RURAL HEALTH RESOURCES OF JACKSON CO INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: RURAL HEALTH RESOURCES OF JACKSON CO INC (EIN 74-2826278)
Tax period: 2023-04-01 to 2024-03-31
Filed: 2025-02-14
IRS object ID: 202530459349300018
Schema version: 2023v6.0
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 L
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-02-14T08:33:15+00:00	ReturnTs
Tax Period End	2024-03-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	440160260	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Forvis Mazars 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	2023-04-01	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)
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 LUTZ	PersonNm
Person Title	CHIEF EXECUTIVE OFFICER	PersonTitleTxt
Signature	2025-02-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Michael Engle	PreparerPersonNm
PTIN	P00482834	PTIN
Phone	8162216300	PhoneNum
Preparation	2024-02-15	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CARRIE LUTZ	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)
Gross Receipts	$28,594,886	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	PROVIDE HIGH QUALITY HEALTHCARE SERVICES TO JACKSON COUNTY AND SURROUNDING COMMUNITIES WHILE CONSISTENTLY DEMONSTRATING PROFESSIONALISM WITH THE HOMETOWN TOUCH.	ActivityOrMissionDesc
Voting Members Governing Body	8	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	234	TotalEmployeeCnt
Total Volunteers	30	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,017,646	PYContributionsGrantsAmt
CY Contributions Grants	$675,949	CYContributionsGrantsAmt
PY Program Service Revenue	$25,196,256	PYProgramServiceRevenueAmt
CY Program Service Revenue	$27,582,759	CYProgramServiceRevenueAmt
PY Investment Income	$83,838	PYInvestmentIncomeAmt
CY Investment Income	$98,435	CYInvestmentIncomeAmt
PY Other Revenue	$155,860	PYOtherRevenueAmt
CY Other Revenue	$211,804	CYOtherRevenueAmt
PY Total Revenue	$26,453,600	PYTotalRevenueAmt
CY Total Revenue	$28,568,947	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$14,280,362	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$15,113,469	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$13,163,500	PYOtherExpensesAmt
CY Other Expenses	$14,692,730	CYOtherExpensesAmt
PY Total Expenses	$27,443,862	PYTotalExpensesAmt
CY Total Expenses	$29,806,199	CYTotalExpensesAmt
PY Revenues Less Expenses	-$990,262	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$1,237,252	CYRevenuesLessExpensesAmt
Total Assets BOY	$25,076,848	TotalAssetsBOYAmt
Total Assets EOY	$24,653,883	TotalAssetsEOYAmt
Total Liabilities BOY	$17,419,272	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$18,233,559	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$7,657,576	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$6,420,324	NetAssetsOrFundBalancesEOYAmt
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	$19,392,218	ExpenseAmt
Revenue	$23,361,706	RevenueAmt
Desc	SEE SCHEDULE O.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$3,785,521	ExpenseAmt
Revenue	$3,137,999	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 14,911 VISITS FROM 4/1/23 THROUGH 3/31/24 WHICH IS A 2% DECREASE FROM THE PREVIOUS YEAR. 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 SPORTS PHYSICALS AT LITTLE TO NO CHARGE.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$1,101,780	ExpenseAmt
Revenue	$1,083,054	RevenueAmt
Desc	A HOSPITAL BASED HOME HEALTH AND HOSPICE AGENCY PROVIDES IN-HOME NURSING AND REHABILITATION CARE TO JACKSON COUNTY AND SURROUNDING COUNTY RESIDENTS. THE VISITS TOTALED 3,505 VISITS FROM 4/1/2023 TO 3/31/2024, HOSPICE SERVICES TOTAL 3,209 HOSPICE PATIENT DAYS FOR THE SAME PERIOD.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$24,279,519	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
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	Yes (true)	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	false	TaxExemptBondsInd
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 With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
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	37	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	234	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
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	8	GoverningBodyVotingMembersCnt
Independent Voting Member	6	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

Business Name BusinessName

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

Field	Value	IRS element (for citing)
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

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Bobbi Ambrosio
Director/Board Chair	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Chad Bontrager
Director/Board Secretary	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Dan Brenner
Director/Vice Chair	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Mark Aeschliman
Director/Board Treasurer	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Denis S Jimenez
Chief of Medical Staff	40.0	0.0	Yes (X)		$125,266	$0	$546
Gloria Stavropoulos
Director	1.0	0.0	Yes (X)		$0	$0	$0
Healther Schrick
Director	1.0	0.0	Yes (X)		$0	$0	$0
Marilyn Watkins
Director	1.0	0.0	Yes (X)		$0	$0	$0
Bart E Kenton
CFO	40.0	0.0		Yes (X)	$156,059	$0	$8,865
Carrie L Lutz
CEO	40.0	0.0		Yes (X)	$204,988	$0	$22,197
Clint M Colberg
Physician, MD	40.0	0.0			$351,410	$0	$53,021	Yes (X)
Dallas W Dooley
APRN	40.0	0.0			$183,877	$0	$21,510	Yes (X)
LaDona M Schmidt
Physician, MD	40.0	0.0			$309,327	$0	$35,613	Yes (X)
Lee R Schnee
Physician, MD	40.0	0.0			$246,164	$0	$50,837	Yes (X)
Malia Sm Warner
Physician, MD	40.0	0.0			$347,120	$0	$55,863	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,924,211	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$248,452	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	26	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)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
ATHENAHEALTH
311 ARSENAL STREET	WATERTOWN	MA	02472	SUPPORT/SOFTWARE	$990,173
PREMIER SPECIALTY NETWORK
1835 E REPUBLIC RD	SPRINGFIELD	MO	65804	SPECIALTY PHYSICIAN	$690,136
RURAL PARTNERS IN MEDICINE LLC
8181 ARISTA PLACE	BROOMFIELD	CO	80021	SPECIALTY PHYSICIAN	$686,139
PSYCHIATRIC MEDICAL CARE LLC
8 CADILLAC DRIVE 230	NASHVILLE	TN	66606	PHYSICIAN CONSULTING	$470,197
MOSS ANETHESIA LLC
8401 NW US HWY 75	TOPEKA	KS	66618	ANESTHESIA SERVICES	$350,313

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	14	CntrctRcvdGreaterThan100KCnt
Government Grants	$64,477	GovernmentGrantsAmt
All Other Contributions	$611,472	AllOtherContributionsAmt
Total Contributions	$675,949	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	622110	$25,827,024	$25,827,024
340B REVENUE	623000	$1,608,348	$1,608,348
MEDICAID PROVIDER ASSESSMENT INCOME	622110	$147,387	$147,387

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$27,582,759	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$86,467	TotalRevenueColumnAmt
Exclusion	$86,467	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,000	RealAmt

Less Rental Expenses LessRentalExpensesGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,000	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,000	TotalRevenueColumnAmt
Exclusion	$1,000	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$37,907	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$25,939	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$11,968	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,968	TotalRevenueColumnAmt
Exclusion	$11,968	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	CAFETERIA	Desc
Business	623000	BusinessCd
Total Revenue Column	$21,151	TotalRevenueColumnAmt
Exclusion	$21,151	ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$189,653	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$189,653	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$210,804	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$28,568,947	TotalRevenueColumnAmt
Related Or Exempt Func Income	$27,582,759	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$310,239	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$519,592	TotalAmt
Program Services	$126,197	ProgramServicesAmt
