LINDSBORG COMMUNITY HOSPITAL ASSOCIATION: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- LINDSBORG COMMUNITY HOSPITAL ASSOCIATION (EIN 48-0545183)
- Tax period
- 2014-10-01 to 2015-09-30
- Filed
- 2016-08-09
- IRS object ID
- 201642229349300974
- Schema version
- 2014v6.0
- 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 K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-08-09T11:01:22-05:00 | ReturnTs |
| Tax Period End | 2015-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 481026809 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Wendling Noe Nelson & Johnson LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 534 S Kansas Ave Suite 1500 | AddressLine1Txt |
| City | Topeka | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 666033491 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 480545183 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lindsborg Community Hospital Association | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LIND | BusinessNameControlTxt |
| Phone | 7852273308 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 605 West Lincoln | AddressLine1Txt |
| City | Lindsborg | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 674562328 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Larry Van Der Wege | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 7852273308 | PhoneNum |
| Signature | 2016-08-02 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Heather R Eichem | PreparerPersonNm |
| PTIN | P01515553 | PTIN |
| Phone | 7852334226 | PhoneNum |
| Preparation | 2016-08-02 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-09-27 15:27:22Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Larry Van Der Wege | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 605 West Lincoln | AddressLine1Txt |
| City | Lindsborg | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 674562328 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $9,762,315 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.lindsborghospital.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1944 | FormationYr |
| Legal Domicile State | KS | LegalDomicileStateCd |
| Activity Or Mission | Operation of a critical access hospital for the care of individuals suffering from mental or physical illness, injury or deformity in an acute care, skilled nursing care, outpatient, or emergency setting. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 48 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $136,852 | PYContributionsGrantsAmt |
| CY Contributions Grants | $206,470 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $9,259,935 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $9,413,661 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$1,981 | PYInvestmentIncomeAmt |
| CY Investment Income | -$5,584 | CYInvestmentIncomeAmt |
| PY Other Revenue | $93,648 | PYOtherRevenueAmt |
| CY Other Revenue | $140,622 | CYOtherRevenueAmt |
| PY Total Revenue | $9,488,454 | PYTotalRevenueAmt |
| CY Total Revenue | $9,755,169 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,050 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,633 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,197,149 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,512,184 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,810,580 | PYOtherExpensesAmt |
| CY Other Expenses | $3,181,790 | CYOtherExpensesAmt |
| PY Total Expenses | $8,009,779 | PYTotalExpensesAmt |
| CY Total Expenses | $8,695,607 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,478,675 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,059,562 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,088,407 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,971,923 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,929,901 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,754,086 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,158,506 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,217,837 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Operation of a critical access hospital in a community qualifying for such designation under federal law, for the provision of facilities for the diagnosis, treatment of care of individuals suffering from mental or physical illness, disease, injury or deformity in an acute care, skilled nursing care, outpatient, or emergency room setting. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $7,575,852 | ExpenseAmt |
| Grant | $1,633 | GrantAmt |
| Revenue | $9,547,337 | RevenueAmt |
| Desc | Lindsborg Community Hospital (LCH) operates a critical access hospital in a community qualifying for such designation under federal law. The facilities are adequate for treatment or care of individuals suffering from mental or physical illness, disease, injury or deformity in an acute care, skilled nursing care, outpatient or emergency room setting. LCH cares for residents of the Smoky Valley with the operation of a 24/7 emergency room. 1,877 patients were seen in the 2015 fiscal year. 753 urgent care visits, 683 privately paid home health visits were made, and 450 cardiac rehab visits improved the health of community members. 2,280 meals on wheels were supplied to community members. Education was provided to Marquette and Lindsborg residents on breast cancer, colon cancer, smoking cessation, and the effects of sun exposure. Employees of the LCH partner with various community groups to provide assistance to the Midsummer's Committee, Hyllningsfest Committee, Chamber of Commerce, and Leadership Lindsborg to name a few. Staff also provide leadership with the Sunflower Health Network, KHA council, and the Sunflower (Kansas) HFMA chapter. | Desc |
| Total Program Service Expenses | $7,575,852 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Laraine Gengler | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7852273308 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 605 West Lincoln | AddressLine1Txt |
| City | Lindsborg | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 674562328 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| Chuck Oleen | ||||||
| President | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Denise Peterson | ||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Judy Neuschafer | ||||||
| Secretary | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Robyn Johnson | ||||||
