2025-02-14T08:33:15+00:00 2024-03-31 440160260 Forvis Mazars LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2023-04-01 742826278 RURAL HEALTH RESOURCES OF JACKSON CO INC RURA 7853642116 1110 COLUMBINE DRIVE HOLTON KS 66436 CARRIE LUTZ CHIEF EXECUTIVE OFFICER 2025-02-14 true Michael Engle P00482834 8162216300 2024-02-15 2023 2025-03-06 01:10:19Z HOLTON COMMUNITY HOSPITAL CARRIE LUTZ 1110 COLUMBINE DRIVE HOLTON KS 66436 28594886 false X WWW.HOLTONHOSPITAL.COM X 1997 KS PROVIDE HIGH QUALITY HEALTHCARE SERVICES TO JACKSON COUNTY AND SURROUNDING COMMUNITIES WHILE CONSISTENTLY DEMONSTRATING PROFESSIONALISM WITH THE HOMETOWN TOUCH. 8 6 234 30 0 0 1017646 675949 25196256 27582759 83838 98435 155860 211804 26453600 28568947 0 0 14280362 15113469 0 0 13163500 14692730 27443862 29806199 -990262 -1237252 25076848 24653883 17419272 18233559 7657576 6420324 TO PROVIDE PROFESSIONALISM, COMPASSION AND EXCELLENCE IN HEALTHCARE FOR A HEALTHIER COMMUNITY. false false 19392218 23361706 SEE SCHEDULE O. 3785521 3137999 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. 1101780 1083054 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. 24279519 true true false true false false false false true true false false false true false true false false false false false false false false false true true false false true false false false false false false true false false false false false false false false false false true 37 0 true 234 true false false false false false false false false false false false false X 8 6 false false false false false false false true true false false true true true true true true true false false KS X BART KENTON 7853649636 1110 COLUMBINE DRIVE HOLTON KS 66436 Bobbi Ambrosio Director/Board Chair 1.0 0.0 X X 0 0 0 Chad Bontrager Director/Board Secretary 1.0 0.0 X X 0 0 0 Dan Brenner Director/Vice Chair 1.0 0.0 X X 0 0 0 Mark Aeschliman Director/Board Treasurer 1.0 0.0 X X 0 0 0 Denis S Jimenez Chief of Medical Staff 40.0 0.0 X 125266 0 546 Gloria Stavropoulos Director 1.0 0.0 X 0 0 0 Healther Schrick Director 1.0 0.0 X 0 0 0 Marilyn Watkins Director 1.0 0.0 X 0 0 0 Bart E Kenton CFO 40.0 0.0 X 156059 0 8865 Carrie L Lutz CEO 40.0 0.0 X 204988 0 22197 Clint M Colberg Physician, MD 40.0 0.0 X 351410 0 53021 Dallas W Dooley APRN 40.0 0.0 X 183877 0 21510 LaDona M Schmidt Physician, MD 40.0 0.0 X 309327 0 35613 Lee R Schnee Physician, MD 40.0 0.0 X 246164 0 50837 Malia Sm Warner Physician, MD 40.0 0.0 X 347120 0 55863 1924211 0 248452 26 false true false ATHENAHEALTH 311 ARSENAL STREET WATERTOWN MA 02472 SUPPORT/SOFTWARE 990173 PREMIER SPECIALTY NETWORK 1835 E REPUBLIC RD SPRINGFIELD MO 65804 SPECIALTY PHYSICIAN 690136 RURAL PARTNERS IN MEDICINE LLC 8181 ARISTA PLACE BROOMFIELD CO 80021 SPECIALTY PHYSICIAN 686139 PSYCHIATRIC MEDICAL CARE LLC 8 CADILLAC DRIVE 230 NASHVILLE TN 66606 PHYSICIAN CONSULTING 470197 MOSS ANETHESIA LLC 8401 NW US HWY 75 TOPEKA KS 66618 ANESTHESIA SERVICES 350313 14 64477 611472 675949 NET PATIENT SERVICE REVENUE 622110 25827024 25827024 340B REVENUE 623000 1608348 1608348 MEDICAID PROVIDER ASSESSMENT INCOME 622110 147387 147387 0 0 0 0 27582759 86467 86467 1000 0 1000 0 1000 1000 37907 25939 0 11968 11968 11968 CAFETERIA 623000 21151 21151 189653 0 0 189653 210804 28568947 27582759 0 310239 X 519592 126197 393395 15378 15378 11641583 9680404 1961179 415949 346224 69725 1615856 1195136 420720 905111 730198 174913 3700 2310 1390 95229 0 95229 3457 3457 5067190 4345807 721383 0 129549 71295 58254 333465 164012 169453 1121419 863493 257926 376868 51047 325821 235893 214512 21381 393523 286677 106846 1653290 1205405 447885 192615 60034 132581 MEDICAL SUPPLIES 3553486 3553486 0 BAD DEBT EXPENSE 1195497 1195497 0 REPAIRS AND MAINTENANCE 156160 123770 32390 DUES & SUBSCRIPTIONS 84208 13929 70279 97181 34708 62473 0 29806199 24279519 5526680 0 113579 84718 2163914 3307405 69000 0 4045565 5369947 0 0 0 0 295577 239954 198795 296097 25492998 10340793 16666742 15152205 0 0 1523676 203557 25076848 24653883 1484645 1939100 21617 26988 0 0 15685971 15308709 227039 958762 17419272 18233559 X 7541960 6356524 115616 63800 7657576 6420324 25076848 24653883 -1237252 0 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 3457 3457 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THIS AMOUNT REPRESENTS THE PORTION OF THE DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION AND THE KANSAS HOSPITAL ASSOCIATION THAT ARE FOR LOBBYING. 46266 1955 1955 46266 46266 268 268 46266 46266 267 267 46266 46266 1038 1038 46266 46266 1051 1051 46266 0.0 1.0 0.0 false false 0 9983 9983 0 17806682 5350338 12456344 0 858661 683961 174700 0 5969053 3728376 2240677 0 848619 578118 270501 15152205 Due to Third-Party Payers 856821 Operating Lease Liability 101941 958762 27373450 0 0 27373450 1195497 1195497 28568947 28610702 0 0 28610702 1195497 1195497 29806199 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 true true X true X true X true true true false true true 72863 0 72863 0.0024 2195569 928301 1267267 0.0425 0 0 0 0.0 0 0 2268432 928301 1340130 0.0450 11965 0 11965 0.0004 262825 0 262825 0.0088 894673 636419 258255 0.0087 0 0 0 0.0 14121 0 14121 0.0005 0 0 1183585 636419 547166 0.0184 0 0 3452017 1564720 1887296 0.0633 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 false 1195497 150568 10958446 12973228 -2014782 X true true 1 1 HOLTON COMMUNITY HOSPITAL 1110 COLUMBINE DRIVE HOLTON KS 66436 WWW.HOLTONHOSPITAL.COM H043001 X X X HOLTON COMMUNITY HOSPITAL 1 false false true X X X X X X X X X 21 true false true true X HTTPS://HOLTONHOSPITAL.COM/ABOUT/COMMUNITY-HEALTH/ X X true 21 true HTTPS://HOLTONHOSPITAL.COM/ABOUT/COMMUNITY-HEALTH/ false true X 100.0 200.0 X X true true X X X X true X HTTPS://HOLTONHOSPITAL.COM/HOSPITAL-CARE/PATIENT-FINANCIAL-ASSISTANCE-INFORMATION/ X HTTPS://HOLTONHOSPITAL.COM/HOSPITAL-CARE/PATIENT-FINANCIAL-ASSISTANCE-INFORMATION/ X HTTPS://HOLTONHOSPITAL.COM/HOSPITAL-CARE/PATIENT-FINANCIAL-ASSISTANCE-INFORMATION/ X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 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 3 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 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. X X X X false false false false false false false false false Carrie L Lutz CEO 204988 0 0 0 0 0 17167 0 5030 0 227185 0 0 0 Bart E Kenton CFO 156059 0 0 0 0 0 6365 0 2500 0 164924 0 0 0 LaDona M Schmidt Physician, MD 309327 0 0 0 0 0 29919 0 5694 0 344940 0 0 0 Malia Sm Warner Physician, MD 347120 0 0 0 0 0 41940 0 13923 0 402983 0 0 0 Clint M Colberg Physician, MD 351410 0 0 0 0 0 37367 0 15654 0 404431 0 0 0 Lee R Schnee Physician, MD 246164 0 0 0 0 0 38063 0 12774 0 297001 0 0 0 Dallas W Dooley APRN 183877 0 0 0 0 0 16772 0 4738 0 205387 0 0 0 Barbara Wheeler Mother of a Board Member 15378 Employee paid on W-2 false 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: ;