Management And General	$393,395	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$15,378	TotalAmt
Program Services	$15,378	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$11,641,583	TotalAmt
Program Services	$9,680,404	ProgramServicesAmt
Management And General	$1,961,179	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$415,949	TotalAmt
Program Services	$346,224	ProgramServicesAmt
Management And General	$69,725	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,615,856	TotalAmt
Program Services	$1,195,136	ProgramServicesAmt
Management And General	$420,720	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$905,111	TotalAmt
Program Services	$730,198	ProgramServicesAmt
Management And General	$174,913	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,700	TotalAmt
Program Services	$2,310	ProgramServicesAmt
Management And General	$1,390	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$95,229	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$95,229	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$3,457	TotalAmt
Management And General	$3,457	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$5,067,190	TotalAmt
Program Services	$4,345,807	ProgramServicesAmt
Management And General	$721,383	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$129,549	TotalAmt
Program Services	$71,295	ProgramServicesAmt
Management And General	$58,254	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$333,465	TotalAmt
Program Services	$164,012	ProgramServicesAmt
Management And General	$169,453	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,121,419	TotalAmt
Program Services	$863,493	ProgramServicesAmt
Management And General	$257,926	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$376,868	TotalAmt
Program Services	$51,047	ProgramServicesAmt
Management And General	$325,821	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$235,893	TotalAmt
Program Services	$214,512	ProgramServicesAmt
Management And General	$21,381	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$393,523	TotalAmt
Program Services	$286,677	ProgramServicesAmt
Management And General	$106,846	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,653,290	TotalAmt
Program Services	$1,205,405	ProgramServicesAmt
Management And General	$447,885	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$192,615	TotalAmt
Program Services	$60,034	ProgramServicesAmt
Management And General	$132,581	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$3,553,486	$3,553,486	$0
BAD DEBT EXPENSE	$1,195,497	$1,195,497	$0
REPAIRS AND MAINTENANCE	$156,160	$123,770	$32,390
DUES & SUBSCRIPTIONS	$84,208	$13,929	$70,279

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$97,181	TotalAmt
Program Services	$34,708	ProgramServicesAmt
Management And General	$62,473	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$29,806,199	TotalAmt
Program Services	$24,279,519	ProgramServicesAmt
Management And General	$5,526,680	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$113,579	BOYAmt
EOY	$84,718	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,163,914	BOYAmt
EOY	$3,307,405	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$69,000	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$4,045,565	BOYAmt
EOY	$5,369,947	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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$295,577	BOYAmt
EOY	$239,954	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$198,795	BOYAmt
EOY	$296,097	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$25,492,998	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$10,340,793	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$16,666,742	BOYAmt
EOY	$15,152,205	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,523,676	BOYAmt
EOY	$203,557	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$25,076,848	BOYAmt
EOY	$24,653,883	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,484,645	BOYAmt
EOY	$1,939,100	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$21,617	BOYAmt
EOY	$26,988	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	$15,685,971	BOYAmt
EOY	$15,308,709	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$227,039	BOYAmt
EOY	$958,762	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$17,419,272	BOYAmt
EOY	$18,233,559	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,541,960	BOYAmt
EOY	$6,356,524	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$115,616	BOYAmt
EOY	$63,800	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$7,657,576	BOYAmt
EOY	$6,420,324	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$25,076,848	BOYAmt
EOY	$24,653,883	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$1,237,252	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
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	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

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)
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	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$3,457	OtherActivitiesAmt
Total Lobbying Expenditures	$3,457	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 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	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

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$46,266	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,955	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,955	OtherExpendituresAmt
End Year Balance	$46,266	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$46,266	BeginningYearBalanceAmt
Investment Earnings Or Losses	$268	InvestmentEarningsOrLossesAmt
Other Expenditures	$268	OtherExpendituresAmt
End Year Balance	$46,266	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$46,266	BeginningYearBalanceAmt
Investment Earnings Or Losses	$267	InvestmentEarningsOrLossesAmt
Other Expenditures	$267	OtherExpendituresAmt
End Year Balance	$46,266	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$46,266	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,038	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,038	OtherExpendituresAmt
End Year Balance	$46,266	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$46,266	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,051	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,051	OtherExpendituresAmt
End Year Balance	$46,266	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.0	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$9,983	OtherCostOrOtherBasisAmt
Book Value	$9,983	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$17,806,682	OtherCostOrOtherBasisAmt
Depreciation	$5,350,338	DepreciationAmt
Book Value	$12,456,344	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$858,661	OtherCostOrOtherBasisAmt
Depreciation	$683,961	DepreciationAmt
Book Value	$174,700	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$5,969,053	OtherCostOrOtherBasisAmt
Depreciation	$3,728,376	DepreciationAmt
Book Value	$2,240,677	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$848,619	OtherCostOrOtherBasisAmt
Depreciation	$578,118	DepreciationAmt
Book Value	$270,501	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$15,152,205	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
Due to Third-Party Payers	$856,821
Operating Lease Liability	$101,941

Field	Value	IRS element (for citing)
Total Liability	$958,762	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$27,373,450	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$27,373,450	RevenueSubtotalAmt
Other Revenues Not Included	$1,195,497	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$1,195,497	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$28,568,947	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$28,610,702	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$28,610,702	ExpensesSubtotalAmt
Other Expenses Not Included	$1,195,497	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$1,195,497	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$29,806,199	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS	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 V, Line 4 Intended uses of endowment funds	THE PERMANENTLY RESTRICTED DONOR ENDOWMENT ONLY ALLOWS THE ORGANIZATION TO USE INTEREST INCOME FOR OPERATIONS.
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements	PROVISION FOR UNCOLLECTIBLE ACCOUNTS - 1195497
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements	PROVISION FOR UNCOLLECTIBLE ACCOUNTS - 1195497

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
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	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$72,863	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$72,863	NetCommunityBenefitExpnsAmt
Total Expense	0.0024	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,195,569	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$928,301	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,267,267	NetCommunityBenefitExpnsAmt
Total Expense	0.0425	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$2,268,432	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$928,301	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,340,130	NetCommunityBenefitExpnsAmt
Total Expense	0.0450	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,965	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,965	NetCommunityBenefitExpnsAmt
Total Expense	0.0004	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$262,825	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$262,825	NetCommunityBenefitExpnsAmt
Total Expense	0.0088	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$894,673	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$636,419	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$258,255	NetCommunityBenefitExpnsAmt
Total Expense	0.0087	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,121	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,121	NetCommunityBenefitExpnsAmt
Total Expense	0.0005	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,183,585	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$636,419	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$547,166	NetCommunityBenefitExpnsAmt
Total Expense	0.0184	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$3,452,017	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,564,720	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,887,296	NetCommunityBenefitExpnsAmt
Total Expense	0.0633	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$1,195,497	BadDebtExpenseAmt
Bad Debt Expense Attributable	$150,568	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$10,958,446	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$12,973,228	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$2,014,782	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.HOLTONHOSPITAL.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	21	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	HTTPS://HOLTONHOSPITAL.COM/ABOUT/COMMUNITY-HEALTH/	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	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://HOLTONHOSPITAL.COM/ABOUT/COMMUNITY-HEALTH/	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	100.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200.0	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	HTTPS://HOLTONHOSPITAL.COM/HOSPITAL-CARE/PATIENT-FINANCIAL-ASSISTANCE-INFORMATION/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://HOLTONHOSPITAL.COM/HOSPITAL-CARE/PATIENT-FINANCIAL-ASSISTANCE-INFORMATION/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://HOLTONHOSPITAL.COM/HOSPITAL-CARE/PATIENT-FINANCIAL-ASSISTANCE-INFORMATION/	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
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
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 (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - HOLTON COMMUNITY HOSPITAL. HOLTON COMMUNITY HOSPITAL LEADERSHIP ALONG WITH JACKSON COUNTY HEALTH DEPARTMENT STARTED OFF BY ESTABLISHING A TIMELINE AND ROLES FOR THE CHNA. A CONSULTANT WAS HIRED TO ASSIST IN THE PROCESS. THIS GROUP THEN DEVELOPED A LIST OF INDIVIDUALS AND ENTITIES WITHIN JACKSON COUNTY THAT WOULD CONNECT WITH THE MAJORITY OF THE POPULATION OF JACKSON COUNTY. THE LIST INCLUDED PHYSICIANS, PUBLIC HEALTH OFFICIALS, OTHER HEALTHCARE PROVIDERS, CLERGY, COMMUNITY AND CIVIC LEADERS, EDUCATION STAFF, FAMILY CARE-GIVERS, AND MEMBERS OF AT-RISK POPULATIONS. A SURVEY WAS THEN CREATED CONSISTING OF 17 QUESTIONS TO ASSESS AREAS OF NEED WITHIN JACKSON COUNTY AND EMAILED TO THE LIST. PRESS RELEASES AND EMAIL REMINDERS WERE SENT TO HELP ENCOURAGE PARTICIPATION IN THE SURVEY PROCESS. A TOWN HALL MEETING WAS SET UP TO GET ADDITIONAL INPUT FROM THE COMMUNITY. THE DATE AND TIME WAS POSTED IN THE LOCAL NEWSPAPER AND FLYERS WERE PUT IN LOCAL BUSINESSES. SURVEY DATA WAS PRESENTED AT THE TOWN HALL MEETING WHICH WAS ATTENDED BY 36 INDIVIDUALS. IN ADDITION TO THE HOSPITAL AREAS OF HEALTHCARE REPRESENTED AT THE TOWN HALL MEETING WERE PROFESSIONALS IN THE AREAS OF FAMILY MEDICINE, VISION, MENTAL HEALTH, COMMUNITY HEALTH, AND LONG-TERM CARE. OTHERS ATTENDING WERE REPRESENTATIVES FROM THE LOCAL SCHOOLS, NEWSPAPER, BANKS, SEVERAL CIVIC ORGANIZATIONS AS WELL AS COMMUNITY MEMBERS. THROUGH INPUT FROM THE ATTENDEES INCLUDING A VOTING PROCESS BY EACH INDIVIDUAL, THE LIST OF NEEDS WAS NARROWED DOWN TO 8 ITEMS.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - HOLTON COMMUNITY HOSPITAL. NEK MULTI-COUNTY HEALTH DEPARTMENTS KANZA MENTA HEALTH SERVICES NEKCAP-NORTHEAST KANSAS COMMUNITY ACTION PROGRAM JACKSON COUNTY CITY OF HOLTON
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - HOLTON COMMUNITY HOSPITAL. COPIES ARE ALSO AVAILABLE AT OTHER HEALTHCARE PROVIDERS IN THE COUNTY.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - HOLTON COMMUNITY HOSPITAL. DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT OF 2021 - FISCAL YEAR 2022. THE FOLLOWING WERE IDENTIFIED AS THE TOP CHALLENGES TO RESIDENTS OF JACKSON COUNTY: 1) AWARENESS OF HC SERVICES 2) MENTAL HEALTH (DIAGNOSIS, PLACEMENT, AFTERCARE, PROVIDERS) 3) TEEN HEALTH (EDUCATION) 4) ADEQUATE HOUSING 5) DRUG/SUBSTANCE ABUSE 6) CHILDCARE (UNDER 18 MONTHS) 7) OBESITY (NUTRITION/EXERCISE) 8) DENTAL SERVICES TAKING MEDICAID A FOLLOW-UP MEETING WAS CONDUCTED TO FINALIZE AN IMPLEMENTATION STRATEGY TO ADDRESS THE IDENTIFIED NEEDS. ATTENDING WERE REPRESENTATIVES FROM THE JACKSON COUNTY PUBLIC HEALTH DEPARTMENT, KANZA MENTAL HEALTH SERVICES, NEKCAP- NORTHEAST KANSAS COMMUNITY ACTION PROGRAM, AND JACKSON COUNTY COMMISSION DURING THE PROCESS, IT WAS FIRST DETERMINED WHETHER THE NEED WAS PART OF HOLTON COMMUNITY HOSPITALS MISSION OF CRITICAL OPERATIONS. AFTER THAT IT WAS THEN DETERMINED IF THE SPECIFIC ACTIONS IDENTIFIED TO ADDRESS EACH NEED WOULD BE PERFORMED BY HOLTON COMMUNITY HOSPITAL AND IF THE HOSPITAL WOULD ALLOCATE FUNDS TO THE ACTION. IN ADDITION TO THE ITEMS LISTED BELOW, THERE ARE SEVERAL COMMUNITY RELATED SPECIFIC ACTIONS THAT ARE LISTED ON OUR CHNA STRATEGIC PLAN. THE FOLLOWING ITEMS ARE DIRECTLY RELATED TO ACTIONS THAT THE HOSPITAL WILL ADDRESS AND DOLLAR AMOUNTS ALLOCATED TO THE SPECIFIC ACTIONS. 1) AWARENESS OF HC SERVICES A. CONTINUE HCH MARKETING ACTIVITIES. PROMOTE EXISTING HEALTHCARE SERVICES, FACILITIES AND SPECIALISTS. INCREASE MARKETING ACTIVITIES TO GENERATE COMMUNITY INTEREST AND AWARENESS. EDUCATE COMMUNITY ABOUT EXISTING HC SERVICES USING DIGITAL TOOLS (FACEBOOK / WEBSITE). ADVERTISE ON THE RADIO AND IN THE NEWSPAPERS B. CONTINUE USING AND UPDATING THE COMPREHENSIVE JACKSON COUNTY RESOURCE GUIDE ON DEDICATED COMMUNITY WEBSITE. CREATE OPTIONS TO SET APPOINTMENTS / SEE OPENINGS. C. SEND HOSPITAL LEADERSHIP AND STAFF TO LOCAL EVENTS, ACTIVITIES, AND PROGRAMS TO PROMOTE AND PUBLICIZE FACILITIES AND SERVICES. ORGANIZE WHO GOES WHERE AND WHEN. $500 D. CONTINUE TO HOST "LUNCH AND LEARNS" WHERE HEALTHCARE STAFF ARE ABLE TO DESCRIBE THEIR SERVICES TO A DIFFERENT DEMOGRAPHIC OF INDIVIDUALS THAN THOSE THAT WOULD BE ABLE TO ATTEND AN EVENING DINNER. (CONSIDER BREAKFAST OPTIONS AS WELL) $300 E. START A REFERENCE LINK THAT ALLOWS PATIENTS TO UTILIZE ALL HEALTHCARE SERVICES LOCALLY. PROMOTE PHONE NUMBERS & TEXTING TO MAKE APPOINTMENTS. 2) MENTAL HEALTH (DIAGNOSIS, PLACEMENT, AFTERCARE, PROVIDERS) A. CONTINUE COMMUNITY EDUCATION. COLLABORATE WITH COMMUNITY ELEMENTARY, MIDDLE, AND HIGH SCHOOLS TO EDUCATE STUDENTS ON MENTAL HEALTH (DE-STIGMATIZE MENTAL HEALTH CONDITIONS, SUICIDE PREVENTION AND SOCIAL MEDIA BULLYING). B. CONTINUE TO INCREASE DEPRESSION SCREENINGS BY PRIMARY CARE PHYSICIANS. ADD TRAUMA ASSESSMENT FOR PEDIATRICS AND OTHER MH ISSUES. C. CONTINUE TO PROVIDE MENTAL HEALTH SERVICE "FIRST AID" TRAINING FOR LAW ENFORCEMENT, SCHOOLS, AND OTHER FIRST RESPONDERS IN THE COMMUNITY. D. RECRUIT AND RETAIN MENTAL HEALTH PROVIDERS TO MEET SPECIFIC MENTAL INVENTORY NEEDS AS IDENTIFIED. CONSIDER RECRUITMENT OF LOCUM OR VISITING PROVIDER. E. CONTINUE SUICIDE PREVENTION TRAINING AT SCHOOLS. DEVELOP AND SPONSOR AN ANTI-SUICIDE CAMPAIGN FOR LOCAL COMMUNITY MEMBERS. F. CONTINUE TO EXPLORE / DEVELOP RELATIONSHIPS WITH KEY COMMUNITY PARTNERS IN THE AREA OF MENTAL HEALTH FOR COLLECTIVE IMPACT. LOOK INTO PARTNERING WITH LOCAL CHURCHES FOR ADDITIONAL SUPPORT. G. CONTINUE TO ENCOURAGE AREA PROVIDERS TO USE / ESTABLISH BH TELEHEALTH OPTIONS IN THE COMMUNITY. H. CONTINUE TO INVESTIGATE GRANT WRITING TO FUND MENTAL HEALTH AND DEPRESSION. USE GRANT FUNDING TO SUPPORT MENTAL HEALTH CARE AND MENTAL HEALTH PREVENTION. $13,674 I. CONTINUE TO UTILIZE A 24-HOUR CRISIS HOTLINE (STATEWIDE NUMBER: 800-273-8255), 1-800-784-2433). HIGH PLAINS CRISIS LINE/SCREENINGS 3) TEEN HEALTH (EDUCATION) A. ASSIST SCHOOLS ON THEIR EFFECTS TO EDUCATE YOUTH ON THE DANGERS OF SMOKING / TOBACCO USE, AS WELL AS VAPING. FILL IN GAPS IN PROGRAMMING AND USE SOCIAL MEDIA. B. CONTINUE TO BUILD RELATIONSHIPS WITH K-12 SCHOOLS AND SCHOOL NURSES TO PROVIDE EDUCATION TO STUDENTS AND FAMILIES ABOUT HEALTHY EATING STRATEGIES AND FITNESS EDUCATION. (USE JCCTC) $1,200 C. CREATE YOUTH HEALTH PROGRAMS TO EDUCATE ON MOST COMMON DISEASES / PREVENTION METHODS. MARKET THIS PROGRAM THROUGH WEBSITE, SOCIAL MEDIA, RADIO, AND/OR NEWSPAPER. $4,300 D. EDUCATE & EXPAND YOUTH PHYSICAL ACTIVITY PROGRAMS. CREATE AFTER SCHOOL PROGRAMS TO KEEP YOUTH ACTIVE THROUGH PARKS AND REC. $400 E. EDUCATE STUDENTS ON SAFE SEX PROGRAMS INCLUDING STD'S. CONTINUE UTILIZING NURSE SPEAKERS TO COME INTO SCHOOLS TO SPEAK TO STUDENTS (DOH) F. EMPHASIZE HEALTH EDUCATION WITH FOCUS ON CHRONIC HEALTH, SMOKING/TOBACCO/VAPING, INCREASED SEAT BELT USAGE, EXERCISE, NUTRITION, AND SEX EDUCATION. $1,200 4) ADEQUATE HOUSING (THIS HEALTH NEED IS NOT PART OF THE HOSPITAL MISSION OF CRITICAL OPERATIONS. WILL PARTNER WITH OTHERS AS APPROPRIATE) A. CREATE A JACKSON COUNTY HOUSING DEVELOPMENT PLAN THAT WOULD ADDRESS AFFORDABLE SAFE HOUSING FOR COMMUNITY RESIDENTS. $500 B. EXPLORE THE IDEA OF ESTABLISHING A RE-HOME STORE FOR LOW COST RENOVATION ITEMS. PARTNER WITH LOCAL BUSINESSES FOR APPLIANCE DONATION OPTIONS. C. CONTINUE EXPLORING THE AREA AND BUILDING A NEW APARTMENT COMPLEXES FOR YOUNG FAMILIES AND POTENTIALLY THE ELDERLY AS TWO SEPARATE DEVELOPMENTS. D. OFFER RENTAL TENANT SUPPORT RESOURCES SUCH A UNIQUE PAYMENT PLANS. - MINISTRY E. ENCOURAGE LOCAL BANKERS TO ALLOW LOANS WHICH AID IN IMPROVEMENT OF EXISTING HOUSING. 5) DRUG/SUBSTANCE ABUSE A. CONTINUE TO MONITOR PRESCRIPTION DRUG (KTRACS) ABUSE. SUPPORT AREA PHYSICIANS IN DISCOURAGING PRESCRIPTION DRUG ABUSE. B. SUPPORT SUBSTANCE ABUSE COUNSELING FOR COMMUNITY MEMBERS. EDUCATE THE SCHOOLS AND LOCAL COMMUNITY ORGANIZATIONS ON SIGNS OF DRUG ABUSE. ESTABLISH RESOURCE LIST AVAILABLE FOR ADDICTION TREATMENT. C. EXPAND SCREENING BRIEF INTERVENTION REFERRAL AND TREATMENT (SBIRT). EXPAND OUTPATIENT PROGRAMS FOR SUBSTANCE ABUSE. D. ESTABLISH / PROMOTE DISCARDING OLD PRESCRIPTIONS AT LOCAL POLICE DEPARTMENTS, ESPECIALLY OPIOIDS. E. CONTINUE AND EXPAND TO OFFER / CREATE MEANINGFUL COMMUNITY YOUTH ACTIVITIES TO KEEP YOUTH ENGAGED AND ACTIVE. RESEARCH PREVALENT ISSUES LEADING TO DRUG ABUSE BY ADOLESCENTS. (UTILIZING JCCTC). F. CONTINUE TO SEEK ALCOHOL & DRUG ABUSE GRANT FUNDING. EXPAND "NO DRINKING" SCHOOL EDUCATIONAL PROGRAM. G. CONTINUING AA PROGRAM THAT MEETS MONTHLY. HELP SUPPORT PROGRAM THROUGH ADDITIONAL FUNDING OR COMMUNICATION OF INFORMATION TO COMMUNITY MEMBERS. H. CONTINUE WITH HEALTH CLASSES IN AREA SCHOOLS AND HOST SPEAKERS (DARE). SUPPORT USD POST-GRADUATION / POST-PROM PARTIES FINANCIALLY $200 6) CHILDCARE (UNDER 18 MONTHS) (THIS HEALTH NEED IS NOT PART OF THE HOSPITAL MISSION OF CRITICAL OPERATIONS. WILL PARTNER WITH OTHERS AS APPROPRIATE) A. CONDUCT CHILD CARE SUPPORT EDUCATION I.E., TEEN BABYSITTING CLASSES ETC. CONTINUE TO PROVIDE SUPPORT FOR LICENSURE I.E., CPR CLASSES. CONTINUE TO PROVIDE CONTINUING EDUCATION AND TRAINING TO PARENTS. INVESTIGATE ADDING INFANT, TODDLER, AND PRE-SCHOOL CHILD CARE $170 B. EDUCATE YOUNG FAMILIES ON CHILD CARE COMMUNITY OPTIONS/RESOURCES. UTILIZE ADVERTISING AND MEDIA OUTLETS TO KEEP THE COMMUNITY AWARE OF CHILDCARE AVAILABLE. C. PROVIDE EDUCATION / INFORMATION ABOUT GRANT OPPORTUNITIES TO HELP FUND CHILD CARE AND TO HELP EXISTING BUSINESSES. D. ENHANCE PARTNERSHIPS AMONG THE PARENTS AND SCHOOL DISTRICTS FOR ADDITIONAL CHILD CARE PROGRAMS. 7) OBESITY (NUTRITION/EXERCISE) A. EXPAND AND ENHANCE COMMUNITY ACTIVITIES THAT PROMOTE PHYSICAL FITNESS/EXERCISE FOR THE ENTIRE FAMILY SUCH AS: "WALK WITH A DOC". SPONSOR A COMMUNITY-WIDE "FITNESS CHALLENGE" ALL AGES. $1,500 B. EXPAND DIABETIC EDUCATIONAL SERVICES. PARTNER WITH PROVIDERS AND H.D. TO ENHANCE THIS SERVICE. HAVE PROVIDERS SPEAK AT SCHOOLS. C. CONTINUE TO PROVIDE EDUCATION TO EMPLOYERS THROUGH WORK-SITE HEALTH FAIRS AND EDUCATIONAL PROGRAMS, INCLUDING VARIOUS SCREENINGS. D. PARTNER WITH THE CITY PARKS AND RECREATION DEPT TO ENCOURAGE ADDITIONAL OPPORTUNITIES THROUGHOUT PSA. E. CONTINUE TO INCREASE ACCESS TO HEALTHY FOODS IN SCHOOLS FOR YOUTH AND NURSING HOMES FOR SENIORS. PROVIDE HEALTHIER SCHOOL VENDING OPTIONS. $250 F. SPONSOR A PROGRAM TO TEACH PEOPLE HOW TO SHOP ON A BUDGET AND EAT HEALTHY.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - HOLTON COMMUNITY HOSPITAL. 8) DENTAL SERVICES TAKING MEDICAID (THIS HEALTH NEED IS NOT PART OF THE HOSPITAL MISSION OF CRITICAL OPERATIONS. WILL PARTNER WITH OTHERS AS APPROPRIATE) A. REQUEST ALL AREA DENTISTS TO SEE MEDICAID PATIENT 1 DAY A MONTH - COMMUNITY SERVICE. B. CONTINUE TO SUPPORT KHA'S POLITICAL ADVOCACY INITIATIVES TOEXPAND KS MEDICAID COVERAGE WITH A SPECIAL FOCUS ON DENTAL COVERAGE. GRANT FUNDS $3,000 - $5,000 C. CONTINUE TO REQUEST LOCAL DENTAL PROVIDERS TO TAKE MEDICAID PATIENTS. D. EXPLORE GRANTS TO ASSIST IN DENTAL CARE FOR THOSE UNINSURED / UNDERINSURED

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
117 W 3RD	HOYT	KS	66440	RURAL HEALTH CLINIC
FAMILY PRACTICE ASSOCIATES - WETMORE
323 SECOND STREET	WETMORE	KS	66550	RURAL HEALTH CLINIC

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c CRITERIA USED FOR DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE	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 Costing Methodology used to calculate financial assistance	All items using Patient Revenue are based on a Cost to Charge ratio. All others are actual expenses
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	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, Line 3 Bad Debt Expense Methodology	BAD DEBT EXPENSE (AT COST) IDENTIFIED THE PROVISION FOR UNCOLLECTIBLES FROM 3/31/24 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, Line 4 Bad debt expense - financial statement footnote	SEE PAGE 14 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	SERVING PATIENTS WITH GOVERNMENT HEATH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	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 V, Section B, Line 16a FAP website	- HOLTON COMMUNITY HOSPITAL: Line 16a URL: HTTPS://HOLTONHOSPITAL.COM/HOSPITAL-CARE/PATIENT-FINANCIAL-ASSISTANCE-INFORMATION/;
Schedule H, Part V, Section B, Line 16b FAP Application website	- HOLTON COMMUNITY HOSPITAL: Line 16b URL: HTTPS://HOLTONHOSPITAL.COM/HOSPITAL-CARE/PATIENT-FINANCIAL-ASSISTANCE-INFORMATION/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- HOLTON COMMUNITY HOSPITAL: Line 16c URL: HTTPS://HOLTONHOSPITAL.COM/HOSPITAL-CARE/PATIENT-FINANCIAL-ASSISTANCE-INFORMATION/;
Schedule H, Part VI, Line 2 Needs assessment	OUR CURRENT 14-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. WE REGULARLY EVALUATE THE SERVICES WE PROVIDE TO SEE IF THEY ARE BEING UTILIZED AND TO SEE WHAT ADDITIONAL SERVICES CAN BE PROVIDED. WE UTILIZE OUR COMMUNITY HEALTH NEEDS ASSESSMENT AND PATIENT FAMILY ADVISORY COMMITTEE INPUT TO DETERMINE IF ADDITIONAL SERVICES NEED TO BE PROVIDED. 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. WE HAVE BEEN DISTRIBUTING PATIENT SATISFACTION SURVEYS THROUGHOUT OUR SURGICAL, INPATIENT, OUTPATIENT, RURAL HEALTH CLINIC, EMERGENCY ROOM AND REHABILITATION SERVICES FOR APPROXIMATELY 8 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. LISTED BELOW ARE SOME OF THE SERVICES PROVIDED BY HOLTON COMMUNITY HOSPITAL. 