| Vice-President | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Ryan Biegert | ||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Tom Buffington | ||||||
| Treasurer | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Mike Rose | ||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Dr Ben Dolezal | ||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Mary Ann Carlson | ||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Joel Woodard | ||||||
| Vice-President thru 12/31/14 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Judy Murphy | ||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Erica Lysell | ||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Larry Van Der Wege | ||||||
| CEO | 40.00 | Yes (X) | $99,678 | $0 | $2,891 | |
| Laraine Gengler | ||||||
| CFO | 40.00 | Yes (X) | $90,522 | $0 | $5,455 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $190,200 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $8,346 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | National Therapeutic Association Inc D | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11623 Arbor Street | AddressLine1Txt |
| City | Omaha | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 68144 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | PT, OT and ST services | ServicesDesc |
| Compensation | $359,393 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $138,452 | GovernmentGrantsAmt |
| All Other Contributions | $68,018 | AllOtherContributionsAmt |
| Total Contributions | $206,470 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net patient service re | 621400 | $9,331,097 | $9,331,097 |
| EHR incentive payment | 900099 | $82,564 | $82,564 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $9,413,661 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,362 | TotalRevenueColumnAmt |
| Exclusion | $1,362 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $12,000 | 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 | $12,000 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,000 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,000 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $200 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $7,146 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$6,946 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$6,946 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$6,946 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Employee/guest meals | 900099 | $100,920 | $100,920 |
| Medical record abstact | 900099 | $259 | $259 |
| Ambulance | 621910 | $210 | $210 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $27,233 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $27,233 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $128,622 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,755,169 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,547,337 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,362 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $133 | TotalAmt |
| Program Services | $133 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,500 | TotalAmt |
| Program Services | $1,500 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $207,901 | TotalAmt |
| Management And General | $207,901 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,413,243 | TotalAmt |
| Program Services | $4,080,550 | ProgramServicesAmt |
| Management And General | $332,693 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $151,270 | TotalAmt |
| Program Services | $139,892 | ProgramServicesAmt |
| Management And General | $11,378 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $435,316 | TotalAmt |
| Program Services | $387,046 | ProgramServicesAmt |
| Management And General | $48,270 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $304,454 | TotalAmt |
| Program Services | $269,363 | ProgramServicesAmt |
| Management And General | $35,091 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,855 | TotalAmt |
| Program Services | $4,855 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,842 | TotalAmt |
| Management And General | $34,842 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $342,264 | TotalAmt |
| Program Services | $259,565 | ProgramServicesAmt |
| Management And General | $82,699 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,133 | TotalAmt |
| Program Services | $33,560 | ProgramServicesAmt |
| Management And General | $56,573 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $152,721 | TotalAmt |
| Program Services | $63,671 | ProgramServicesAmt |
| Management And General | $89,050 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,244 | TotalAmt |
| Program Services | $67,793 | ProgramServicesAmt |
| Management And General | $11,451 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,733 | TotalAmt |
| Program Services | $16,393 | ProgramServicesAmt |
| Management And General | $9,340 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,757 | TotalAmt |
| Program Services | $2,252 | ProgramServicesAmt |
| Management And General | $505 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,121 | TotalAmt |
| Program Services | $16,358 | ProgramServicesAmt |
| Management And General | $2,763 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $555,361 | TotalAmt |
| Program Services | $475,111 | ProgramServicesAmt |
| Management And General | $80,250 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,873 | TotalAmt |
| Program Services | $19,453 | ProgramServicesAmt |
| Management And General | $21,420 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Pharmaceuticals | $482,037 | $482,037 | $0 |
| Professional fees - oth | $426,889 | $424,931 | $1,958 |
| Medical supplies | $325,714 | $325,714 | |
| Repairs | $155,023 | $154,954 | $69 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $444,223 | TotalAmt |
| Program Services | $350,721 | ProgramServicesAmt |
| Management And General | $93,502 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,695,607 | TotalAmt |
| Program Services | $7,575,852 | ProgramServicesAmt |
| Management And General | $1,119,755 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,331 | BOYAmt |
| EOY | $114,656 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $995,357 | BOYAmt |
| EOY | $1,120,932 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,417,696 | BOYAmt |
| EOY | $1,993,940 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $173,714 | BOYAmt |
| EOY | $179,819 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,605 | BOYAmt |
| EOY | $73,557 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $6,136,549 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,132,845 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,027,027 | BOYAmt |
| EOY | $2,003,704 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $330,677 | BOYAmt |
| EOY | $329,042 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $156,273 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,088,407 | BOYAmt |
| EOY | $5,971,923 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $323,162 | BOYAmt |
| EOY | $323,867 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $476,568 | BOYAmt |
| EOY | $353,839 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $483,836 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $646,335 | BOYAmt |
| EOY | $1,076,380 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,929,901 | BOYAmt |
| EOY | $1,754,086 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,736,562 | BOYAmt |
| EOY | $3,774,059 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $421,944 | BOYAmt |
| EOY | $443,778 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,158,506 | BOYAmt |
| EOY | $4,217,837 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,088,407 | BOYAmt |
| EOY | $5,971,923 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,059,562 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$231 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $2,395 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $2,395 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | The portion of annual dues paid to hospital and medical associations attributed to lobbying activities by the associations. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,442 | OtherCostOrOtherBasisAmt |
| Book Value | $10,442 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,515,140 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,506,887 | DepreciationAmt |
| Book Value | $1,008,253 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,353,711 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,374,367 | DepreciationAmt |
| Book Value | $979,344 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $257,256 | OtherCostOrOtherBasisAmt |
| Depreciation | $251,591 | DepreciationAmt |
| Book Value | $5,665 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,003,704 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Estimated reimbursements payable | Desc |
| Amt | $1,076,380 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,076,380 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | Management is not aware of any uncertainties in income tax positions. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $52,697 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $52,697 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00610 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $254,080 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $196,425 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $57,655 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00660 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $306,777 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $196,425 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $110,352 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01270 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 23075 | PersonsServedCnt |
| Total Community Benefit Expns | $121,810 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $49,570 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $72,240 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00830 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $27,513 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $21,687 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,826 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,649 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,649 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 23075 | PersonsServedCnt |
| Total Community Benefit Expns | $152,972 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $71,257 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $81,715 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00940 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 23075 | PersonsServedCnt |
| Total Community Benefit Expns | $459,749 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $267,682 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $192,067 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02210 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $252,473 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $5,020,790 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $5,058,376 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$37,586 | 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 (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | 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 | Lindsborg Community Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 605 West Lincoln | AddressLine1Txt |
| City | Lindsborg | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 674562328 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | Lindsborg Community Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | 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 |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | http://www.lindsborghospital.org/about/message_from_ceo.html | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 12 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | http://www.lindsborghospital.org/about/message_from_ceo.html | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | http://www.lindsborghospital.org/patients/financial_assistance.html | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | http://www.lindsborghospital.org/patients/financial_assistance.html | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | http://www.lindsborghospital.org/patients/financial_assistance.html | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Lindsborg Community Hospital | Part V, Section B, Line 5: The McPherson County Health Needs Assessment process included gathering opinions from local sources and quantitative from secondary sources. The steering committee was represented by local organizations: McPherson County Health Department, McPherson Hospital, Lindsborg Community Hospital, and Mercy Hospital, Moundridge. A survey instrument was developed by the local steering committee. In early April 2013, the survey was distributed to individuals throughout the county, representing a broad spectrum of the population and their interests and professional and community endeavors. Representatives from the following areas received surveys: private college, public education administrators, special education advocacy, United Way, senior care administrators, senior care advocacy, child advocacy, family advocacy, chiropractic care, churches and church ministry groups, Chamber of Commerce, city government, county government, hospital administration, retail, mental health, county foundations, health care workers, physicians, law enforcement, EMS, pharmacists, college research and extension, recreation commission, dental care, disability care and advocacy, thrift stores, and low income housing. A total of 158 surveys were distributed with 106 returned, or a 67% return rate. The survey sought opinions and perspectives on several key areas including specific health issues; specific populations; barriers to health care; perceived weaknesses in areas ranging from emergency care to quality of housing; promotion of health and wellness; and key improvements needed to provide better health for residents. Responses to survey items were tallied and results calculated to determine which items received the most responses, providing a list of the most important health issues based on perception. A comprehensive list of identified community needs from the survey, in order of perceived importance, was developed. After the data was analyzed, a workgroup was formed to explore the results and begin to prioritize identified needs. The workgroup included county-wide representatives from the following: physicians and health care; mental health; law enforcement; city government; senior advocacy; public health; Chamber of Commerce; community foundations; research and extension; United Way; poverty; public education; and hospitals from the county. |
| Lindsborg Community Hospital | Part V, Section B, Line 6a: McPherson Hospital in McPherson, Kansas and Mercy Hospital in Moundridge, Kansas |
| Lindsborg Community Hospital | Part V, Section B, Line 6b: McPherson County Health Department |
| Lindsborg Community Hospital | Part V, Section B, Line 11: 2015 Review for Health Issues: It is difficult to create a specific action plan for each issue, as there are many factors involved in each area. In 2015, as a part of the CHNA Action Plan and a part of meeting Physician Quality Reporting System measures, a number of data reports were developed. They included a wide range of health issues including: HgbA1c for diabetics, appropriate testing for children with pharyngitis, influenza immunizations, pneumonia immunizations for 65 year olds and older, screening mammography, colorectal cancer screening, screening for nephropathy in diabetics, screening BMI's, hypertension and imaging studies for low back pain. Identification of those with Medicare who qualify to receive an Initial Medicare Visit or an Annual Wellness Visits started in 2014 and were carried out in 2015 with approximately 100 visits performed. Electronic Medical Record reports have been developed to identify those who qualify and are in need of the Wellness Visit. One health issue to be addressed was substance abuse. In early 2015, screening questions were developed into the clinic wellness exam for all age groups. If a referral is needed, one is made with Central Kansas Foundation in Salina. Education on many of these health issues were performed since the inception of our action plan. In July of 2015 and May of 2016, a 7 week Stepping On program was provided free of charge to community members in Lindsborg. In November of 2015, it was provided in Marquette. The total number of participants has been 34 and the purpose is to reduce falls among senior citizens. In September of 2015, LCH sponsored a community Safety and Health Fair at the Sundstrom Conference Center. Free and reduced price lab testing and vaccinations were provided. Expired or unused prescription medications were taken for proper disposal. There were also booths with information on the following topics: ImPACT testing and sports concussions, breast cancer awareness, skin cancer awareness, gun safety and free locks, behavioral health, bicycle safety with helmet giveaway, carbon monoxide poisoning with detector giveaways, anti-tip devices for furniture and televisions with giveaways, McPherson County Health Department, health portal registrations and driving assessments. Weekly health education is also provided through the newspapers of The Lindsborg News Record and The Marquette Tribune. Similar education is provided regularly on the LCH Facebook page, on the LCH website and through the quarterly community newsletter. These will continue as education to our communities. 2015 Review for Specific Populations with Inadequate Access to Care:These will be addressed while discussing barriers to care.2015 Review Action Plan for Barriers to Care:Caring for those with low incomes and specifically those without insurance is something we will continue to do. Enhancement of our financial assistance policy, in accordance with 501(r) regulations, enabled us to provide care to those less financially able to afford care. An automatic deduction of 30% from total charges has been adopted for those individuals without insurance. LCH has also made an increased effort to identify and inform individuals about our Financial Assistance Policy, to encourage completion of application paperwork. For the fiscal year 2015 (Oct 1 - Sept 30), LCH provided $98,316 in charity care through the financial assistance policy. Also, $471,031 was the amount of care considered bad debt.Several years ago, LCH started the Pink Fund with a purpose to provide funding to pay for cancer screening services for those in our service area without insurance. In September of 2014, the purpose was expanded to provide grants of up to $500 for those in our service area with a diagnosis of cancer. In September of 2015, the name of the fund was changed to the Smoky Valley Cares Fund. As of this time, $1,115 has been granted for those with the diagnosis, to assist with healthcare and related costs of treating this dreaded disease. Up to $3,000 per year will be granted.In the Family Health Care Clinic (FHCC), LCH has developed the process for school-aged children to have their activity health assessment forms completed. One option is a $35 cash option. It provides just the health assessment and form completion (no medications, labs, etc) but is an economical option for families. This practice started in 2014 and will continue.Access to care in the Family Health Care Clinic has been challenged in 2015 and 2016 by the loss of Dr. Andrea Eden, Dr. Jody Bieker and Miranda Brown APRN. To assist in recruitment and retainment of provider staff in the FHCC, LCH is working with Salina Regional Health Center Emergency Department to staff the ED at LCH. The goal is to be able to staff the LCH ED with advanced practice providers through the SRHC ED 24/7 by the end of 2016. Recruitment of new physicians to LCH will continue until the two open positions are filled. In September of 2014, the FHCC began providing childhood immunizations. This service, along with our ability to accept new patients was specifically marketed to those in our service area receiving insurance through KanCare. This is the state Medicaid program. LCH has continued to provide Urgent Care on Saturday and Sunday afternoons. This service provides an avenue for treatment of urgent situations when one's primary care provider is unavailable. It is also at a cost much less than in an Emergency Department. In fiscal year 2015 753 visits were provided in the LCH Urgent Care clinic.2015 Review for Perceived Weaknesses in General Areas:Free fitness options has been attained at LCH as membership fees to the Wellness Center were eliminated starting September 1, 2013. Thus, any person 12 years of age and up can use the Wellness Center by signing a waiver form, without charge. The hours were also expanded to enable use from 5:30am to 10pm Monday - Friday and 8am to 10pm on weekends and holidays. A second recumbent stepper was purchased in the spring of 2015 to provide additional equipment and reduce wait times. In March of 2016, the Wellness Center was renovated with removal of old weight equipment and the addition of a multifunction Precor Tower for strength training. Child care options will not be addressed as it is beyond the scope and abilities of LCH. Access to specialists will be enhanced through the affiliation between LCH and SRHC. In April of 2015, Mary Ann Carlson, PA-C, began providing Behavioral Health consults in an office at LCH. She is available 3 days per week. In the fall of that year, Summer Olsen MS LCP NCAC I, began providing Behavioral Health counseling in the same office one day per week. In November of 2015, Diabetic Education started as a service at LCH. It is offered via telemedicine from a Diabetic Educator at Comcare in Salina. The patient is able access the web connection through our specialty clinic. In ClosingA number of areas are being addressed to improve the health of McPherson County and specifically, the LCH service area. |
| Lindsborg Community Hospital | Part V, Section B, Line 22d: Anyone qualifying for free care under the financial assitance policy (FAP) is not charged for services. Anyone qualifying for discounted care under the FAP will not be charged more than the lowest negotiated commercial rate. |
| Part V, Section B, Line 16 | Financial Assistance Policy Website Availability |
| Lindsborg Community Hospital Part V, Section B, line 16a website: | http://www.lindsborghospital.org/patients/financial_assistance.html |
| Lindsborg Community Hospital Part V, Section B, line 16b website: | http://www.lindsborghospital.org/patients/financial_assistance.html |
| Lindsborg Community Hospital Part V, Section B, line 16c website: | http://www.lindsborghospital.org/patients/financial_assistance.html |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Family Health Care Clinic | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 605 W Lincoln St | AddressLine1Txt |
| City | Lindsborg | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67456 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | Physicians clinic | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part III, Line 4: | See Note A5 (page 9) of the Salina Regional Health Center, Inc. and Subsidiaries audited financial statements regarding the allowance for uncollectible accounts. Part III, Line 2: The Hospital's bad debt at cost was determined by applying an overall cost to charge ratio. Part III, Line 3: Lindsborg Community Hospital is unable to determine the amount of bad debt expense attributable to patients under its financial assistance policy. Suggested methods of estimation were not in place. For example, the number of financial assistance applications distibuted but not returned was not tracked. Rather than provide an estimate that cannot be substantiated, Lindsborg Community Hospital has chosen to report zero dollars as bad debt expense attributable to charity care patients. |
| Part III, Line 8: | Amounts were obtained from the cost report filed with Medicare for the period ended September 30, 2015. The total amount of the shortfall is considered a community benefit, representing our cost of providing services to the Smoky Valley communities. |
| Part III, Line 9b: | Patients who have qualified for financial assistance are considered qualified for one year. Updated information must be provided for any subsequent account balances. Patients who have qualified for partial financial assistance are to make payment arrangements for any remaining balance according to the policies that apply to other patients. |
| Part VI, Line 2: | A needs assessment has been completed. We are guided by our providers, our partners in nursing home care, Bethany Home and Riverview Estates, our partners in education of youth, USD 400 and Bethany College, and our patients in the Smoky Valley. |
| Part VI, Line 3: | The Hospital's charity care policy is posted in patient waiting rooms in a three-ring notebook. The contact information is not posted, but the employees of the Hospital have been instructed to direct anyone with questions regarding assistance to the Hospital's business office. Patients are educated by financial services staff and social services staff who are able to provide assistance upon request and through our policies being posted to our website. |
| Part VI, Line 4: | The Organization serves the Smoky Valley Area including Lindsborg, Marquette, Falun, Roxbury, Gypsum, Assaria and other areas including McPherson, Salina, Smolan, Canton, and Galva. Approximately 8% of the Hospital's patients are uninsured or Medicare patients. The community served by the Hospital is also served by two other hospitals, plus a FQHC in Salina. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | City of Lindsborg Kansas | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 486019638 | BondIssuerEIN |
| CUSIP | 535596FH8 | CUSIPNum |
| Bond Issued | 2009-10-15 | BondIssuedDt |
| Issue Price | $545,000 | IssuePriceAmt |
| Purpose | Refunding of 2000 series bonds. | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $265,000 | RetiredAmt |
| Total Proceeds | $545,000 | TotalProceedsAmt |
| Other Spent Proceeds | $545,000 | OtherSpentProceedsAmt |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | Yes (1) | AdvanceRefundingInd |
| Final Allocation Made | 0 | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | Yes (1) | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Kalli Weibert | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Daughter of Laraine Gengler, CFO | RelationshipDescriptionTxt |
| Transaction | $52,384 | TransactionAmt |
| Transaction | Employment | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 3 | The Hospital entered into a management and operating agreement with Salina Regional Health Center (SRHC) effective October 1, 2012. Under the agreement, SRHC is responsible for the daily management and operation of the Hospital, including the employment of all staff needed to manage and operate Lindsborg Community Hospital. For the calendar year of 2014, SRHC paid $102,569 for Larry Van Der Wege, the Hospital CEO's salary and benefits, and $95,977 for Laraine Gengler, the Hospital CFO's salary and benefits. These amounts are included on Form 990, Part VII, Columns D and F. |
| Form 990, Part VI, Section A, line 6 | Lindsborg Community Health Care Foundation, Inc., a not-for-profit, 501(c)(3) organization, is the sole member of Lindsborg Community Hospital. |
| Form 990, Part VI, Section A, line 7a | Lindsborg Community Health Care Foundation, Inc., being the sole member of Lindsborg Community Hospital, has the right to elect all board members. |
| Form 990, Part VI, Section A, line 7b | Lindsborg Community Health Care Foundation, Inc., is the sole member, and has the right to approve Lindsborg Community Hospital's by laws, articles of incorporation, and Board of Directors. |
| Form 990, Part VI, Section B, line 11 | An independent accounting firm prepares and reviews the Form 990. The Form 990 is then reviewed by the Organization's CEO and CFO. Any questions or concerns of the Organization's CEO and CFO are addressed and any corrections or clarifications that need to be made are made. The Form 990 is then provided to the Board of Directors for their review prior to filing the Form 990. Any questions or concerns of the Board of Directors are addressed and any corrections or clarifications that need to be made are made. The final Form 990 with all required schedules is then provided to all voting members of the board prior to filing the Form 990. |
| Form 990, Part VI, Section B, line 12c | At the time of hire or election (in the case of directors) and annually thereafter, the officers, directors, and key employees provide the applicable conflict of interest disclosures which are completed to identify any relationships, positions, or circumstances in which it is believed a conflict may arise. If a conflict arises, the officer, director, or key employee abstains from the vote of the conflicted position. The annual monitoring and review is part of the Organization's compliance plan. A report is submitted to the executive board concerning any interest disclosed. |
| Form 990, Part VI, Section B, line 15a | The Organization's process for determining Administrator's compensation begins with an initiative lead by the Executive Compensation Committee (ECC) of Salina Regional Health Center (SRHC). The ECC compares compensation and salary data provided by Integrated Health Strategies (HIS) for overall reasonableness of base compensation and total compensation for all SRHC executive staff. The ECC reviews the data and makes a recommendation to the SRHC board of trustees in a closed executive meeting where the compensation for the President/CEO of SRHC is then voted upon by all independent members of the board. This process was last completed in 2013. Lindsborg Community Hospital CEO's salary is then set by the President/CEO of SRHC. The Lindsborg Community Hospital CFO's salary is set by Lindsborg Community Hospital CEO using an annual salary survey and is increased using the same percentage as all other employees. |
| Form 990, Part VI, Section C, line 19 | The Organization's governing documents, conflict of interest policy, and financial statements are available to the public upon request. |
| Form 990, Part XI, Line 2C: | The selection of an independent accountant for the audit of Salina Regional Health Center, Inc. and Subsidiaries is determined by Salina Regional Health Center's audit committee. Lindsborg Community Hospital is part of the consolidated financial statements of Salina Regional Health Center. Lindsborg Community Hospital did not have a separate financial statement audit in the current fiscal year. A decision to have a separate audit in any future year will be made by Salina Regional Health Center's audit committee or Lindsborg Community Hospital's Board of Directors. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lindsborg Community Health Care Foundation Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 605 W Lincoln | AddressLine1Txt |
| City | Lindsborg | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 67456 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 480947732 | EIN |
| Primary Activities | To support the hospital | PrimaryActivitiesTxt |
| Legal Domicile State | KS | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | Line 7 | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |