LINDSBORG COMMUNITY HOSPITAL ASSOCIATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- LINDSBORG COMMUNITY HOSPITAL ASSOCIATION (EIN 48-0545183)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-04-29
- IRS object ID
- 201421199349300142
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-04-29T12:01:43-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 481026809 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Wendling Noe Nelson & Johnson LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 534 S Kansas Ave Suite 1500 | AddressLine1 |
| City | Topeka | City |
| State | KS | State |
| ZIP Code | 666033491 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 480545183 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lindsborg Community Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | LIND | NameControl |
| Phone | 7852273308 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 605 West Lincoln | AddressLine1 |
| City | Lindsborg | City |
| State | KS | State |
| ZIP Code | 674562328 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Larry Van Der Wege | Name |
| Title | CEO | Title |
| Phone | 7852273308 | Phone |
| Date Signed | 2014-04-21 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Heather R Eichem | Name |
| PTIN | P01515553 | PTIN |
| Phone | 7852334226 | Phone |
| Date Prepared | 2014-04-21 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Larry Van Der Wege | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 605 West Lincoln | AddressLine1 |
| City | Lindsborg | City |
| State | KS | State |
| ZIP Code | 674562328 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 7592582 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.lindsborghospital.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1944 | YearFormation |
| State Legal Domicile | KS | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 114 | TotalNbrEmployees |
| Total Nbr Volunteers | 75 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 185745 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 132609 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 6531961 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 7370982 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 19812 | InvestmentIncomePriorYear |
| Investment Income Current Year | 3230 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 41205 | OtherRevenuePriorYear |
| Other Revenue Current Year | 85761 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 6778723 | TotalRevenuePriorYear |
| Total Revenue Current Year | 7592582 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 775 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 4713 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 3862872 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 4447333 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 2931997 | OtherExpensePriorYear |
| Other Expenses Current Year | 3229790 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 6795644 | TotalExpensesPriorYear |
| Total Expenses Current Year | 7681836 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -16921 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -89254 | RevenuesLessExpensesCY |
| Total Assets BOY | 4187233 | TotalAssetsBOY |
| Total Assets EOY | 5694018 | TotalAssetsEOY |
| Total Liabilities BOY | 2437503 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 4033542 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1749730 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1660476 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 6586123 | Expense |
| Grants | 4713 | Grants |
| Revenue | 7458229 | Revenue |
| Description | 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. 1,857 patients were seen in the 2013 fiscal year. 561 urgent care visits, 552 privately paid home health visits were made, and 352 cardiac rehab visits improved the health of community members. 571 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. | Description |
| Total Program Service Expense | 6586123 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 12 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 114 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Laraine Gengler | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7852273308 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 605 West Lincoln | AddressLine1 |
| City | Lindsborg | City |
| State | KS | State |
| ZIP Code | 674562328 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (11 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| Chuck Oleen | ||||||
| President | 1.00 | X | X | 0 | 0 | 0 |
| Dave Schrag | ||||||
| Vice-President | 1.00 | X | X | 0 | 0 | 0 |
| Judy Neuschafer | ||||||
| Secretary | 1.00 | X | X | 0 | 0 | 0 |
| Joel Woodard | ||||||
| Treasurer | 1.00 | X | X | 0 | 0 | 0 |
| Judy Murphy | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| Tom Buffington | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| Carolyn Gibson | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| Ken Branch | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| Ericka Lysell | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| Larry Van Der Wege | ||||||
| CEO | 40.00 | X | 96785 | 0 | 3867 | |
| Laraine Gengler | ||||||
| CFO | 40.00 | X | 92208 | 0 | 3785 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 188993 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 7652 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (3 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| National Therapeutic Association Inc D | |||||
| 11623 Arbor Street | Omaha | NE | 68144 | PT and OT services | 229269 |
| JourneyMed | |||||
| PO Box 194 | Salina | KS | 67401 | Emergency room coverage | 186683 |
| Docs Who Care | |||||
| 1337 S Fountain Drive | Olathe | KS | 66061 | Emergency room coverage | 111737 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 3 | NumberOfContractorsGT100K |
| Government Grants | 72630 | GovernmentGrants |
| All Other Contributions | 59979 | AllOtherContributions |
| Total Contributions | 132609 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Net patient service re | 621400 | 6544069 | 6544069 |
| EHR incentive payment | 900099 | 826913 | 826913 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 7370982 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1744 | TotalRevenueColumn |
| Exclusion | $1,744 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 6700 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 6700 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6700 | TotalRevenueColumn |
| Related Or Exempt Function Income | 6700 | RelatedOrExemptFunctionIncome |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 1486 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 1486 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1486 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1486 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Employee/guest meals | 900099 | 24038 | 24038 |
| Medical record abstact | 900099 | 13620 | 13620 |
| Ambulance | 621910 | 9812 | 9812 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 31591 | TotalRevenueColumn |
| Related Or Exempt Function Income | 31591 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 79061 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7592582 | TotalRevenueColumn |
| Related Or Exempt Function Income | 7458229 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,744 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 800 | Total |
| Program Services | 800 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3913 | Total |
| Program Services | 3913 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 190057 | Total |
| Management And General | 190057 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3470418 | Total |
| Program Services | 3118162 | ProgramServices |
| Management And General | 352256 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 129320 | Total |
| Program Services | 112042 | ProgramServices |
| Management And General | 17278 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 399802 | Total |
| Program Services | 342859 | ProgramServices |
| Management And General | 56943 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 257736 | Total |
| Program Services | 231908 | ProgramServices |
| Management And General | 25828 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14452 | Total |
| Program Services | 14452 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42828 | Total |
| Management And General | 42828 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 288735 | Total |
| Program Services | 229610 | ProgramServices |
| Management And General | 59125 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 91394 | Total |
| Program Services | 38627 | ProgramServices |
| Management And General | 52767 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 135458 | Total |
| Program Services | 34218 | ProgramServices |
| Management And General | 101240 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 119831 | Total |
| Program Services | 102515 | ProgramServices |
| Management And General | 17316 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21787 | Total |
| Program Services | 13133 | ProgramServices |
| Management And General | 8654 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 350 | Total |
| Program Services | 175 | ProgramServices |
| Management And General | 175 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32110 | Total |
| Program Services | 27470 | ProgramServices |
| Management And General | 4640 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 441754 | Total |
| Program Services | 377921 | ProgramServices |
| Management And General | 63833 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54552 | Total |
| Program Services | 13546 | ProgramServices |
| Management And General | 41006 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| Professional fees - phy | 761150 | 761150 |
| Professional fees - oth | 295647 | 295647 |
| Medical supplies | 248552 | 248552 |
| Pharmaceuticals | 214823 | 214823 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 466367 | Total |
| Program Services | 404600 | ProgramServices |
| Management And General | 61767 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7681836 | Total |
| Program Services | 6586123 | ProgramServices |
| Management And General | 1095713 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 76677 | BOY |
| EOY | 105743 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 560985 | BOY |
| EOY | 854279 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 819278 | BOY |
| EOY | 1062545 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 153484 | BOY |
| EOY | 119626 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47311 | BOY |
| EOY | 57461 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 6773745 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 4717408 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2097886 | BOY |
| EOY | 2056337 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 225314 | BOY |
| EOY | 306266 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 206298 | BOY |
| EOY | 1131761 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4187233 | BOY |
| EOY | 5694018 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 702534 | BOY |
| EOY | 182025 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1084304 | BOY |
| EOY | 599165 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 650665 | BOY |
| EOY | 3234435 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 17917 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2437503 | BOY |
| EOY | 4033542 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1487778 | BOY |
| EOY | 1383933 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 261952 | BOY |
| EOY | 276543 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1749730 | BOY |
| EOY | 1660476 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4187233 | BOY |
| EOY | 5694018 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -89254 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 1 | GrantsOtherOrganizations |
| Grants Other Organizations | $1,724 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 1724 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Explanation of Lobbying Activities: | Identifier |
| Return Reference | Part II-B, Line 1: | ReturnReference |
| Explanation | The portion of annual dues paid to hospital and medical associations attributed to lobbying activities by the associations. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10442 | OtherCostOrOtherBasis |
| Book Value | 10442 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2346831 | OtherCostOrOtherBasis |
| Depreciation | 1554785 | Depreciation |
| Book Value | 792046 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4136970 | OtherCostOrOtherBasis |
| Depreciation | 2911737 | Depreciation |
| Book Value | 1225233 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 279502 | OtherCostOrOtherBasis |
| Depreciation | 250886 | Depreciation |
| Book Value | 28616 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 2056337 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Estimated reimbursements receivable | Description |
| Book Value | 1131761 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 1131761 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Estimated reimbursements payable | Description |
| Amount | $17,917 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 17917 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of Uncertain Tax Positions Under FIN 48: | Identifier |
| Return Reference | Part X, Line 2: | ReturnReference |
| Explanation | Management is not aware of any uncertainties in income tax positions. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 125.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 57663 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 57663 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00750 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 175835 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 17502 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 158333 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02060 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 233498 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 17502 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 215996 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02810 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 13 | NumberOfActivitiesOrPrograms |
| Persons Served | 49744 | PersonsServed |
| Total Community Benefit Expense | 109443 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 34532 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 74911 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00980 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 462 | PersonsServed |
| Total Community Benefit Expense | 7884 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 7884 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00100 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 4 | NumberOfActivitiesOrPrograms |
| Persons Served | 1088 | PersonsServed |
| Total Community Benefit Expense | 9219 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 9219 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00120 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 20 | NumberOfActivitiesOrPrograms |
| Persons Served | 51294 | PersonsServed |
| Total Community Benefit Expense | 126546 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 34532 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 92014 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01200 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 20 | NumberOfActivitiesOrPrograms |
| Persons Served | 51294 | PersonsServed |
| Total Community Benefit Expense | 360044 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 52034 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 308010 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04010 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 300 | PersonsServed |
| Total Community Building Expense | 1346 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1346 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 300 | PersonsServed |
| Total Community Building Expense | 1346 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1346 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $241,400 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 4353753 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 4348408 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 5345 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lindsborg Community Hospital | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 605 West Lincoln | AddressLine1 |
| City | Lindsborg | City |
| State | KS | State |
| ZIP Code | 674562328 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| Critical Access Hospital | X | CriticalAccessHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lindsborg Community Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 1 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| All Needs Addressed | 1 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 125.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 200.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Insurance Status | X | InsuranceStatus |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (9 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| 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 ending September 30, 2013. 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 V, Section B, Line 3: 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 healthcare; 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 4: Lindsborg Community Hospital, Inc. collaborated with McPherson Hospital in McPherson, Kansas, and Mercy Hospital in Moundridge, Kansas in creating a Community Health Needs Assessment. | Lindsborg Community Hospital |
| Part V, Section B, Line 20d: 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. | Lindsborg Community Hospital |
| 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
Form990 Schedule K Part I Form990ScheduleKPartI
| 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 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 486019638 | IssuerEIN |
| CUSIP Number | 535596FH8 | CUSIPNumber |
| Date Issued | 2009-10-15 | DateIssued |
| Issue Price | 545000 | IssuePrice |
| Description Of Purpose | Refunding of 2000 series bonds. | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Amount Retired | 165000 | AmountRetired |
| Total Proceeds | 545000 | TotalProceeds |
| Other Spent Proceeds | 545000 | OtherSpentProceeds |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 1 | AdvanceRefunding |
| Final Allocation Made | 0 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 2012, SRHC paid $21,713 for Larry Van Der Wege, the Hospital CEO's salary and benefits and $20,937 for Laraine Gengler, the Hospital CFO's salary and benefits. These amounts are included on Form 990 Part VII, Column 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 incorpoartion and Board of Directors. | |
| Form 990, Part VI, Section B, line 11 | An independent accounting firm prepares and reviews the 990. The 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 990 is then provided to the Board of Directors for their review prior to filing the 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 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 Administrators 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 CFOs 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 Centers 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 Centers audit committee or Lindsborg Community Hospitals Board of Directors. | Review of Financial Statements |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lindsborg Community Health Care Foundation Inc | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 605 W Lincoln | AddressLine1 |
| City | Lindsborg | City |
| State | KS | State |
| ZIP Code | 67456 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 480947732 | EIN |
| Primary Activities | To support the hospital. | PrimaryActivities |
| Legal Domicile State | KS | LegalDomicileState |
| Exempt Code Section | 501(c)(3) | ExemptCodeSection |
| Public Charity Status | Line 7 | PublicCharityStatus |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |