECT WITH THE MAJORITY OF OUR POPULATION. ONCE THE TARGET AUDIENCE WAS IDENTIFIED A SURVEY WAS CREATED IN ORDER TO SOLICIT COMMUNITY INPUT. THE STEERING COMMITTEE SELECTED THE TOP ELEVEN INDICATORS TO INCLUDE IN THE SURVEY. THE SURVEY WAS PUBLISHED BOTH ONLINE AND IN HARD COPY AND DISTRIBUTED WIDELY THROUGHOUT THE COUNTY. STEERING COMMITTEE MEMBERS AS WELL AS THE LARGER STAKEHOLDERS GROUP MEMBERS WERE ASKED TO COMPLETE THE SURVEY. ADDITIONALLY, SURVEYS WERE MADE AVAILABLE AT EACH HEALTHCARE FACILITY IN THE COUNTY FOR A RANDOM SAMPLING OF CLIENTS. THE SURVEY ASKED PARTICIPANTS TO RANK THEIR TOP PRIORITIES IN ORDER TO ASSIST THE STEERING COMMITTEE TO IDENTIFY THE COMMUNITY'S TOP TEN HEALTH PRIORITIES. FOLLOWING THE IDENTIFICATION OF THE TOP PRIORITIES BY SURVEY PARTICIPANTS, A GROUP OF COMMUNITY PUBLIC HEALTH EXPERTS WAS CONVENED FOR A FOCUS GROUP MEETING TO DISCUSS THE HEALTH INDICATORS AND TO NARROW THE CHOICES TO ONE OR TWO HIGH PRIORITIES AROUND WHICH TO BUILD A COMMUNITY ACTION PLAN. DURING THE TOWN HALL MEETING PARTICIPANTS WERE ASKED TO NARROW THE ELEVEN INDICATORS TO THE TOP FIVE. BY A NOMINAL GROUP VOTING TECHNIQUE, FIVE INDICATORS WERE SELECTED FROM THE ELEVEN PRESENTED. FIVE GROUPS WERE CREATED IN ORDER TO ANALYZE EACH OF THE FIVE TOP PRIORITIES; PARTICIPANTS WERE ASKED TO JOIN WHICHEVER GROUP MOST MET THEIR CONCERN/INTEREST. A STEERING COMMITTEE MEMBER FACILITATED EACH SMALL GROUP DISCUSSION. THE PURPOSE OF THE GROUP DISCUSSION WAS TO DISCOVER ROOT CAUSES OF EACH OF THE HEALTH ISSUES. THE METHOD USED FOR ANALYSIS WAS DISPERSION ANALYSIS OR THE FIVE WHY'S TECHNIQUE (SOURCE: PUBLIC HEALTH FOUNDATION) WHERE THE QUESTION, WHY IS (E.G.) OVERWEIGHT/OBESITY A PROBLEM IN JACKSON COUNTY, LEADS TO SUCCEEDING IN DEPTH QUESTIONS TO DISCOVER THE ROOT WHY ANSWER. EACH SMALL GROUP REPORTED THEIR FIVE WHY RESULTS TO THE LARGER GROUP, WHICH THEN VOTED USING THE NOMINAL VOTING TECHNIQUE TO NARROW TO THE TOP ONE OR TWO PRIORITY ISSUES.
SCHEDULE H, PART V, SECTION B, LINE 6b	PRAIRIE BAND POTTAWATOMIE HEALTH SERVICES JACKSON COUNTY HEAD START CITY OF HOLTON POLICE DEPARTMENT KANZA MENTAL HEALTH SERVICES JACKSON COUNTY PUBLIC HEALTH DEPARTMENT NEKCAP- NORTHEAST KANSAS COMMUNITY ACTION PROGRAM NEK MULTI COUNTY HEALTH AGENCIES KSU RESEARCH AND EXTENSION HOLTON FAMILY HEALTH (COMMUNITY HEALTHCARE SYSTEM)
SCHEDULE H, PART V, SECTION B, LINE 7A	THE COMPLETE CHNA CAN BE FOUND AT: http://holtonhospital.com/docs/Jackson_County_CHA_2016.pdf?sub=About+Us
SCHEDULE H, PART V, SECTION B, LINE 7D	COPIES ARE ALSO AVAILABLE AT ALL HEALTHCARE PROVIDERS IN THE COUNTY.
SCHEDULE H, PART V, SECTION B, LINE 10A	THE IMPLEMENTATION STRATEGY CAN BE FOUND ON PAGE 14 AT: http://holtonhospital.com/docs/Jackson_County_CHA_2016.pdf?sub=About+Us
SCHEDULE H, PART V, SECTION B, LINE 11	DURING THE CHNA, THE TOP 5 ITEMS IDENTIFIED WERE: 1. CHILDREN WITH DEPRESSION 2. ADULTS WITH DEPRESSION 3. ADULTS THAT ARE OBESE 4. ADULTS THAT ARE OVERWEIGHT 5. FAMILIES LIVING BELOW THE POVERTY LINE THE TASKFORCE PRESENTED ALL THE SURVEY RESULTS. DISCUSSION ENTAILED REGARDING THE TOP INDICATORS. MENTAL HEALTH (ADULTS AND CHILDREN WITH DEPRESSION) AND OBESITY/OVERWEIGHT HAVE BEEN THE TOP CONCERNS SINCE THE 2012 COMMUNITY HEALTH NEEDS ASSESSMENT. PARTICIPANTS FELT STRONGLY THAT FAMILIES LIVING BELOW THE POVERTY LINE HAD A STRONG CORRELATION TO THE ISSUES OF ADULTS/CHILDREN WITH DEPRESSION AND OBESITY/OVERWEIGHT. THE INTERVENTIONS IDENTIFIED FROM THE GROUP DISCUSSION INCLUDE: 1. CONTINUATION OF A HEALTHY LIVING TASKFORCE/VOLUNTEER WORKGROUP, WITH GREATER COUNTY-WIDE INVOLVEMENT FROM STAKEHOLDERS AND INTERESTED INDIVIDUALS 2. INCREASED ACCESS TO CURRENT RESOURCES INCLUDING ACCESS TO EXERCISE OPTIONS FOR CHILDREN UNDER 12 (HEALTHY LIVING EVENING ACTIVITIES THROUGH NEK-CAP AND PARTNER ORGANIZATIONS LIKE THE HORNET'S NEST FITNESS CLUB AND THE PRAIRIE BAND POTAWATOMI BOYS AND GIRLS CLUB 3. COMMUNITY FITNESS INITIATIVES, INCLUDING GREATER TRAIL DEVELOPMENT AND ACCESS TO THE TRAILS AT BANNER CREEK LAKE, AND FITNESS OPPORTUNITIES AT THE 4H BUILDING OR THE NATIONAL GUARD ARMORY 4. INVESTIGATION INTO FURTHER OPPORTUNITIES FOR TRANSLATION SERVICES AND EDUCATION ON THE ENGLISH LANGUAGE TO INTERESTED COMMUNITY MEMBERS 5. FURTHER EXAMINATION OF THE CIRCLES USA INITIATIVE. THIS INITIATIVE HAS BEEN PREVIOUSLY EXPLORED BY VARIOUS COMMUNITY MEMBERS. THERE IS FINANCIAL COMMITMENT TO BRINGING CIRCLES USA TO JACKSON COUNTY. SHAWNEE COUNTY HAS RECENTLY BECOME A CIRCLES COMMUNITY AND DISCUSSION WAS HELD ABOUT BECOMING A 'SATELLITE' OF THAT ORGANIZATION.
SCHEDULE H, PART V, SECTION B, LINE 16A	THE FAP CAN BE FOUND AT: http://holtonhospital.com/getpage.php?name=financial_policy&sub=Patient+In fo
SCHEDULE H, PART V, SECTION B, LINE 16B	THE FAP APPLICATION CAN BE FOUND AT: http://holtonhospital.com/docs/f.pdf
SCHEDULE H, PART V, SECTION B, LINE 16C	THE PLAIN LANGUAGE SUMMARY CAN BE FOUND AT: http://holtonhospital.com/getpage.php?name=financial_assistance&sub=Patien t+Info

Field	Value	IRS element (for citing)
Facility	3	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
FAMILY PRACTICE ASSOCIATES - HOLTON
1100 COLUMBINE DRIVE	HOLTON	KS	66436	RURAL HEALTH CLINIC
FAMILY PRACTICE ASSOCIATES - HOYT
207 HIGHLAND AVENUE	HOYT	KS	66440	RURAL HEALTH CLINIC
FAMILY PRACTICE ASSOCIATES - WETMORE
323 SECOND STREET	WETMORE	KS	66550	RURAL HEALTH CLINIC

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C	INSURANCE STATUS AND UNDERINSURANCE STATUS ARE OTHER FACTORS USED IN THE ELIGIBILITY CRITERIA EXPLAINED IN THE FAP FOR PROVIDING FREE AND DISCOUNTED CARE.
SCHEDULE H, PART I, LINE 7	THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNT CONTAINED IN THE TABLE OF SCHEDULE H, PART I, LINE 7 IS THE A COST-TO-CHARGE RATIO.
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 $775,900.
SCHEDULE H, PART III, SECTION A, LINE 2	THE HOSPITAL REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE HOSPITAL PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HOSPITAL BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN ACCORDANCE WITH A PREDETERMINED PAYMENT PLAN BASED ON THE VALUE OF THE PATIENT'S BALANCE. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBT BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT.
SCHEDULE H, PART III, SECTION A, LINE 3	BAD DEBT EXPENSE (AT COST) IDENTIFIED THE PROVISION FOR UNCOLLECTIBLES FROM 3/31/17 AUDITED STATEMENT OF OPERATIONS. MULTIPLIED THAT AMOUNT BY THE COST TO CHARGE RATIO. CHARITY CARE (AT COST): LOGS MAINTAINED BY CASH COLLECTOR. LOG CONTAINS DATA OF THE DOLLAR AMOUNT TURNED TO BAD DEBT WHERE A CHARITY CARE APPLICATION WAS SENT BUT NOT RETURNED AND WHEN CHARITY CARE APPLICATION WAS RETURNED BUT PATIENT DID NOT FULFILL FINANCIAL OBLIGATION. SUBSEQUENTLY, MULTIPLIED THAT AMOUNT BY THE COST-TO-CHARGE RATIO IDENTIFIED IN SCHEDULE H, PART I.
SCHEDULE H, PART III, SECTION A, LINE 4	SEE PAGE 7 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, SECTION C, LINE 9B	For individuals who have financial difficulties, the Hospital uses reasonable efforts to determine financial assistance eligibility. These efforts include providing the individual with a plain language summary (brochure) of the financial assistance program, a notice on all patient billing statements and other written communications regarding billings, oral communications regarding amount due, and other means available to the Hospital to identify individuals who may be eligible for insurance coverage or financial assistance. The Hospital will not engage in extraordinary collections actions (ECA) against an individual until it is determined that the individual has the income to pay or the individual has not cooperated in an effort to establish financial assistance eligibility. If a financial assistance application has not been submitted by the 120th day after the Hospital provided the individual with the first patient billing statement, the Hospital may engage in Extraordinary Collections Actions (ECA). If an application is submitted within the 240th day after the first patient billing statement, the Hospital will discontinue ECA until it is determined if the individual is eligible for financial assistance.
SCHEDULE H, PART VI, LINE 2	OUR CURRENT 12-BED HOSPITAL IS LOCATED WITHIN THE OUTER REGION OF THE HOLTON CITY LIMITS. OUR EXPANDED FACILITIES ALLOW US TO PROVIDE A BROAD RANGE OF HEALTHCARE SERVICES TO ALL MEMBERS OF OUR COMMUNITY WITHOUT REGARD TO AGE, RACE, SEX OR FINANCIAL CONSTRAINTS. HOLTON COMMUNITY HOSPITAL IS PROUD TO BE A CERTIFIED 'STROKE READY' FACILITY. OUR REHABILITATION SERVICES DEPARTMENT PROVIDES A FULL-COMPLIMENT OF OCCUPATIONAL AND PHYSICAL THERAPIES, INCLUDING A LYMPHEDEMA MANAGEMENT PROGRAM AND SPEECH THERAPY. OUR CARDIOVASCULAR SERVICES DEPARTMENT PROVIDES CARDIAC REHAB, AS WELL AS PERFORMS PULMONARY FUNCTION PROCEDURES AND STRESS TESTS, AND PROVIDES ONE-ON-ONE CERTIFIED DIABETES EDUCATION AND TOBACCO CESSATION COUNSELING. THE SURGERY DEPARTMENT PROVIDES 24/7 SURGICAL SERVICES. WE HAVE A LARGE VARIETY OF SPECIALTY PHYSICIANS WHO TREAT PATIENTS IN THE FACILITY AS WELL AS PERFORM NUMEROUS SURGICAL PROCEDURES. THE RADIOLOGY DEPARTMENT, IN COLLABORATION WITH ST. FRANCIS HOSPITAL, PROVIDES MOBILE NUCLEAR MEDICINE TESTING ON SITE. THE FACILITY ALSO CONTRACTS WITH SHARED MEDICAL SERVICES, INC. TO PROVIDE ON-SITE MOBILE MRI TESTING. THE RADIOLOGY DEPARTMENT IS ALSO VERY PROUD TO HAVE A 32-SLICE CT SCANNER WHICH PROVIDES HIGH RESOLUTION IMAGES. A CT SCANNER WITH THIS CAPABILITY IS A RARITY IN A HOSPITAL OF OUR SIZE. OUR HOSPITAL OFFERS A FULL-SERVICE, 24-7 EMERGENCY DEPARTMENT WITH A PHYSICIAN AVAILABLE AT ALL TIMES. WE HAVE TRANSFER AGREEMENTS WITH SURROUNDING HOSPITALS FOR THOSE PATIENTS WHO PRESENT TO THE HOSPITAL EMERGENCY DEPARTMENT AND REQUIRE CARE BEYOND OUR CAPABILITIES. OUR 12-BED IN-PATIENT UNIT PROVIDES CARE TO MEDICAL-SURGICAL PATIENTS, SUB-ACUTE PATIENTS, PEDIATRICS AND GERIATRICS. WE PROVIDE OBSTETRICAL AND NEWBORN CARE PATIENT SERVICES WHICH IS BECOMING INCREASINGLY RARE AMONG RURAL HOSPITALS. WE ARE ALSO LICENSED TO PROVIDE SWINGBED SERVICES. THIS ALLOWS PATIENTS TO RECEIVE TRANSITIONAL INPATIENT REHABILIATION AND RECOVERY SERVICES. HOLTON COMMUNITY HOSPITAL HAS A FULL-SERVICE HOME HEALTH AND HOSPICE PROGRAM. OUR AWARD-WINNING HOSPICE DELIVERS END OF LIFE CARE TO PATIENTS OF PROVIDERS THROUGHOUT NORTHEAST KANSAS. OUR RURAL HEALTH CLINIC (FAMILY PRACTICE ASSOCIATES) HAS THREE LOCATIONS IN HOLTON, HOYT AND WETMORE, KANSAS. OUR MIX OF THREE PHYSICIANS, TWO PHYSICIAN ASSISTANTS AND THREE ADVANCED REGISTERED NURSE PRACTITIONERS ALLOWS OUR COMMUNITY MEMBERS TO FIND A PROVIDER THAT BEST SERVES THEIR HEALTH CARE NEEDS. SEEING A NEED FOR SPORTS MEDICINE SERVICES WITHIN OUR LOCAL COMMUNITY, A CONTRACTUAL AGREEMENT WAS REACHED WITH A LOCAL SCHOOL SYSTEM. OUR PHYSICIAN'S ASSISTANT, ALSO A REGISTERED PHYSICAL THERAPIST, OFFERS SPORTS MEDICINE SERVICES 2 AFTERNOONS PER WEEK AT HOLTON HIGH SCHOOL. HE ALSO ATTENDS ALL HOME GAMES, AND AWAY GAMES AS NEEDED, TO ASSIST WITH POSSIBLE INJURIES THAT MIGHT OCCUR. WE HAVE BEEN DISTRIBUTING PATIENT SATISFACTION SURVEYS THROUGHOUT OUR