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 PROVIDES 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. WE ALSO INSTALLED A STATE-OF-THE-ART 3D MAMMOGRAPHY UNIT TO HELP WITH EARLY DIAGNOSIS OF BREAST CANCER. 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 14-BED IN-PATIENT UNIT PROVIDES CARE TO MEDICAL-SURGICAL PATIENTS, SUB-ACUTE PATIENTS, PEDIATRICS AND GERIATRICS. 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 SIX PHYSICIANS, TWO PHYSICIAN ASSISTANTS AND EIGHT ADVANCED REGISTERED NURSE PRACTITIONERS ALLOWS OUR COMMUNITY MEMBERS TO FIND A PROVIDER THAT BEST SERVES THEIR HEALTH CARE NEEDS. WE ALSO OFFER LOW-COST OR FREE SPORTS PHYSICALS TO LOCAL JUNIOR HIGH AND HIGH SCHOOL STUDENTS TWO EVENINGS EACH YEAR.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	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 Community information	JACKSON COUNTY IS LOCATED IN THE NORTHEASTERN PART OF KANSAS LOCATED ON US HIGHWAY 75. HOLTON COMMUNITY HOSPITAL AND FAMILY PRACTICE ASSOCIATES PHYSICIAN'S CLINIC ARE THE PREMIERE HEALTHCARE PROVIDERS IN OUR COUNTY. ACCORDING TO THE 2021 ROBERT WOODS JACKSON COUNTY HEALTH RANKINGS, JACKSON COUNTY, KANSAS AVERAGE WAS RANKED 30TH IN HEALTH OUTCOMES,63RD IN HEALTH FACTORS, AND 57TH IN PHYSICAL ENVIRONMENTAL QUALITY OUT OF THE 105 COUNTIES. JACKSON COUNTY'S POPULATION IS 13,171 (BASED ON 2019), WITH A POPULATION PER SQUARE MILE OF APPROXIMATELY 20.5 PERSONS. ABOUT SEVEN PERCENT (6.8%) OF THE POPULATION IS UNDER THE AGE OF 5, WHILE THE POPULATION THAT IS OVER 65 YEARS OLD IS 19.4%. AS OF 2019, 3.1% OF CITIZENS SPEAK A LANGUAGE OTHER THAN ENGLISH IN THEIR HOME. CHILDREN IN SINGLE PARENT HOUSEHOLDS MAKE UP A TOTAL OF 23.0% COMPARED TO THE RURAL NORM OF 16.8%, AND 86.8% ARE LIVING IN THE SAME HOUSE AS ONE YEAR AGO. IN JACKSON COUNTY, THE AVERAGE PER CAPITA INCOME IS $29,558 WHILE 10.9% OF THE POPULATION IS IN POVERTY. THE SEVERE HOUSING PROBLEM WAS RECORDED AT 10.6% COMPARED TO THE RURAL NORM OF 10.7%. THOSE WITH FOOD INSECURITY IN JACKSON COUNTY IS 12.2%, AND THOSE HAVING LIMITED ACCESS TO HEALTHY FOODS (STORE) IS 4.6%. INDIVIDUALS RECORDED AS HAVING A LONG COMMUTE WHILE DRIVING ALONE IS 39.4% COMPARED TO THE NORM OF 26.0%. CHILDREN ELIGIBLE FOR A FREE OR REDUCED-PRICE LUNCH IN JACKSON COUNTY IS 41.4%. ROUGHLY NINETY-ONE PERCENT (91.2%) OF STUDENTS GRADUATED HIGH SCHOOL COMPARED TO THE RURAL NORM OF 88.7%, AND 21.4% HAVE A BACHELOR'S DEGREE OR HIGHER. THE PERCENT OF BIRTHS WHERE PRENATAL CARE STARTED IN THE FIRST TRIMESTER IS 73.5% AND 6.0% OF BIRTHS IN JACKSON COUNTY HAVE A LOW BIRTH WEIGHT. CONTINUALLY, 79.1% (COMPARED TO 76.5% RURAL NORM) OF INFANTS UP TO 24 MONTHS ARE RECEIVING FULL IMMUNIZATION. THE PERCENT OF MOTHERS WHO WERE REPORTED SMOKING DURING PREGNANCY IS 12.2% COMPARED TO THE RURAL NORM OF 11.6%. THE JACKSON COUNTY PRIMARY CARE SERVICE COVERAGE RATIO IS 1 PROVIDER (COUNTY-BASED OFFICE PHYSICIAN WHO IS A MD AND/OR DO) TO 1,476 RESIDENTS. THE PERCENTAGE OF PATIENTS WHO GAVE THEIR HOSPITAL A RATING OF 9 OR 10 OUT OF 10 IS ONLY 83.0%, WHILE 82.0% OF PATIENTS REPORTED YES, THEY WOULD DEFINITELY RECOMMEND THE HOSPITAL. THE AVERAGE (MEDIAN) TIME PATIENTS SPEND IN THE EMERGENCY DEPARTMENT BEFORE LEAVING WAS 102 MINUTES COMPARED TO THE RURAL NORM OF 109.2 MINUTES. IN JACKSON COUNTY, 19.4% OF THE MEDICARE POPULATION HAS DEPRESSION. THE PERCENT OF MEDICARE PART D BENEFICIARIES RECEIVING AN OPIOID DAY SUPPLY >10 DAYS IS 39.6%. THE AVERAGE MENTALLY UNHEALTHY DAYS LAST REPORTED (2020) IS 4.6 DAYS IN A ONE-WEEK PERIOD, WHILE THE AGE-ADJUSTED SUICIDE MORTALITY RATE (PER 100,000) IS 15.9. JACKSON COUNTY HAS AN OBESITY PERCENTAGE OF 38.3% AND A PHYSICAL INACTIVITY PERCENTAGE IS 25.5%. THE PERCENTAGE OF ADULTS WHO SMOKE IS 20.9%, WHILE THE EXCESSIVE DRINKING PERCENTAGE IS 19.5%. THE MEDICARE HYPERTENSION PERCENTAGE IS 51.5%, WHILE THEIR HEART FAILURE PERCENTAGE IS 15.1%. THOSE WITH CHRONIC KIDNEY DISEASE AMONGST THE MEDICARE POPULATION IS 23.0% COMPARED TO THE RURAL NORM OF 18.6%. THE PERCENTAGE OF INDIVIDUALS WHO WERE RECORDED WITH COPD WAS 12.3%. JACKSON COUNTY RECORDED ROUGHLY SEVEN PERCENT OF THOSE HAVING CANCER (7.4%) AMONG THEIR MEDICARE POPULATION AND 2.5% OF INDIVIDUALS WHO HAVE HAD A STROKE. THE ADULT UNINSURED RATE FOR JACKSON COUNTY IS 10.1% (BASED ON 2019) COMPARED TO THE RURAL NORM OF ONLY 13.0%. THE LIFE EXPECTANCY RATE IN JACKSON COUNTY IS SEVENTY-EIGHT YEARS OF AGE (77.9) FOR THEENTIRE GENERAL POPULATION IN JACKSON COUNTY. ALCOHOL-IMPAIRED DRIVING DEATHS FOR JACKSON COUNTY IS 25.0% WHILE AGE-ADJUSTED CANCER MORTALITY RATE PER 100,000 IS 128.9. THE AGE-ADJUSTED HEART DISEASE MORTALITY RATE PER 100,000 IS AT 224.2. A RECORDED FORTY-NINE PERCENT OF JACKSON COUNTY HAS ACCESS TO EXERCISE OPPORTUNITIES. THOSE REPORTED HAVING DIABETES IS 14.7%. CONTINUALLY, FORTY-] SIX PERCENT OF WOMEN IN JACKSON COUNTY SEEK ANNUAL MAMMOGRAPHY SCREENINGS COMPARED TO THE RURAL NORM OF 45.8%. ADULTS WHO REPORTED HAVING VISITED A DOCTOR FOR A ROUTINE CHECK-UP WITHIN THE PAST YEAR IS 75.5% COMPARED TO THE RURAL NORM OF 75.2%.
Schedule H, Part VI, Line 5 Promotion of community health	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 IN-SERVICE 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 (7 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 L Lutz
CEO	$204,988	$0	$0	$0	$0	$0	$17,167	$0	$5,030	$0	$227,185	$0	$0	$0
Bart E Kenton
CFO	$156,059	$0	$0	$0	$0	$0	$6,365	$0	$2,500	$0	$164,924	$0	$0	$0
LaDona M Schmidt
Physician, MD	$309,327	$0	$0	$0	$0	$0	$29,919	$0	$5,694	$0	$344,940	$0	$0	$0
Malia Sm Warner
Physician, MD	$347,120	$0	$0	$0	$0	$0	$41,940	$0	$13,923	$0	$402,983	$0	$0	$0
Clint M Colberg
Physician, MD	$351,410	$0	$0	$0	$0	$0	$37,367	$0	$15,654	$0	$404,431	$0	$0	$0
Lee R Schnee
Physician, MD	$246,164	$0	$0	$0	$0	$0	$38,063	$0	$12,774	$0	$297,001	$0	$0	$0
Dallas W Dooley
APRN	$183,877	$0	$0	$0	$0	$0	$16,772	$0	$4,738	$0	$205,387	$0	$0	$0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Relationship Description	Mother of a Board Member	RelationshipDescriptionTxt
Transaction	$15,378	TransactionAmt
Transaction	Employee paid on W-2	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION	RURAL HEALTH RESOURCES OF JACKSON COUNTY (RHRJC) IS A 14-BED CRITICAL ACCESS HOSPITAL IN A SMALL RURAL COMMUNITY. RHRJC 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 (INCLUDING ORTHOPEDIC), LABORATORY, A CERTIFIED DIABETIC EDUCATION PROGRAM, CARDIOVASCULAR SERVICES, CERTIFIED LYMPHEDEMA PROGRAM, OUTPATIENT GERIATRIC PSYCHOLOGY, AND ROUND CARE SERVICES AS WELL A VARIETY OF SPECIALTY PROVIDER SERVICES. THE HOSPITAL IS A CERTIFIED 'STROKE READY' FACILITY AND STAFF ARE 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 3,894 EMERGENCY ROOM VISITS RECORDED FROM 4/1/23 THROUGH 3/31/24. 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 12,682 INPATIENT HOURS, 24,900 SWING BED HOURS AND 9,396 OBSERVATION HOURS FROM 4/1/23 THROUGH 3/31/24.
Form 990, Part VI, Line 1a Material differences in voting rights	THE CLASS C DIRECTOR SHALL BE THE CHIEF OF MEDICAL STAFF AND SERVE (1) YEAR TERM. THE CLASS C DIRECTOR SHALL BE ENTITLED TO PARTICIPATE AND VOTE ON ALL MATTERS EXCEPT FOR: (A) EMPLOYEE COMPENSATION AND (B) EMPLOYEE PERSONNEL MATTERS.
Form 990, Part VI, Line 11b Review of form 990 by governing body	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 FILING THE 990.
Form 990, Part VI, Line 12c Conflict of interest policy	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, Line 15a Process to establish compensation of top management official	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, Line 19 Required documents available to the public	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	All Other Revenue - Total Revenue: 189653, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 189653;
Form 990, Part IX, Line 11g Other Fees	CONTRACT SERVICES - Total Expense: 3124121, Program Service Expense: 2558634, Management and General Expenses: 565487, Fundraising Expenses: ; PHYSICIAN SERVICES - Total Expense: 1236547, Program Service Expense: 1236547, Management and General Expenses: , Fundraising Expenses: ; ER PROVIDER SERVICES - Total Expense: 388669, Program Service Expense: 388669, Management and General Expenses: , Fundraising Expenses: ; OTHER FEES FOR SERVICES - Total Expense: 317853, Program Service Expense: 161957, Management and General Expenses: 155896, Fundraising Expenses: ;