SURGICAL, INPATIENT, OUTPATIENT, RURAL HEALTH CLINIC, EMERGENCY ROOM AND REHABILITATION SERVICES FOR APPROXIMATELY 5 YEARS. THE RESULTS OF THESE SURVEYS ARE COMPILED MONTHLY AND ARE USED TO BETTER OUR PATIENT SERVICES. WE HAVE ALSO ESTABLISHED A SURGICAL OVERSIGHT COMMITTEE THAT MEETS MONTHLY ON HOW TO IMPROVE SERVICES AND PROCESSES IN THE SURGERY DEPARTMENT. WE ARE COMMITTED TO PROVIDING QUALITY HEALTHCARE TO ALL MEMBERS OF OUR COMMUNITY. BECAUSE WE ARE A SMALL TOWN HOSPITAL, A MAJORITY OF OUR PATIENTS HAVE A STRONG BOND WITH OUR STAFF. THIS ALLOWS US TO PROVIDE CARE THAT EXTENDS BEYOND JUST MEDICAL NEEDS. THE COST AND DIFFICULTY IN SEEKING CARE IN OTHER AREAS FOR OUR ELDERLY AND POOR POPULATION REINFORCES THE NEED FOR A STRONG COMMUNITY HOSPITAL. WE STRIVE TO MEET THIS NEED BY PROVIDING ALL SERVICES POSSIBLE.
SCHEDULE H, PART VI, LINE 3	HOLTON COMMUNITY HOSPITAL POSTS SIGNS AT ITS REGISTRATION LOCATIONS REGARDING THE AVAILABILITY OF OUR FINANCIAL ASSISTANCE PROGRAM. THE FAP POLICY IS ALSO AVAILABLE AT SEVERAL LOCATIONS IN THE COMMUNITY. THE AVAILABILITY OF A FINANCIAL ASSISTANCE PROGRAM IS ALSO IDENTIFIED ON ALL HOSPITAL PATIENT SERVICE RELATED LETTERS AND GUARANTOR STATEMENTS. ONCE A PATIENT CALLS TO INQUIRE ABOUT THE FINANCIAL ASSISTANCE PROGRAM THE PATIENT FINANCIAL COUNSELOR WORKS ONE-ON-ONE WITH THE PATIENTS OUTLINING THE REQUIREMENTS, DOCUMENTS NEEDED AND EXPLAINS OUR FINANCIAL ASSISTANCE PROGRAM IN DETAIL.
SCHEDULE H, PART VI, LINE 4	HOLTON COMMUNITY HOSPITAL AND FAMILY PRACTICE ASSOCIATES PHYSICIAN'S CLINIC ARE THE PREMIERE HEALTHCARE PROVIDERS IN OUR COUNTY. LIKE OTHER RURAL HOSPITALS, HCH SERVES A HIGHER PERCENTAGE OF ELDERLY AND CHILDREN LIVING IN POVERTY WHILE THE COUNTY EXPERIENCES HIGHER LEVELS OF UNEMPLOYMENT AND LOWER INCOMES. ACCORDING TO A REPORT GENERATED BY THE KANSAS RURAL HEALTH OPTIONS PROJECT, RURAL INDIVIDUALS REPORT POORER OVERALL HEALTH AND MORE CHRONIC HEALTH CONDITIONS. ADDITIONALLY, RURAL COUNTIES SEE A HIGHER RATE OF UNINSURED INDIVIDUALS AND HAVE FEWER HEALTH CARE SERVICES AVAILABLE TO THEM. FINALLY, PEOPLE IN RURAL COMMUNITIES ARE MORE LIKELY TO DERIVE PART OF THEIR INCOME FROM THE HEALTHCARE INDUSTRY (EITHER DIRECTLY OR INDIRECTLY). JACKSON COUNTY HOLDS THE DESIGNATION OF BEING A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA). THIS DESIGNATION COMES FROM THE KANSAS DEPARTMENT OF HEALTH AND ENVIRONMENT (KDHE) AND IDENTIFIES AREAS OF THE STATE THAT ARE MEDICALLY UNDERSERVED. ACCORDING TO THE WEBSITE, KANSASHEALTHMATTERS.ORG, EACH PHYSICIAN IN JACKSON COUNTY HAS A POTENTIAL 1,745 INDIVIDUALS TO PROVIDE CARE TO. ADDITIONALLY, THIS SAME WEBSITE NOTED THAT IN 2009 MORE THAN 15.9% OF OUR COUNTY HAS NO HEALTH INSURANCE. KANSASHEALTHMATTERS.ORG ALSO REPORTS THAT 12.5% OF JACKSON COUNTY, KANSAS CHILDREN UNDER THE AGE OF 18 WERE LIVING AT OR BELOW THE POVERTY LINE (REPORTING PERIOD: 2006-2010). IN COMPARISON, ACCORDING TO THE US CENSUS BUREAU, AMERICAN COMMUNITY SURVEY REPORT FOR THE PERIOD 2007-2011, 9.5% OF JACKSON COUNTY RESIDENTS LIVED BELOW THE POVERTY LEVEL. THE SAME REPORT NOTED THE PER CAPITA PERSONAL INCOME OF JACKSON COUNTY RESIDENTS FROM 2006-2011 WAS APPROXIMATELY $24,200.00, COMPARED TO THE STATE'S PER CAPITA PERSONAL INCOME OF $26,425.00. ADDITIONALLY, IN A RECENT SURVEY COMPLETED BY THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE AND THE ROBERT WOOD JOHNSON FOUNDATION, JACKSON COUNTY RANKED 44TH IN THE STATE ON THE HEALTH OF OUR COUNTY. JACKSON COUNTY SCORES BELOW STATE BENCHMARKS IN HEALTH CARE, HEALTHY BEHAVIORS AND SOCIAL AND ECONOMIC FACTORS. THERE IS NO CONTRADICTORY INFORMATION TO CHALLENGE THAT THERE ARE STILL 81 PRIMARY CARE PROVIDERS PER 100,000 RESIDENTS IN THE COUNTY (ACTUAL NUMBER: 11 PROVIDERS), BELOW THE STATE'S AVERAGES OF 115 AND THE TARGET RATE OF 151.
SCHEDULE H, PART VI, LINE 5	HOSPITAL EMPLOYEES ARE ENCOURAGED TO PARTICIPATE IN LOCAL COMMUNITY ACTIVITIES. EMPLOYEES ARE MEMBERS OF THE LOCAL CHAMBER OF COMMERCE, SERVE AS BOARD MEMBERS WITH SEVERAL LOCAL ORGANIZATIONS, AND ARE BOARD MEMBERS OF A STATE ORGANIZATION PROMOTING THE PATIENT FINANCIAL SERVICES SEGMENT OF HEALTHCARE. EMPLOYEES ARE INVOLVED ON SEVERAL LEVELS WITH YOUTH PROGRAMS. EMPLOYEES PROVIDE INSERVICE TRAINING TO VARIOUS LOCAL AGENCIES ON HEALTH ORIENTED SUBJECTS SUCH AS MEDICAL ADMINISTRATION.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CARRIE SAIA
CHIEF EXECUTIVE OFFICER	$144,428	$0	$0	$0	$0	$0	$5,715	$0	$9,754	$0	$159,897	$0	$0	$0
DR MALIA WARNER
DIRECTOR/CHIEF OF MED STAFF	$216,819	$0	$0	$0	$108	$0	$7,700	$0	$26,117	$0	$250,744	$0	$0	$0
DR JOEL HUTCHINS
DIRECTOR/CHIEF OF MED STAFF	$224,842	$0	$0	$0	$716	$0	$5,492	$0	$6,400	$0	$237,450	$0	$0	$0
DR CLINT M COLBERG
PHYSICIAN	$280,550	$0	$0	$0	$108	$0	$7,527	$0	$23,117	$0	$311,302	$0	$0	$0
JOSHUA C MOULIN
PHYSICIAN'S ASSISTANT	$154,790	$0	$0	$0	$45	$0	$6,349	$0	$18,224	$0	$179,408	$0	$0	$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	CITY OF HOLTON KANSAS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	486030368	BondIssuerEIN
Bond Issued	2015-03-04	BondIssuedDt
Issue Price	$3,535,579	IssuePriceAmt
Purpose	SEE PART VI	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$500,153	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$3,535,579	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$0	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$956,659	CapitalExpendituresAmt
Other Spent Proceeds	$2,514,928	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Current Refunding	Yes (true)	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0	PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Exception To Rebate	Yes (true)	ExceptionToRebateInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, ROW A, COLUMN F	Construct, furnish and equip additions to the hospital facility and a rural health clinic and refund Series 1997L Bonds. The Series 1997L Bonds were originally issued on 9/15/1997.
PART II, COLUMN A, LINE 3	Any investment earnings earned during the project period were used to pay cash management fees and as a result have not been reported.
PART II, COLUMN A, LINE 11	Amount of bond proceeds used to redeem the Series 1997L Bonds on 3/13/2015.
PART III	PART III WAS NOT COMPLETED FOR THE REFUNDING PORTION WHICH FINANCED PROJECTS PRIOR TO JANUARY 1, 2003.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	SEE SCHEDULE L PART V	PersonNm

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE L, PART IV	FormAndLineReferenceDesc
Explanation	TRANSACTION (1) (A) CODY UTZ (B) CODY UTZ IS THE DAUGHTER OF CATHERINE REED WHO IS A BOARD MEMBER. (C) $87,021 (D) CODY UTZ IS AN EMPLOYEE OF RURAL HEALTH RESOURCES OF JACKSON COUNTY. (E) NO TRANSACTION (2) (A) KAY RASH (B) KAY RASH IS THE SISTER OF MARGARET PAGEL WHO IS A BOARD MEMBER. (C) $34,890 (D) KAY RASH IS AN EMPLOYEE OF RURAL HEALTH RESOURCES OF JACKSON COUNTY. (E) NO	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A	HOLTON COMMUNITY HOSPITAL (HCH) IS A 12-BED CRITICAL ACCESS HOSPITAL IN A SMALL RURAL COMMUNITY. HCH OFFERS A WIDE RANGE OF SERVICES INCLUDING PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, REGISTERED DIETICIAN SERVICES, MRI, MRA, NUCLEAR MEDICINE, CT SCAN ALONG WITH OTHER RADIOLOGY SERVICES, SURGERY, LABORATORY, A CERTIFIED DIABETIC EDUCATION PROGRAM, CARDIOVASCULAR SERVICES, CERTIFIED LYMPHEDEMA PROGRAM, AND WOUND CARE SERVICES AS WELL AS A VARIETY OF SPECIALTY PROVIDER SERVICES. THE HOSPITAL STAFF IS A CERTIFIED 'STROKE READY' FACILITY AND TRAINED TO TEACH OUTREACH SERVICES UNDER THE NATIONAL ARTHRITIS FOUNDATION EXERCISE PROGRAM. THE HOSPITAL ALSO OFFERS HOME HEALTH AND HOSPICE SERVICES. THE HOSPITAL PROVIDED 24/7 EMERGENCY ROOM SERVICES WITH 2,960 EMERGENCY ROOM VISITS RECORDED FROM 4/1/16 THROUGH 3/31/17. EMERGENCY ROOM SERVICES ARE SUPPORTED BY STAFF TRAINED IN ADVANCED CARDIAC LIFE SUPPORT, CPR, EMERGENCY NURSING PEDIATRICS, TRAUMA NURSING CORE CURRICULUM, AND PEDIATRIC ADVANCED LIFE SUPPORT. THE HOSPITAL IDENTIFIED 14,182 INPATIENT HOURS AND 4,367 OBSERVATION HOURS FROM 4/1/16 THROUGH 3/31/17.
FORM 990, PART VI, SECTION B, LINE 11B	AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE FORM 990. THE 990 IS THEN REVIEWED BY THE CEO AND CFO OF RURAL HEALTH RESOURCES OF JACKSON COUNTY (RHRJC). ANY QUESTIONS OR CONCERNS THAT ARISE ARE ADDRESSED WITH THE ACCOUNTING FIRM AND CORRECTIONS, CLARIFICATIONS OR REVISIONS ARE MADE AS NECESSARY. THE FINAL 990 WITH ALL REQUIRED SCHEDULES IS THEN PROVIDED TO ALL VOTING MEMBERS OF THE BOARD OF RHRJC PRIOR TO THE FILING OF THE 990.
FORM 990, PART VI, SECTION B, LINE 12C	UPON HIRE (OR IN THE CASE OF ELECTION OF BOARD MEMBERS) AND ANNUALLY THEREAFTER, THE CEO OR DESIGNEE(S) SHALL PROVIDE TO THE BOARD, STAFF AND EMPLOYED PROVIDERS OF RURAL HEALTH RESOURCES OF JACKSON COUNTY (RHRJC) A COPY OF THE CONFLICT OF INTEREST POLICY AND THE APPLICABLE CONFLICT OF INTEREST DISCLOSURE FORM. THESE DOCUMENTS WILL BE COMPLETED TO IDENTIFY ANY RELATIONSHIPS, POSITIONS, OR CIRCUMSTANCES IN WHICH IT IS BELIEVED A CONFLICT MAY ARISE. THE ANNUAL MONITORING AND REVIEW PROCESS WILL BE PART OF RHRJC'S CORPORATE COMPLIANCE PLAN. ANY POTENTIAL CONFLICT OF INTEREST CONCERNS THAT ARISE SHALL BE REPORTED BY THE CEO TO THE BOARD CHAIR. SHOULD THE CONCERN INVOLVE THE BOARD CHAIR, THE BOARD VICE-CHAIR WILL BE INFORMED INSTEAD. EACH BOARD MEMBER, STAFF MEMBER OR EMPLOYED PROVIDER SHALL FULLY DISCLOSE ANY AND ALL ACTUAL OR POTENTIAL CONFLICTS, DUALITY OF INTEREST OR RESPONSIBILITY INVOLVING INDIVIDUAL, PERSONAL, OR BUSINESS ISSUES WHICH MAY EXIST. IF THERE IS A CONFLICT, THE CONFLICTED INDIVIDUALS ABSTAIN FROM VOTING.
FORM 990, PART VI, SECTION B, LINE 15A	ANNUALLY AT THE EMPLOYEE REVIEW PERIOD (USUALLY DURING AUGUST AND SEPTEMBER) THE BOARD OF DIRECTORS IS SUPPLIED WITH A SALARY SURVEY FROM THE KANSAS HOSPITAL ASSOCIATION FOR THE CURRENT YEAR. THE BOARD THEN EVALUATES THE CEO SALARY SURVEY TO DETERMINE IF THE CEO'S SALARY IS APPROPRIATE AND WHAT ANNUAL PAY ADJUSTMENT IS APPROPRIATE FOR THE CURRENT YEAR.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990 PART IX LINE 11G	DESCRIPTION:NURSING TOTAL FEES:350004
FORM 990 PART IX LINE 11G	DESCRIPTION:MRI TOTAL FEES:154785
FORM 990 PART IX LINE 11G	DESCRIPTION:ER PROVIDERS ON CALL FEES TOTAL FEES:331528
FORM 990 PART IX LINE 11G	DESCRIPTION:340B TOTAL FEES:485769
FORM 990 PART IX LINE 11G	DESCRIPTION:MISC. MEDICAL SERVICES TOTAL FEES:767659
FORM 990 PART IX LINE 11G	DESCRIPTION:COLLECTION COMPANY FEES TOTAL FEES:114941
FORM 990 PART IX LINE 11G	DESCRIPTION:ST. FRANCIS MANAGEMENT FEES TOTAL FEES:30705
FORM 990 PART IX LINE 11G	DESCRIPTION:MISC. MANAGEMENT SERVICES TOTAL FEES:145440